Fogorvosi szemle, 2006 (99. évfolyam, 1-6. szám)
2006-10-01 / 5. szám
200 FOGORVOSI SZEMLE 99. évf. 5. sz. 2006. Varratelégtelenséget 21 esetben, az implantátum elvesztését okozó akut periimplantitiszt 2 esetben láttunk. A kontroli-betegeknek beültetett 263 db kétszakaszos és egyszakaszos műtéti módszerrel beültett implantátuma közül a vizsgált időszakban 7 db implantátumot vesztettünk el (s.r.gy. 97,34%). Ebből 1 esetben láttunk korai elvesztést, a többi esetben okklúziós hiba, a felépítmény törése (4 eset), illetve periimplantitisz (IV. osztály [2 eset]) volt az elvesztés okaként felismerhető (IV. táblázat). Irodalom 1. Adell R, Lekholm U, Rockler B, Bránemark Pl: A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J of Oral Surg 1981 ; f 0: 387-416. 2. Albrektsson T, Bránemark PI, Hansson HA: Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone to-implants anchorage in man. Acta Orthop Scand 1981; 52: 155-170. 3. BrAnemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O És mtsai: Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plastic Reconst Surg Suppl 1977; 16: 1-132. 4. Bránemark PI, Zarb G, Albrektsson T: Tissue integrated prosthesis: osseointegration in dentistry. 1985; Chicago: Quintessence. 5. Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H: Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mat Res 1991 ; 25: 889-902. 6. Chiapasco G, Gatti C, Rossi E, Haeflieger W, Markwaldet TH: Implant-retained mandibular overdentures with immediate loading. A retrospectiv multicenter study on 226 consecutive cases. Clin Oral Impl Res 1997; 8: 48-57. 7. Colomina LE: Immediate loading of implant-fixed mandibular prostheses: a prospectiv 18-month follow-up clinical study-preliminary report. Impl Dent 2001; 10: 23-29. 8. Gapski R, Wang Hl, Mascarenhas P, Lang NP: Critical Review of immediate implant loading. Clin Oral Impl Res 2003; 14: 515-527. 9. Jaffin RA, Kumar A, Berman Cl: Immediate loading of implant in partially and fully endentulous jaws: a series of 27 cases report. J of Periodont 2000; 71: 833-838. 10. Salvi GE, Gallini G, Lang NP: Early loading (2 or 6 weeks) of sandblasted and acid-eched (SLA) ITI Implants in the posterior mandible. Clin Oral Impl Res 2005; 15: 142-149. 11. Schnitman PA, Wohrle PA, Rubenstein JE, Da Silva JD, Wang HH: Ten year results for Bránemark implants immediately loaded with fixed prostheses at implant placement. Int J Oral and Maxillofac Impl 1997; 12: 495-503. 12. Spiekermann H, Donath K, Hassel M, Jovanovich S, Richter EJ: Implantology. ED: Georg Thieme Verlag Stuttgart, New York. 1995, 319-322. Dr. Vajdovich I, Dr. Bandula M, Dr. Bóka P, Dr. Tóth Zs: Long term experience of immediate implant loading using DenTi® implants 1st part. Material, methods and experience in immediate loading of DenTi® implants Immediate loading of dental implants have been widely used to retain and support crossarch partial dentures. Normally 3-6 months after implantation complete osseointegration is established, this period may be shortened with immediate loading of implants.The purpose of this study was to evaluate the factors that may influence the long term success of immediate implant loading. The immediate loading technique with DenTi® implants was introduced 12 years ago, and during this period the clinical results have been followed up on 257 DenTi®implants in 83 patients. 62 patients and with 263 implants placed with submerged technique were recruited into the control group. The retrospective long term follow-up examination has revailed that the success rate of DenTi® implants with traditional two stage surgery was 97,4%. The success rate of DenTi® implants with immediate loading was 95,71%. According to the date of the success rata and prognosis of immediate loaded implants are comparable to the traditional two stage submerged implants. Key words: DenTi® implants, healing period, immediate loading, osseointegration