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ITI endosteal hollow cylinder implant systems.

The endosteal hollow cylinder implant systems have been in clinical use for over 10 years. These systems incorporate advanced sophisticated biomaterials and bioengineering design concepts such as the titanium plasma spray (TPS) surface coating as well as the cylindric shape. This shape has now introduced the third dimension to dental implantology. In previous systems, such as the blade-vent, only height and width were present. Therefore, these previous systems could not be used as single-tooth replacements; also, they were not able to withstand lateral forces or torquing. In a series of cases reported from Switzerland, Sweden, Germany, and the United States, 580 hollow cylinder implants were placed for up to 10 years with an overall rate of success of 95.3 per cent.

Crowns↗

Osseointegrated dental implants.

Endosseous implants of commercially pure titanium have been demonstrated to give success rates of more than 90 per cent over 10 years of follow-up. This high level of clinical function depends on an implant direct anchorage in bone without any interposed soft tissue layers and on a reaction-free soft tissue surrounding the abutments. Provided a correct protocol is followed, such osseointegrated dental implants may be looked upon as a routine procedure in the treatment of edentulousness.

Biocompatible Materials↗

Prosthetic considerations in reconstructive implantology.

Diagnosis and treatment planning are essential prior to the placement of any dental implant. An overview of prosthodontic considerations in the restoration of such implants is presented in this article. Concepts for both the edentulous and partially edentulous mouth are discussed.

Bite Force↗

Endosteal blade-vent implants.

At this writing, endosteal blade-vent implants have been used in clinical cases for over 17 years. At the last writing in the Dental Clinics of North America, we had just passed the 10-year mark. Many new systems for preprosthetic reconstructive surgery have gained the attention of the existing implantology community; and new systems have stimulated significant new levels of implant activity in the profession in general. Even with long-term research and clinical documentation with such modalities as the Brannemark, Swiss screw, and hollow cylinders, the blade-vent implant remains in the armamentarium of members of the profession active in implantology. Even with advances in design, no implant system can be placed in the extremely narrow or even knife-edge ridges still encountered in a significant percentage of patients, unless the practitioner is knowledgeable and skillful with (the narrow 1.2 mm buccolingual width of) this implant. I predict that the endosteal blade-vent implant will continue to hold a valued place in the implant field.

Blade Implantation↗