REVIEWS

New approach towards mini dental implants and small-diameter implants: an option for long-term prostheses
Alvydas Gleiznys, Gediminas Skirbutis, Ali Harb, Ingrida Barzdziukaite, Ieva Grinyte
39-45

SCIENTIFIC ARTICLES

The influence of simvastatin in rats mandible and femur bone mass under freunds-adjuvant arthritis
Nikos Seferos, Alkistis Pantopoulou, Antonia Kotsiou, Georgios Rallis, Christine Tesseromatis
46-52

Changes in dental caries and oral hygiene among 7-8 year-old schoolchildren in different regions of Lithuania 1983-2009
Zivilė Kristina Matulaitiene, Migle Zemaitiene, Sandra Zemgulyte, Simona Milciuviene
53-59

CLINICAL CASE REPORTS

An alternative technique using a gutta percha points and blue methylene to excision of congenital fistula of lower lip in patient with Van der Woude syndrome
Carlos Henrique Bettoni Cruz Castro, Matheus Furtado De Carvalho, Debora Cury Veloso, Marcio De Moraes
60-64

Mandibular midline supernumerary tooth associated with agenesis of permanent central incisors: A diagnostic conundrum
Charu Mohan Marya, Gaurav Sharma, Vijay P. Parashar, Vandana Dahiya, Anil Gupta
65-68

Stomatologija 2012; 14 (2): 39-45 104 KB

New approach towards mini dental implants and small-diameter implants: an option for long-term prostheses
Alvydas Gleiznys, Gediminas Skirbutis, Ali Harb, Ingrida Barzdziukaite, Ieva Grinyte

Summary

Background. Mini dental implants (MDI) and small diameter implants (SDI) have been extensively used as temporary or orthodontic anchorage; however there have been studies that proved their availability as a mean for long term prosthodontics. Our aim was to review the indications, advantages of MDI and SDI, and their long-term survival.
Methods. Computerized searches were conducted for clinical studies between year 2000 and 2011 that involved either implants with 3.3 mm diameter or less, used in prosthodontics; or provided a follow up of MDI or SDI duration of at least 4 months following implant placement including survival rate data. All studies about implants used in orthodontics were excluded. The range of available MDI and SDI has been found in cataloges of the companies: 3M ESPE IMTEC, Bicon Dental, Zimmer, Implant Direct, Intra lock, Hiossen, Simpler Implant, KAT Implants, OCO Biomedical, American Dental Implant.
Results. 41 studies meeting the above criteria were selected, 22 out of them reviewed survival rates of MDI and SDI. The follow up duration varried from 4 months to 8 years with survival rates between 91.17 and 100%. Nevertheless, the companies showed a big variety of MDI and SDI provided in the market for long term prostheses.
Conclusions. Implants with small diameters can be used successfully in a variety of clinical situations. Less surgical time, less postoperative pain, ability of direct loading after surgery with no harm to bone and cost effectiveness are the advantages. The reduced surface implants require correct treatment planning so that the loading force would not cause bone loss or implant failure. MDI and SDI show high survival rates, but special cautions for bone quality and good oral hygiene should be maintained.

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¹Department of Dental and Maxillary Orthopedics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Science, Kaunas, Lithuania

²Faculty of Odontology, Lithuanian University of Health Science, Kaunas, Lithuania

³Kupiskis Primary personal healthcare center, Kupiskis, Lithuania

Alvydas Gleiznys¹ – D.D.S., PhD, assoc. prof.

Gediminas Skirbutis¹ – D.D.S., assist.

Ali Harb² – student

Ingrida Barzdziukaite¹ – D.D.S., assist

Ieva Grinyte³ – D.D.S.

Address correspondence to Dr. Alvydas Gleiznys, Department of Dental and Maxillary Orthopedics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių pr. 51, LT-50106 Kaunas, Lithuania.

E-mail address: algleiznys@gmail.com