referring to fig1 , there is disclosed a current dental implant protocol . when a tooth 10 is extracted 102 , the extraction socket 11 is given 3 months to heal or filled in with bone 104 , then an osteotomy is performed 106 and a titanium implant fixture 12 is screwed into the bone 108 , another three months is given to allow the titanium implant fixture 12 to osteointegrate with the bone before an abutment 13 is torqued onto the fixture 110 . following the abutment 13 being placed , an impression is taken and sent to lab for fabricating the crown 14 . two weeks later , the crown delivered from the lab to the dentist and put onto the abutment 112 . the entire course from tooth extraction to the completed tooth restoration takes about six and half months equivalent to 26 weeks . referring to fig2 , there is disclosed a dental implant protocol using a custom implant fixture system and method according to the present invention . the protocol starts from step 202 where a tooth 20 is extracted , an immediate impression is taken to capture the following : the extraction socket 21 , teeth adjacent to the extracted tooth ; soft tissue and the opposing dentition at step 204 . following taking impression , the extraction / socket site 21 is filled with a solid socket space maintainer that does not reabsorb , or change shape to prevent the bone from filling in before implant fixture placement . the patient is dismissed with a one week appointment . the impression is sent to a lab along with the extracted tooth 20 for designing and fabricating a custom implant fixture 22 and abutment 23 . in one embodiment , triple tray pvs impression method is recommended . a customized bur to remove intra - root bone 25 for any multi - rooted tooth is needed as shown in fig3 . an osteotomy to lengthen the existing socket 21 is recommended for a perio involved tooth as show in fig4 . once the lab receives the impression , the impression is captured via a special 3d dental scanner system into a digital 3d dental cad software . using the cad software , lab technician designs the custom fixture 22 based on the root anatomy , soft tissue of the tooth , tooth location , adjacent teeth location / position , and opposing teeth . the fixture 22 should be designed as an exact negative of the bone socket site with no undercuts and a slightly larger diameter in the abutment end of the fixture 22 . once designed , the software cad data is sent to a 3d dental cam milling machine where a titanium block is milled according to the design specification . the implant fixture 22 features most of the same features as the traditional cylindrical fixture 12 : grooves to increase surface area with the bones , receiving end for the abutment , screw hole for the abutment screw . the fundamental difference in design of the custom implant fixture 22 and traditional standardize size implant fixture 12 is that the standardized implant fixture 12 is a screw type implant , that the fixture 12 is screwed into the prepared bone site . the mechanical function of the “ screw - like ” feature provides the initial stability for the implant fixture 12 to begin osteointegration , whereas , the custom implant fixture 22 functions more like a nail by compressing the bone around the implant which provide the initial stability during the osteointegration period . thus the geometrical difference between custom implant fixture ( cif ) 22 and the traditional implant fixture 12 is that the horizontal cross section area of the custom fixture 22 is not completely round with a constant diameter as in the case of the traditional standardize sized cylindrical implant fixture 12 . it can be round for anterior teeth , elliptical for premolars , or rounded rectangle for molars as shown in fig5 . referring to fig5 , there is illustrated respectively a perspective view , and a top plan view of the custom implant fixture 22 according to the present invention . the custom implant fixture 22 is designed to conform to the shape of the specific teeth so that it provides a full natural support for the tooth analogue . once milled , the fixture 22 surface is coated with osteointegration materials as prescribed by the dentist . once the custom fixture 22 is fabricated , the lab will also fabricate a custom abutment / implant transfer with the option for a fixture analog depending on the dentist &# 39 ; s preference for ways of restoring the implant . lab tech can design the custom abutment 23 ( either metal or ceramic ) in the cad / cam software based on the same criteria as the custom fixture 22 . ( soft tissue , location of adjacent and opposing dentition ) in addition to the custom fixture data . the custom implant fixture 22 , fixture analog ( optional ) and custom abutment / implant transfer 23 are packaged and mailed back to the dentist office within a week . at the one - week appointment , the temporary socket maintainer is removed , socket 21 is cleaned with a spoon excavator . since the custom implant fixture 22 is an exact replica of the extraction / socket site 21 with a slightly larger abutment end , it is tapped or inserted into the socket 21 with minimal force ( like a nail ) at step 206 . similar to the standard dental implant protocol , a three months period is given to allow the custom implant fixture 22 to osteointegrate with the surrounding bones before the abutment 23 is torqued onto the fixture . after 3 months , dentist tests for osteointegration of the custom implant fixture 22 , then restore the implant abutment 23 at step 208 . similarly to the standard dental implant protocol , an impression is taken for the crown 24 . two weeks later the crown 24 comes back from the lab and is placed onto the abutment 23 at step 210 . the entire course takes 3 and ¾ months equivalent to 15 weeks . the dental implant protocol using a custom implant fixture system and method according to the present invention shorts the period from tooth extraction to the completed restoration of the tooth by about 3 months . while there have been shown and described and pointed out the fundamental novel features of the invention as applied to the preferred embodiments , it will be understood that the foregoing is considered as illustrative only of the principles of the invention and not intended to be exhaustive or to limit the invention to the precise forms disclosed . obvious modifications or variations are possible in light of the above teachings . the embodiments discussed were chosen and described to provide the best illustration of the principles of the invention and its practical application to enable one of ordinary skill in the art to utilize the invention in various embodiments and with various modifications as are suited to the particular use contemplated all such modifications and variations are within the scope of the invention as determined by the appended claims when interpreted in accordance with the breadth to which they are entitled .
the present invention relates to dental implants , and more particularly to custom dental implant fixture that shortens the extraction to completed restoration period from 6 - 8 months to 4 months . the invention is to use the existing extraction site as is to place custom implant fixture , thereby avoiding a lengthy extraction healing stage and the subsequent osteotomy surgery .