[Dental implantation at the maxilla with autologous bone transplantation]

In the Department of Maxillofacial and Oral Surgery of County Hospital of Szentes, different types of bone losses of the maxillary alveolar ridge have been treated since 1 March, 1990. The applied surgical procedures were the following: 1. 394 patients were treated with GBR technique and 567 DenTi implants were inserted for these patients. 2. In 47 cases autogenous bone grafts were harvested from mandibular cortica and 78 DenTi implants were placed. Altogether 14 implants were lost; the success rate was 97.81% in the period between 1 March, 1990 and 31 January, 2001. 3. The severely resorbed maxillary alveolar ridge was replaced by rigid autogenous bone graft harvested from the ilium or from tibia. The bone graft was fixed with implants to the recipient surface. This method was applied in 36 cases from 1 February, 1992 until 31 January, 2001. 147 DenTi implants were inserted and 7 of them were lost. The success rate was 97.28%. Our results have indicated that the dental implants had accelerated the remodelling process of the transplanted autogenous bone and the success rate of the simultaneously performed dental implants were comparable to that of the two stage procedures in which dental implants were inserted several weeks following bone grafting. Based on our long-term favourable clinical experience this technique has been proven to be an excellent method for correcting and replacing the lost maxillary alveolar ridges as well as the circumscribed alveolar bony defects.

Implant-prosthetic rehabilitation after segmental mandibulectomy and bone grafting

A free vascularized fibula (6 cases) and iliac bone (11 cases) graft were used to reconstruct a mandibular discontinuity defect resulting from cancer surgery in 17 patients. Fifty-two osseointegrated DenTi implants were secondarily placed into the grafted bone, and all the patients underwent prosthetic rehabilitation. (DenTi is an endosseous dental implant system invented and manufactured by Denti-System Ltd., Szentes, Hungary.) To date, the maximum follow-up time after prosthetic treatment is 5 years, the minimum is 2 years. During this time, only one of the 52 inserted implants was lost, and that occurred a few days after insertion. Clinical signs of peri-implantitis were observed in only 2 of the fixed prosthetic restorations. Long-term maintenance is essential if such patients are to achieve successful prosthetic restorations and, thus, enhanced lives.

A ten-year clinical follow-up study of prosthetic rehabilitation of the edentulous lower jaw with endosteal dental implants

This paper reports on 10 years of clinical experience with implant prosthodontic treatment of total edentulism. During this period, of the 735 implants that were inserted, only 19 were lost, a 97.4% success rate. The authors believe that evaluating the success of implant treatment requires examining the health of the peripilastrium with periodontologic methods. The indices the authors used for such an evaluation were plaque accumulation, crevicular fluid flow rate, and sulcus bleeding; crevicular fluid flow proved the most satisfactory for estimating the health of peri-implant tissues. The results demonstrate that peri-implant-tissue health is similar to that of the tissues surrounding nontreated natural teeth and better than that of the tissues surrounding natural teeth wearing crowns.

[Clinical study of tooth-to-implant supported fixed partial dentures]

The lack of the periodontal ligaments around the implants results an ankylotic fixation. The mobility of the osseointegrated implants is only one tenth of the mobility of the natural teeth. To connect a natural tooth and an implant as abutments in a fixed restoration is a special problem in the dentistry. The aim of this study was to examine whether connecting of implants and natural teeth has any disadvantages for the abutment either implant or natural tooth. Furthermore we wanted to know if an overloading of the opposing tooth could occur because of the stiffness of the implant-bone connection. 21 partially edentulous patients, who were treated with implant supported bridges using the DenTi implant system which includes screw-shaped, commercially pure titanium implants, were examined. Plaque, calculus, gingival index, probing depth and bleeding on probing were recorded around the implants and the teeth. Mobility, sound on percussion were examined as well. In this study no disadvantageous effect of connecting teeth to implants as abutments by fixed partial dentures was found. There was no sign of a harmful effect of the implant to the opposing teeth either. The tooth-to-implant bridges function in their biological environment without affecting it adversely.

[Alveolar bone replacement by implantation of Ossynth and Ossnativ hydroxy apatite ceramics]

Natural and synthetic HA-granulate (made by SZIKKTI Budapest) were implanted to 91 patients by the authors with the aim of bone replacement. Follow up controls proved that the biomaterial has been incorporated without clinical symptoms and complaints in 87 percent. Biopsies taken from replacement site showed that the HAK isolated from natural substance could be incorporated into the calcified tissue and it is also able to help the formation of the new bone.

[Questions of principle and practice concerning the use of Diakor aluminum oxide in bioceramical oral endosseous implantation. III. Surgical intervention]

The osseointegration desired in interest of lasting success may be obtained but by means of an aseptic atraumatic operational technique which ensures the primary stability of the implant. It is pointed out that the infection free wound healing plays a decisive role in the lasting stability of the implant also the surgical planning and the method of avoiding complications are described.

[The course of the mandibular canal in fossils and forensic material]

Authors have studied 220 fossil and 44 postmortem mandible-halves by measurements at identical points and in transverse slices cut in the plane of the teeth P2-M3. Parameters relevant to the course of the mandibular canal are summarized. Data add to the knowledge concerning the anatomy and topography of the mandible.

[Principles and practical questions of oral endosseous implantation of DIAKOR aluminum oxide bioceramics. I. The implant]

The dental enossal implants made of Hungarian base material, the artificial aluminium oxide bioceramics artificial roots are put into circulation under the trade name DIAKOR./. By this type of the oral enossal implants the frames of prosthetical activity employing the surgical and prosthetical methods in combination are extended.