Permanent dental prosthesis and method

Abstract

A base structure for a dental prosthesis comprises first and second anchor elements which are permanently securable to the teeth on opposite sides of a space or gap in the tooth structure of a patient and a base element which is securable to the anchor elements in the gap but which comprises slidably interfitted first and second base element portions so that it is expendable to fit the width of the gap. The method of securing and forming a dental prosthesis in the gap with the base structure comprises the steps of securing the anchor elements on the teeth on opposite sides of the gap, assembling the base element with the anchor elements in the gap, securing the first and second base element portions together, forming an outer shell on the base element and securing the base element with the outer shell thereon to the anchor elements.

What is claimed is: 
     
       1. In a base structure for a dental prosthesis wherein the base structure is of the type whichis permanently securable in a gap between spaced first and second teeth in the mouth of a patient and comprises first and second anchor elements securable on said first and second teeth, respectively, in said gap and a base element securable to said first and second anchor elements when they are secured on their respective teeth to retain said base element in a position wherein it extends therebetween, the improvement comprising said base element comprising first and second base element portions which are receivable in interfitting relation with said first and second anchor elements, respectively, so that they are nonrotatable relative to said anchor elements, respectively, about an axis which extends in a direction between said first and second anchor elements and permanently securable to said first and said anchor elements, respectively, and which are received in interfitting relation and rotatable with respect to each other and slidble in telescoping relation with respect to each other in said direction to enable said base element to be adjusted to fit the width of said gap and to compensate for misalignment of said anchor elements. 
     
     
       2. The base structure of claim 1 further comprising means biasing said base element portions apart. 
     
     
       3. In the base structure of claim 1, said anchor elements further characterized as being tapered in their outward extents away from the gum of said patient when they are mounted on said first and second teeth, said first and second base element portions being configured to receive said first and second anchor elements, respectively, in snug interfitting relation when said base element is aligned with said gap and advanced toward said gum. 
     
     
       4. In the base structure of claim 1 said first base element portion having an aperture therein which extends in said direction between said anchor elements, said second base element portion comprising a pin which is slidably received in said aperture to enable said base element to be adjusted. 
     
     
       5. The base structure of claim 4 further comprising spring means received in said aperture and engaging said pin to bias said first and second base element portions apart. 
     
     
       6. In the base structure of claim 1 said first and second base element portions defining a tooth-like configuration of reduced dimension in said base element. 
     
     
       7. The base structure of claim 1 in combination with an outer shell, said base element portions being secured with respect to each other and being secured to said anchor elements, said outer shell having a tooth-like outer configuration and being received and secured on said base element. 
     
     
       8. A method of securing and forming a dental prosthesis in a gap between spaced first and second teeth in the mouth of a patient comprising: a. securing first and second anchor elements to said first and second teeth, respectively, in said gap;   b. assembling a base element in said gap, said base element comprising first and second base element portions which are receivable and securable in interfitting relation with said first and second anchor elements, respectively, so that they are nonrotatable relative to said anchor elements, respectively, about an axis which extends in a direction between said first and second anchor elements and which are received in interfitting relation and rotatable with respect to each other and slidable in telescoping relation with respect to each other in said direction to enable said base element to be adjusted to fit the width of said gap;   c. securing said first and second base element portions in fixed relation with respect to each other;   d. forming an outer shell having a tooth-like outer configuration on said base element; and   e. securing said base element with said outer casing thereon to said anchor elements.   
     
     
       9. In the method of claim 8 said base structure further comprising means biasing said first and second base element portions apart. 
     
     
       10. In the method of claim 9 said anchor elements being tapered in their outward extents away from the gum of said patient, said first and second base element portions being configured to receive said first and second anchor elements, respectively, in snug interfitting relation when said base element is aligned with said gap and advanced toward said gum, said assembling step being carried out by aligning said base element with said gap and advancing it toward said gum so that said anchor elements are received in snug interfitting relation with said base element. .Iadd. 
     
     
       11.  In a base structure for a dental prosthesis wherein the base structure is of a type which is permanently securable in a gap between spaced first and second teeth in the mouth of a patient and comprises a base element receivable in said gap and first and second securing means for securing said base element to said first and second teeth, respectively, to retain said base element in a position wherein it extends therebetween, the improvement comprising said base element comprising first and second base element portions which are securable to said first and second teeth, respectively, with said first and second securing means, respectively, so that they are mountable relative to said first and second teeth, respectively, about an axis which extends in a direction between said first and second teeth, said first and second base element portions being received in interfitting relation and being slidable in telescoping relation with respect to each other in said direction to enable said base element to be adjusted to fit the width of said gap, said first and second base element portions also being rotatable with respect to each other about said axis to compensate for misalignment of said first and second securing means. .Iaddend. .Iadd.12. The base structure of claim 11 further comprising means biasing said base element portions apart. .Iaddend. .Iadd.13. In the base structure of claim 11, said first base element portion having an aperture therein which extends in said direction between said teeth, said second base element portion comprising a pin which is slidably received in said aperture to enable said base element to be adjusted. .Iaddend. .Iadd.14. The base structure of claim 13 further comprising biasing means received in said aperture and engaging said pin to bias said first and second base element portions apart. .Iaddend. .Iadd.15. In the base structure of claim 11, said first and second base element portions defining a tooth-like configuration of reduced dimension in said base element. .Iaddend. .Iadd.16. The base structure of claim 11 in combination with an outer shell, said first and second base element portions being secured to each other, said outer shell having a tooth-like configuration and being received and secured on said base element..Iaddend.