preferred embodiments of the abutment of the angled dental implant according to the present invention will be described hereunder in more detail with reference to the accompanying drawings . fig1 is a planar view of one embodiment of an abutment used in an angled dental implant according to the present invention ; fig2 is a right - side view of the abutment as shown in fig1 ; fig3 is a bottom view of the abutment as shown in fig1 ; fig5 is a right - side view of another embodiment of an abutment used in an angled dental implant according to the present invention , in which the height of a truncated conical portion is lower than that in the abutment of the embodiment as shown in fig1 ; fig6 is a cross - sectional view of an embodiment of an abutment used in an angled dental implant according to the present invention , which comprises a first member and a second member , corresponding fig4 ; fig7 is a cross - sectional view of an embodiment of an abutment used in an angled dental implant according to the present invention , in which the first member comprises two members , corresponding to fig4 ; fig8 is a planar view of one embodiment of a gold cylinder used in an angled dental implant according to the present invention ; fig9 is a right - side view of the gold cylinder as shown in fig8 ; fig1 is a view of another embodiment in which in an implant fixture side of an inner space portion of the gold cylinder of the embodiment as shown in fig8 no angular pipe concave portion to be engaged in an angular pipe portion provided in an implant fixture side of a gold cylinder external engagement portion of an abutment is provided , corresponding to fig1 ; and fig1 is a cross - sectional explanatory view of one embodiment in a state that the therapy is completed with a gold cylinder having a dental prosthesis formed thereon by using an angled dental implant according to the present invention being fixed . first of all , the construction of the dental implant is explained by using fig1 . a numeral 1 is an implant fixture made of titanium having good affinity with living bodies , which is implanted in and fixed to an implantation hole formed in a mandible of the deficit tooth portion . in the embodiment shown here , the point to be implanted in the mandible is in an approximate hemisphere form ; and a succeeding portion is in an approximate column form in which an engagement portion 1c in a concave groove form to be engaged in the mandible is provided in a predetermined potion of the surrounding thereof ; an angular pipe portion 1a in a form of , e . g ., a hexagon is provided in a center portion of an end portion in the oral cavity side of the approximate column portion ; and a female screw 1b penetrating through the angular pipe portion 1a and coming into the above - described approximate column portion is provided . implant fixtures not having such a structure are also applicable to the angled dental implant according to the present invention . a numeral 2 is an abutment functioning as a support , which is connected and fixed to the implant fixture 1 in the oral cavity side and to which a gold cylinder 4 functioning as a fixing device of a dental prosthesis 6 as described below is connected and fixed . the abutment comprises a truncated conical portion 2a in which an end portion thereof in the side of the implant fixture 1 has an outer diameter the same as that of an end of the approximate column of the implant fixture 1 . the outer diameter of portion 2a increases as it becomes distal from the implant fixture 1 , and the oral cavity side thereof has such a height that it is positioned in the side of the implant fixture 1 as compared with a top portion in the oral cavity side of a mandible of a patient . the truncated conical portion 2a is preferably made of titanium or ceramics having good affinity with living bodies because it is a site coming into contact with the mandible . also , in the side of the implant fixture 1 , the abutment 2 is provided with an angular pipe concave portion 2b ( for example , in case where the angular pipe portion 1a of the implant fixture 1 is hexagonal , the angular pipe concave portion 2b is a hexagonal or dodecagonal concave portion ) to be engaged in the above - described angular pipe portion 1a of the implant fixture 1 . in the oral cavity side of the truncated conical portion 2a , the abutment 2 is provided with an external periphery side plane 2c perpendicular against the axis of the truncated conical portion 2a , with which the end surface of the gold cylinder in the side of the implant fixture 1 comes into contact . in a portion positioned in the center side of the truncated conical portion 2a and in the oral cavity side , a gold cylinder external engagement portion 2d whose center line is inclined with a predetermined angle ( against the center axis of the implant fixture 1 is provided ) and a bolt hole 2e is provided in such a manner that it penetrates from the inclined external surface of the gold cylinder external engagement portion 2d to the center of the truncated conical portion 2a , with a female screw 2f being provided in the oral cavity side of the gold cylinder external engagement portion 2d . in the side of the implant fixture 1 of the gold cylinder external engagement portion 2d , an angular pipe portion ( for example , a hexagonal pipe portion ) 2g to be engaged in the angular pipe portion 1a of the implant fixture 1 as shown in fig1 to 7 is provided . alternatively , as shown in fig1 , no angular pipe portion is provided , but it is merely in a truncated conical form . the abutment 2 , as shown in fig6 and 7 , comprises a first member a comprising the truncated conical portion 2a in which a concave groove 2h in the side of the implant fixture 1 and / or a projection 2i projected in the oral cavity side are formed in the inside of the external periphery side plane 2c . a and a second member b in which a projection 2j to be internally engaged in the groove 2h and / or a groove 2k to be externally engaged in the projection 2i are provided . the position is fixed in a state that the groove 2h and projection 2j and / or the projection 2i and groove 2k are engaged in each other . in a portion positioned in the oral cavity side , the gold cylinder external engagement portion 2d whose center line is inclined against the center axis of the implant fixture 1 can be employed . according to this construction , not only the construction can be made from members of a linear symmetry or an approximately linear symmetry against the respective center lines ( the center line of the truncated conical portion 2a in the case of the first member a ; and the center line of the gold cylinder external engagement portion 2d of the second member b ), so that its preparation is easy , but also in particular , the external periphery surface of the truncated conical portion 2a of the first member a functioning as a portion coming into contact with a gingiva can be mechanically processed so as to have a fine plane roughness , whereby the sealability by the gingiva is improved to prevent bacteria from retention . thus , this construction is preferable . and , each of the first member a and the second member b can also be constructed from two or more members which are engaged in each other and position - fixed , as shown in fig7 in which , however , only the first member a is explained . as the abutment since the thickness of the gingiva is different depending upon patients , two types having a varied height of the truncated conical portion 2a of , e . g ., 1 mm , 2 mm , and 3 mm are prepared . referring again to fig1 , a slot 3c is formed in a top portion of an abutment screw 3 for connecting and fixing the abutment 2 in the oral cavity side of the implant fixture 1 . following this top portion , a stopper portion 3b coming into contact with the end surface in the oral cavity side of the bolt hole 2e of the abutment 2 is provided ; and a male screw 3a which is screwed in the female screw 1b of the implant fixture while penetrating through the bolt hole 2e of the abutment 2 as well as the angular pipe portion 1a of the implant fixture 1 is provided . cylinder 4 is made of a noble metal - based alloy such as gold and is configured to be connected and fixed to the abutment 2 by means of a screw 5 which is received by the female screw 2f provided in cylinder external engagement portion 2d in the oral cavity side of the abutment 2 connected and fixed to the oral cavity side of the implant fixture 1 by means of the abutment screw 3 . in the side of the implant fixture 1 , a plane 4a forming the end surface in the side of the implant fixture 1 , which comes into contact with the external periphery side plane 2c perpendicular the axis of the truncated conical portion 2a of the abutment 2 is provided . the oral cavity side thereof is in a predetermined external shape whose diameter is reduced as compared with the plane 4a and forms a cast piece anchorage 4b of the dental prosthesis 6 whose center line is coincident with the center line of the gold cylinder external engagement portion 2d inclined with a predetermined angle ( against the center axis of the implant fixture ). the internal portion of cylinder 4 has a space which can receive a top portion of the abutment screw 3 and the gold cylinder external engagement portion 2d of the abutment 2 , and in this space , an external engagement portion 4c to be externally engaged in the gold cylinder external engagement portion 2d of the abutment 2 . in the oral cavity side , a projected portion 4e into which the top portion of the gold screw 5 is implanted and then supported is formed . in the external surface of the cast piece anchorage 4b nearest the oral cavity side , a top portion 4f whose external shape is made large in order to prevent a cast piece 6a of the dental prosthesis 6 as described below from getting out of place from the cast piece anchorage 4b ; and in this top portion 4f , a planar portion is provided for preventing the cast piece 6a of the dental prosthesis 6 from revolving around the cast piece anchorage 4b , as well as for other purposes . if an angular pipe concave portion 4g to be engaged in the angular pipe portion 2g provided in the side of implant fixture 1 of the gold cylinder external engagement portion 2d of the abutment 2 is provided in the side of the implant fixture 1 of the above - described space , in case where the dental implant is used for a single tooth , the gold cylinder 4 can be accurately connected and fixed to the gold cylinder external engagement portion 2d of the abutment 2 without occurrence of any revolution . and , it is preferable that a collar portion 4d partitioning the base end portion of the dental prosthesis 6 , which is formed in a thin thickness in the side of the implant fixture 1 and has a step portion in the oral cavity side , is provided . a numeral 6 is a dental prosthesis comprising a cast piece 6a cast in a state that it is anchored in the external periphery of the cast piece anchorage 4b of the gold cylinder 4 and a porcelain 6b formed in the external periphery of the cast piece 6a , in which in the extended portion of the center line of the cast piece anchorage 4b , a hole 6c having a size such that the top portion of the gold screw 5 can pass therethrough is provided ; and this hole 6c is clogged by a dental cement or the like after the gold cylinder 4 having the dental prosthesis 6 fixed thereto is connected and fixed to the abutment 2 by means of the female screw 2f screwed in the oral cavity side of the abutment 2 . if this dental prosthesis 6 is provided with the collar portion 4d partitioning the base end portion of the dental prosthesis , which is formed in a thin thickness in the side of the implant fixture 1 and has a step portion in the oral cavity side , the position of the base end portion to be fixed to the external periphery of the gold cylinder 4 can be made accurate , and the appearance can be further improved . in order to undergo the therapy by using the angled dental implant having the above - described structure according to the present invention , the abutment 2 having the truncated conical portion 2a having a height suited to the thickness of the gingiva of a patient is first selected . then , the angular pipe concave portion 2b provided in the side of the implant fixture 1 of the truncated conical portion 2a of the selected abutment 2 is engaged in the angular pipe portion 1a in the oral cavity side of the implant fixture 1 which has become in a state such that it is implanted in the implantation hole formed in the mandible of the deficit tooth portion and can function in place of the tooth root of a natural tooth ; and in a portion in the center side of the truncated conical portion 2a and nearest the oral cavity side , the center axis of the gold cylinder external engagement portion 2d provided in such a manner that the center line thereof is inclined with an angle ( against the center axis of the implant fixture 1 is made towards a predetermined direction in the oral cavity side . at this time , in case where the abutment 2 comprises the first member a comprising the truncated conical portion 2a in which in the oral cavity side , the groove 2h concaved in the side of the implant fixture 1 and / or the projection 2i projected in the oral cavity side are formed in the inside of the external periphery side plane 2c ; and the second member b in which in the side of the implant fixture 1 , the convex 2j to be internally engaged in the groove 2h and / or the concave 2k to be externally engaged in the projection 2i are provided , the position is fixed in a state that the groove 2h and convex 2j and / or the projection 2i and concave 2k are engaged in each other , and in a portion positioned in the oral cavity side , the gold cylinder external engagement portion 2d whose center line is inclined against the center axis of the implant fixture 1 is provided , regardless of the case where each of the first member b and the second member b is constructed from two or more members to be position - fixed in an engaged state in each other or the case where it is constructed from a single member , if these members are prepared by adhesion , laser welding or press fitting , any of these members is prepared by casting , in the state that the abutment 2 is constructed by cast welding and position - fixing , the angular pipe concave portion 2b may be engaged in the side of the implant fixture 1 of the truncated conical portion 2a of the first member a . then , the male screw 3a of the abutment screw 3 is engaged in the female screw 1b of the implant fixture 1 while penetrating through the bolt hole 2e provided while penetrating from the inclined external surface of the gold cylinder external engagement portion 2d of the abutment 2 through the center of the truncated conical portion 2a ; following the top portion of the abutment screw . the stopper portion 3b is then brought into contact with the end surface in the oral cavity side of the bolt hole 2e of the abutment 2 , whereby the abutment 2 is connected and fixed to the implant fixture 1 . in this state , since the truncated conical portion 2a of the abutment 2 is formed so as to have a height positioned in the side of the implant fixture 1 as compared with the top portion in the oral cavity side of the gingiva , i . e ., the height in which the truncated conical portion 2a is hindered by the gingiva of a patient , the truncated conical portion 2a is in a state that it is not seen . then , the gold cylinder 4 having the cast piece 6a of the dental prosthesis 6 comprised of the cast piece 6a having the porcelain 6b formed therein fixed in the external periphery of the cast piece anchorage 4b is engaged in the gold cylinder engagement portion 2d in such a state that in the inner portion of the cast piece anchorage portion 4b , the top portion of the abutment screw 3 is externally engaged and that the external engagement portion 4c of the cast piece anchorage portion 4b is engaged ; and in the oral cavity side of the abutment 2 , the plane 4a as the end surface in the side of the implant fixture 1 of the gold cylinder 4 is brought into contact with the external periphery side plane 2c provided in the upper external periphery in the oral cavity side of the truncated conical portion 2a as the base end portion of the gold cylinder external engagement portion 2d . at this time , if in the side of the implant fixture 1 of the gold cylinder external engagement portion 2d of the abutment 2 , the angular pipe portion 2g is provided as well as in the side of implant fixture 1 of the space of the gold cylinder 4 , the angular pipe concave portion 4g to be engaged in the above - described angular pipe portion 2g is provided , in case where the dental implant is used for a single tooth , the gold cylinder 4 can be accurately connected and fixed to the gold cylinder external engagement portion 2d of the abutment 2 without occurrence of any revolution . thereafter , if the gold screw 5 is screwed in the female screw 2f while penetrating through the hole 6c provided in the oral cavity side of the dental prosthesis 6 in the expanded portion of the center line of the cast piece anchorage 4b of the gold cylinder 4 as well as the dental prosthesis 6 is connected and fixed while supporting the top portion of the gold screw 5 by the projected portion 4e formed in the oral cavity side of the gold cylinder 4 , and then , the above - described hole 6c provide in the oral cavity side of the dental prosthesis 6 is clogged by a dental cement or the like , the therapy of the dental implant is completed . in the light of the above , the angled dental implant according to the present invention is free from the defects of , as the conventional dental prosthetic treatment of the deficit tooth portion , a method for using a bridge or a method for using a denture base , that is , in the former method , since healthy natural teeth in the both sides of the deficit tooth portion are cut , or an occlusion pressure is not directly applied to the dental prosthesis part positioned in the deficit tooth portion , a bone loss is likely caused in the instant side ; and in the latter method , a sense of incongruity is generated during the use of the dental prosthesis , the dental base covers receptors lying scattered in the oral mucosa tissue , thereby generating blunting of the taste , and / or a loss of the residual ridge is caused during the use for a long period of time . in the dental implant to be used in an excellent therapeutic method making it possible to prepare dental prostheses having a suitable state from the standpoints of the knowledge of the dental anatomy , as in the anterior tooth portion in the maxilla , the abutment is connected and fixed by means of the abutment screw while inclining the center line of the gold cylinder external engagement portion against the center axis of the implant fixture , and the gold cylinder functioning as a fixing device of the dental prosthesis is connected and fixed in the oral cavity side of the abutment by means of the gold screw . in this case , the oral cavity side of the abutment or the end portion in the implant fixture side of the gold cylinder is projected from the gingiva so that the esthetics are remarkably impaired , leading to the hindrance of spread of dental implants . in order to overcome this defect , the truncated conical portion of the abutment having in the oral cavity side the external periphery side plane functioning as a support surface for supporting the end surface in the implant fixture side of the gold cylinder in which the cast piece of the dental prosthesis is fixed to the surrounding of the cast piece anchorage thereof is a plane perpendicular against the axis of the truncated conical portion and is formed so as to have a height positioned in the side of the implant fixture as compared with the top portion in the oral cavity side of the gingiva of a patient , i . e ., a height such that the truncated conical portion is hidden by the gingiva of the patient . therefore , in a state that the therapy of the dental implant has been completed , the truncated conical portion is not seen . the gold cylinder in which the plane of the end surface in the side of the implant fixture comes into contact with the external periphery side plane of the abutment has an external shape in which the diameter in the oral cavity side is reduced as compared with that in the plane and form the cast piece anchorage whose center line is coincident with the center line of the gold cylinder external engagement portion of the abutment inclined against the center axis of the implant fixture . accordingly , even if a collar portion with a thin thickness forming a step portion in the oral cavity side is not provided in the side of the implant fixture of the gold cylinder , in the dental prosthesis fixed to the cast piece anchorage of the gold cylinder , the external surface of the end portion in the side of the implant fixture is hidden by the gingiva of the patient , or is positioned in a level substantially the same as that in the top portion of the gingiva of the patient , thereby generating the state that the abutment or the end portion in the side of the implant fixture of the gold cylinder is exposed . thus , the defect that the esthetics are impaired is dissolved . in addition , if an angular pipe portion is provided in the side of the implant fixture of the gold cylinder external engagement portion of the abutment , and an angular pipe concave portion to be engaged in the foregoing angular pipe portion is provided in the side of the implant fixture in the space of the gold cylinder , in case where the dental implant is used for a single tooth , the gold cylinder can be accurately connected and fixed to the gold cylinder external engagement portion of the abutment without occurrence of any revolution . in addition , if the abutment comprises a construction comprising a first member comprising the truncated conical portion in which in the oral cavity side , a groove concaved in the side of the implant fixture and / or a projection projected in the oral cavity side are formed in the inside of the external periphery side plane ; and a second member in which in the side of the implant fixture , a convex to be internally engaged in the groove and / or a convex to be externally engaged in the projection are provided , the position is fixed in a state that the groove and convex and / or the projection and concave are engaged in each other , and in a portion positioned in the oral cavity side , the gold cylinder external engagement portion whose center line is inclined against the center axis of the implant fixture , not only the construction can be made from members of a linear symmetry or an approximately linear symmetry against the respective center lines , so that its preparation is easy , but also in particular , the external periphery surface of the truncated conical portion of the first member functioning as a portion coming into contact with a gingiva can be mechanically processed so as to have a fine plane roughness , whereby the sealability by the gingiva is improved to prevent bacteria from retention . also , if a collar portion partitioning a base end portion of a dental prosthesis , which is formed in a thin thickness in the side of the implant fixture and has a step portion in the oral cavity side , is provided , the position of the base end portion to be fixed to the external periphery of the gold cylinder can be made accurate , and the appearance can be further improved . the angled dental implant having such carious effects according to the present invention greatly contributes to the dental field and is very valuable . while the invention has been described in detail and with reference to specific embodiments thereof , it will be apparent to one skilled in the art that various changes and modifications can be made therein without departing from the spirit and scope thereof .
an angled dental implant includes an implant fixture to be implanted into a hole formed in the mandible of the patient , an abutment having a truncated conical portion configured to be bolted to the fixture , a cylinder configured to engage the abutment , where the cylinder has a center line that is inclined relative to a longitudinal axis of the fixture , wherein the cylinder is fastened to the abutment with a bolt aligned with the center line of the cylinder .