Journal of Oral Implantology April 2012 - (Page 171)

CASE LETTER Therapy for Missing Lower Medial Incisor by Means of Reduced Diameter Implants Richard Jurkovic, MD, PhD1* Dusan Holly, MD, PhD2 Tomas Siebert, MD, PhD3 Juraj Strecha, MD, PhD4 INTRODUCTION ˚ ince Branemark first described the principle of osseointegration in the field of dentistry,1 dental implantology has become a rapidly evolving and innovative 2 field. In 2004, the American Dental Association Council on Scientific Affairs cited dental implants as the ‘‘first generation of tissue engineering devices that will affect the dental profession.’’3 Accordingly, a wide variety of implant materials, shapes, sizes, and surface treatments have been devised.4 Patients have become aware of the potential of dental implants; prostheses that function immediately are often desired.5 To meet this demand, implants of increasingly smaller diameter have been devised, and singlestage procedures6,7,8 with immediate functional loading2,9,10 have become available. Small-diameter implants (SDIs) are the 1 Private dental practice, DEIMPERIO, LLC, Bratislava, Slovak Republic. 2 Department of Stomatology and Maxillofacial Surgery of the Faculty of Medicine, Comenius University and Oncologic Institute of St Elisabeth, Bratislava, Slovak Republic. 3 Private dental practice, DENTALNE CENTRUM, LLC, Trnava, Slovak Republic. 4 Private dental practice, Eurodent Medima, LLC, Martin, Slovak Republic. * Corresponding author, e-mail: DOI: 10.1563/AAID-JOI-D-09-00138 S preferred treatment modality in cases of limited anatomic geography. These implants range from 2.75–3.3 mm in width and from 8.0–15.0 mm in length.11 Specifically, SDIs are indicated for replacement of teeth with small cervical diameters and in cases of reduced interradicular bone.11 They also have been shown to be a viable alternative to bone augmentation when poor alveolar ridge width is encountered12 and in cases of restricted mesiodistal anatomy.13 Based on this in vivo and in vitro success, the mini dental implant (MDI) seems a logical successor. Smaller than their SDI counterparts, MDIs have diameters ranging from 1.8– 2.4 mm. MDIs were initially designed for temporary prosthetic stabilization during the healing phase of standard implants.14 Reproducible success in this indication15,16 has led to expanded use in orthodontic anchorage,17,18 for the temporary fixation of transplanted teeth,19 in periodontal therapy,20,21 and, more recently, for long-term fixed and removable prosthetics.22,23,24,25 Although the Sendax MDI (3M ESPE, OsseoSOURCE, St Paul, Minn) was the first MDI to gain approval from the U.S. Food and Drug Administration for long-term applications, several other MDI systems are available, including Hi Tec Implants (Hi Tec Implants, Herzlia, Israel) and Monorail MTI Journal of Oral Implantology 171

Table of Contents for the Digital Edition of Journal of Oral Implantology April 2012

Research Letters: A New Editorial Format for the Rapid Disclosure of Innovative Data and Concepts, Didactic Demonstrations, and Scientific Discussions
Effect of Defective Collagen Synthesis on Epithelial Implant Interface: Lathyritic Model in Dogs. An Experimental Preliminary Study
Presence of Aspartate Aminotransferase in Peri-Implant Crevicular Fluid With and Without Mucositis
Deformation of Implant Abutments After Framework Connection Using Strain Gauges
Implant-Retained Mandibular Bar-Supported Overlay Dentures: A Finite Element Stress Analysis of Four Different Bar Heights
The Efficacy of Mylohyoid Nerve Anesthesia in Dental Implant Placement at the Edetulous Posterior Mandibular Ridge
Metal-Ceramic Screw-Retained Implant Fixed Partial Denture With Intraoral Luted Framework to Improve Passive Fit
A Relaxed Implant Bed: Implants Placed After Two Weeks of Osteotomy With Immediate Loading: A One Year Clinical Trial
A Modified Technique for Removing a Failed Abutment Screw From an Implant With a Custom Guide Tube
Therapy for Missing Lower Medial Incisor by Means of Reduced Diameter Implants
Simplifying the Implant Treatment Plan for an Elderly Patient
The Use of Leukocyte- and Platelet-Rich Fibrin During Immediate Postextractive Implantation and Loading for the Esthetic Replacement of a Fractured Maxillary Central Incisor
Atraumatic Removal of an Asymptomatic Migrated Dental Implant Into the Maxillary Sinus: A Case Report
Tooth-Implant Connection: A Review

Journal of Oral Implantology April 2012