Hermanus S. Oosterbeek

Autogenous maxillary bone grafts in conjunction with placement of I.T.I. endosseous implants: A preliminary report

Small bone defects due to atrophic, traumatic or periodontal bone loss can be grafted with autologous bone grafts taken from the maxillary tuberosity. This study presents a 1-3 years follow-up of 22 patients who were treated according to this technique. Thirty-two implants were placed 6 months after bone grafting. All implants were functioning well at the time of investigation.

Palatal mucosa grafts for oral implant devices

Oral implants placed in the atrophic mandible often lack sufficient surrounding attached keratinized gingiva. Although mobile mucosa surrounding the implant does not necessarily need to be replaced, many oral surgeons and dentists prefer attached, keratinized gingiva, especially in cases where oral hygiene is imperfect. This article discusses a method of palatal mucosa transplantation to improve the implant recipient site. The clinical results of this method used in 30 patients are reported.

Clinical evaluation of the ITI (F-type) hollow cylinder implant

In 1976 the hollow cylinder implant was introduced. A number of articles have been published about the ITI implant system. In this article, short-term results of 102 ITI F-type implants in 40 patients are reported. The results showed this one-stage implant to be at least comparable to other well-known implant systems.

Indications for angled implants

The development of dental implants has led to an expansion of indications and to perfection of implantation methods and implant systems. Angulation problems due to anatomic limitations, however, still remain. The indications for the use of angled Bonefit I.T.I. implants are described.

The placement of angled implants in the edentulous maxillae for the use of overdentures

Although most retention problems of prostheses are concentrated in the mandible, patients have similar problems in the maxillae. Retention of prostheses can be improved by the use of two or four implants, either with retentive anchors or with a bar in the frontal part of the maxillae. The method of planning and placement of I.T.I. Bonefit implants is described.

Benefit of Bonefit implant system

The International Team for Oral Implantology (ITI) Bonefit system has been introduced as an extended and improved system with respect to titanium plasma-sprayed screws and the F-type implant. The clinical results of the Bonefit implant system were at least as good as those of the F-type implant. The Bonefit system, however, offers more indications and applications, especially in crowns and bridgework. Furthermore, the ITI Bonefit system appears to eliminate some of the reported shortcomings of the F-type implant.

Parallelism of implants visualised on the orthopantomogram

Orthopantomography is often used in implantology to determine the position of implants in the bone. Implants, which in fact are parallel, can be projected in a non-parallel position. Considerations inherent to the technique of orthopantomography are responsible for this phenomenon. In this study some experiments were carried out to demonstrate this. It can be concluded that orthopantomography cannot be used to determine whether implants are placed parallel or not.

Explantation procedure in the F-type and Bonefit ITI implant system

The explantation technique for the ITI F-type and Bonefit implant system is described. Although implant survival rates are high, the risk of failure must be considered. In some cases implants will have to be removed for reasons other than failure of the implant itself.