fig1 shows the first step in the process of making a tooth reconstruction . the gingiva 1 is prepared surgically between two healthy teeth 5 , 6 sufficiently to allow the anchoring of an implant body 3 in the jawbone 2 . this implant body 3 has an implant head or socket 4 secured at its gingival end , which serves as an aid to positioning and in this case has the shape of a hexagon . obviously , other shapes can be used for the same purpose . it will always be necessary , however , to ensure that the degrees of freedom between patrix and matrix are kept to a minimum . the socket 4 serves as an anchoring arrangement for an abutment 7 , as shown in the following figures . the implant head 4 has a screw thread 13 , for receiving a detachable connection . obviously , other connection arrangements can also be envisaged . care must be taken to ensure that the detachable connection will not work loose on its own . once healing has occurred following the insertion of the implant body , the abutment 7 may be fitted to the implant body as shown in fig2 . the abutment 7 is fashioned as a retention shape and has a metal core 8 with a material sheathing 9 of ceramic , synthetic or composite material . the hollow core 8 has a central aperture 12 . as is clearly evident from fig2 the sheathing 9 reaches deep into the gingiva , i . e ., approaching the area of the jawbone , as seen in fig4 which shows the sheath attached around the bottom portion of the core and extending an entire distance between a bottom end of a tooth 11 and a bottom end of the abutment 7 . if subsequently , in the course of time , gingival recession occurs , at most a region of the tooth - colored sheathing 9 of the abutment 7 will be exposed which will not cause any cosmetic impairment . the retention shape of the abutment 7 can be prepared individually , i . e ., any inclined ( skew ) plane that is required on the implant surface can be fashioned . in this way , optimal shape and attitude can be achieved in the tooth reconstruction . as fig2 further shows , the connection between the implant body 3 and the abutment 7 takes place exclusively in the metallic region of the two connecting pieces . a screw 10 is passed via the vertical aperture 12 in the abutment 7 and screwed tight from above in the implant head 4 . it is evident that the connection must not become unscrewed too easily on its own . all necessary precautions known to the state of the art should be used to ensure that the joint between the implant body 3 and the abutment 7 can be unscrewed only by the use of special means . the positioning between the implant 3 and abutment 7 is carried out by the hexagonal recess at the lower end of the abutment 7 and the hexagonal shape of the implant head 4 . the degrees of freedom between the head 4 and the abutment 7 must be kept as small as possible , on the one hand to maintain the predetermined position of the reconstruction and on the other hand to achieve support for the static connection . as already mentioned , other arrangements can also be envisaged withregard to positioning as well as coupling of the head 4 to the abutment 7 , as long as the predetermined and defined purpose is still achieved . in a modified form of the invention , the abutment 7 itself may take the form of the reconstructed tooth , including the aperture 12 , which is also present in this case , and which serves invariably for anchoring the abutment 7 to the implant head 4 . the aperture 12 is closed , when the reconstruction is finished , at the open end with a plug - like insert of the same material as the abutment 7 . fig3 now shows the final reconstruction , which is concluded by placing on a tooth crown 11 . when comparing two existing healthy teeth 5 , 6 and a reconstructed tooth 11 , fig3 itself clearly indicates the manifold possibilities that the described concept can open up and the maximal quality assurance that can thereby by achieved . a device for the reconstruction of missing or lost teeth thus includes the implant body 3 , and means , such as an external thread on the body , for anchoring the body in a jawbone , and the implant head or socket 4 on the body . the device further includes the abutment 7 . means , such as the screw 10 and the screw thread 13 in the implant body 4 , is provided for securing the abutment to the body , the abutment being non - rotatable relative to the implant head . the device also includes the detachable prosthesis tooth 11 having a base and a cavity . the abutment 7 includes the tubular portion 8 which is received in the cavity in the tooth . the tubular portion 8 is substantially the same height as a central portion of the tooth . the abutment 7 has the sheath 9 formed on or attached to an exterior of the tubular portion 8 , the sheath forming an abutment face spaced from the securing means 10 and 13 . the tubular portion 8 preferably has a narrow cylindrical upper portion , an enlarged bottom portion , and a curved transition cuff between a tubular portion and the bottom portion . the sheath 9 is attached around the cylindrical portion and the transition cuff . the size of an exposed portion of the sheath 9 below the abutment face is larger than an exposed portion of the tubular portion 8 below the abutment face . put another way , the bottom end of the tooth 11 is spaced from the transition cuff , and a distance between the bottom end of the tooth and the transition cuff is greater than a distance between the transition cuff and a bottom end of the abutment . the detachable tooth cavity has a length corresponding to the length of the tubular portion 8 , and the base of the detachable tooth engages the abutment face . although a preferred embodiment of this invention has been illustrated and described herein , it is recognized that changes and variations may be made without departing from the invention as set forth in the claims .
in a device for the reconstruction of missing or lost teeth , an implant , which ends in the gingival region , is biologically anchored in a jawbone . the implant itself comprises an implant body anchored in the jawbone and an implant head on the gingival aspect , acting as the anchoring site for an abutment , which in turn forms the reception site for the tooth being reconstructed . the abutment represents the retention shape of the tooth being reconstructed .