Customized dental prosthesis for periodontal or osseointegration, and related systems

Abstract

A dental prosthesis to be integrated into a jaw bone cavity of a pre-identified patient. An example of a dental prosthesis includes a first manufactured portion having a surface shaped to substantially dimensionally conform three dimensionally to an undersized shape of the outer three-dimensional surface shape of a root of a tooth to be replaced, and a second manufactured portion shaped to substantially conform to the three-dimensional surface of a crown of the tooth. The outer surface of the root portion can include or be coated with a biocompatible material that is suitable to be integrated into the extraction socket and adopted by existing tissue forming the socket.

That claimed as: 
     
         1 . A dental prosthesis to be integrated into a receiving jaw bone cavity structure of a pre-identified patient, the dental prosthesis being a finished manufactured product prior to its insertion into the receiving jaw bone cavity structure, the dental prosthesis comprising:
 a root portion configured to be positioned in and substantially integrated into and adopted by at least one of the following: a jaw bone structure of the pre-identified patient and a periodontal ligament structure of the pre-identified patient, defining the receiving jawbone cavity structure, the root portion having an outer surface, substantial portions of the outer surface having a custom three-dimensional surface shape specifically dimensionally matching an undersized three-dimensional surface shape of corresponding outer surface portions of a root portion of a natural tooth of the pre-identified patient.   
     
     
         2 . A dental prosthesis as defined in  claim 1 , wherein the root portion is configured to be substantially integrated into and adopted by the jaw bone structure of the pre-identified patient, the jaw bone structure defining the receiving jawbone cavity structure. 
     
     
         3 . A dental prosthesis as defined in  claim 1 , wherein the portion is configured to be substantially integrated into and adopted by the periodontal ligament structure of the pre-identified patient, the periodontal ligament structure defining the receiving jawbone cavity structure. 
     
     
         4 . A dental prosthesis as defined in  claim 1 , wherein the entire three-dimensional shape of the root portion does not exceed dimensionally a corresponding three-dimensional shape of the root portion of the natural tooth of the pre-identified patient. 
     
     
         5 . A dental prosthesis as defined in  claim 1 , wherein the three-dimensional shape of the substantial portions of the root portion is undersized approximately 0.2 to 0.3 mm with respect to the corresponding outer surface portions of the root portion of the natural tooth of the pre-identified patient. 
     
     
         6 . A dental prosthesis as defined in  claim 1 , wherein the entire outer surface portion of the root portion corresponding to an entire embedding jaw bone cavity surface associated with the natural tooth of the pre-identified patient is sized and shaped so as to not exceed dimensionally a natural pre-insertion three-dimensional shape of the respective embedding jaw bone cavity surface when the dental prosthesis is clinically positioned therein. 
     
     
         7 . A dental prosthesis as defined in  claim 1 , wherein the three-dimensional shape of the substantial portions of the root portion is undersized approximately 0.2 to 0.3 mm with respect to corresponding portions of the jaw bone cavity structure receiving the dental prosthesis. 
     
     
         8 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises a biocompatible enhancement comprising:
 a layer of biocompatible material comprising engineered tissue.   
     
     
         9 . A dental prosthesis as defined in  claim 8 , wherein the engineered tissue comprises non-autologous tissue-engineered material. 
     
     
         10 . A dental prosthesis as defined in  claim 8 , wherein the engineered tissue comprises autologous tissue-engineered material. 
     
     
         11 . A dental prosthesis as defined in  claim 8 , wherein the engineered tissue is characterized by being derived from autologous tissue samples from the pre-identified patient. 
     
     
         12 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises a biocompatible enhancement comprising:
 ancestral cells positioned on the outer surface of the root portion, the ancestral cells being located thereon prior to and insertion of the dental prosthesis into the jaw bone cavity structure.   
     
     
         13 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises a biocompatible enhancement comprising:
 a nano-crystalline diamond coating forming at least substantial portions of the outer surface of the root portion.   
     
     
         14 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises a biocompatible enhancement comprising:
 cells of a tooth positioned on the outer surface of the root portion.   
     
     
         15 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises a biocompatible enhancement material comprising:
 portions of the natural tooth.   
     
     
         16 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises a biocompatible enhancement comprising:
 a coating of an antibiotic pharmaceutical located on substantial portions of the outer surface of the root portion prior to insertion of the root portion into the jaw bone cavity structure.   
     
     
         17 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises:
 a gel adapted to form a barrier membrane when sprayed with water, positioned on substantial portions of the outer surface of the root portion prior to insertion of the root portion into the jaw bone cavity structure.   
     
     
         18 . A dental prosthesis as defined in  claim 1 , wherein the root portion further comprises:
 a layer of silver positioned adjacent a permanent crown portion when connected thereto, configured to reduce healing gum tissue growth.   
     
     
         19 . A dental prosthesis as defined in  claim 1 , wherein the outer surface of the root portion comprises zircon-oxide. 
     
     
         20 . A dental prosthesis as defined in  claim 1 , wherein the outer surface of the root portion comprises titanium or a titanium alloy. 
     
     
         21 . A dental prosthesis as defined in  claim 1 , wherein the outer surface of the root portion comprises a ceramic material. 
     
     
         22 . A dental prosthesis as defined in  claim 1 , wherein the root portion comprises a root main body portion, the root main body portion comprising one of the following: a ceramic and a biocompatible metal, having portions of the natural tooth integrated therewith. 
     
     
         23 . A dental prosthesis as defined in  claim 1 , further comprising:
 a permanent crown portion connected to the root portion; and   a membrane abuttingly contacting portions of the outer surface of the root portion adjacent the permanent crown portion to separate faster healing gum tissue growth from a slower healing periodontal ligament structure when the dental prosthesis is substantially integrated into and adopted by the periodontal ligament structure of the patient.   
     
     
         24 . A dental prosthesis as defined in  claim 1 , further comprising:
 a permanent crown portion connected to the root portion of the dental prosthesis to form a unitary prosthetic structure existing as the unitary prosthetic structure prior to insertion of the root portion into the jaw bone cavity structure;   wherein the root portion comprises a primary body material;   wherein the permanent crown portion comprises the primary body material; and   wherein the root portion and the permanent crown portion together define the unitary prosthetic structure, the primary body material of the root portion of the unitary prosthetic structure and the primary body material of the permanent crown portion of the unitary prosthetic structure together comprising a substantial plurality of abuttingly contacting layers of material extending cross-sectionally through an extent of the prosthetic structure.   
     
     
         25 . A dental prosthesis to be integrated into a receiving jaw bone cavity structure of a pre-identified patient, the dental prosthesis being a finished manufactured product prior to its insertion into the receiving jaw bone cavity structure, the dental prosthesis comprising:
 a root portion configured to be positioned in and integrated into the receiving jaw bone cavity structure of the specific pre-identified patient and having an outer surface, substantial portions of the outer surface having a custom three-dimensional surface shape specifically dimensionally matching an undersized three-dimensional surface shape of corresponding outer surface portions of a root portion of a natural tooth of the pre-identified patient;   wherein the entire three-dimensional shape of the root portion does not exceed dimensionally a corresponding three-dimensional shape of the receiving jaw bone structure of the pre-identified patient; and   wherein the three-dimensional shape of the substantial portions of the root portion is undersized approximately 0.2 to 0.3 mm with respect to the corresponding outer surface portions of the root portion of the natural tooth of the pre-identified patient.   
     
     
         26 . A dental prosthesis to be integrated into an embedding jaw bone cavity structure of a pre-identified patient, the dental prosthesis being a finished manufactured product prior to its insertion into the embedding jaw bone cavity structure, the dental prosthesis comprising:
 a root portion configured to be positioned in and integrated into the embedding jaw bone cavity structure of a specific pre-identified patient and having an outer surface, substantial portions of the outer surface having a custom three-dimensional surface shape specifically dimensionally matching an undersized natural pre-insertion three-dimensional shape of corresponding portions of the embedding jaw bone cavity structure.   
     
     
         27 . A dental prosthesis as defined in  claim 26 , wherein the entire outer surface portion of the root portion corresponding to an entire embedding jaw bone cavity surface associated with the natural tooth of the pre-identified patient, is sized and shaped so as to not exceed dimensionally the natural pre-insertion three-dimensional shape of the respective embedding jaw bone cavity surface when the dental prosthesis is clinically positioned therein. 
     
     
         28 . A dental prosthesis as defined in  claim 27 , wherein the three-dimensional shape of the substantial portions of the root portion is undersized approximately 0.2 to 0.3 mm with respect to the corresponding portions of the embedding jaw bone cavity structure receiving the root portion of the dental prosthesis. 
     
     
         29 . A dental prosthesis to be integrated into a receiving jaw bone cavity structure of a pre-identified patient, the dental prosthesis being a finished manufactured product prior to its insertion into the receiving jaw bone cavity structure, the dental prosthesis comprising:
 a root portion configured to be positioned in and substantially integrated into and adopted by at least one of the following: a jaw bone structure of the pre-identified patient and a periodontal ligament structure of the pre-identified patient, defining the receiving jawbone cavity structure, the root portion having an outer surface characterized by being shaped prior to extraction of a natural tooth of the pre-identify patient to be replaced by the dental prosthesis, the entire portion of the outer surface of the root portion corresponding to an entire embedding jaw bone cavity surface associated with the natural tooth of the pre-identified patient being sized and shaped so as to not exceed dimensionally a natural pre-insertion three-dimensional shape of the respective embedding jaw bone cavity surface when the dental prosthesis is clinically positioned therein, the root portion further substantially comprising a non-molded material.   
     
     
         30 . A dental prosthesis as defined in  claim 29 , wherein the root portion is configured to be substantially integrated into and adopted by the jaw bone structure of the pre-identified patient, the jaw bone structure defining the receiving jawbone cavity structure. 
     
     
         31 . A dental prosthesis as defined in  claim 29 , wherein the root portion is configured to be substantially integrated into and adopted by the periodontal ligament structure of the pre-identified patient, the periodontal ligament structure defining the receiving jawbone cavity structure. 
     
     
         32 . A dental prosthesis as defined in  claim 29 ,
 wherein the outer surface of the root portion has a machined surface finish resulting from one or more of the following: milling, grinding, and layer-by-layer depositing; and   wherein the non-molded material comprises at least one of the following: titanium, titanium alloy, zirconia, and alumina.