Curiosidades - Os tratamentos em números

Ao longo desses 45 anos de experiência em Implantodontia, foram:

  • 18 mil pinos implantados, sem a utilização de bisturi ou pontos de sutura
  • 480 parafusos de Lo Bello, sem a utilização de bisturi ou pontos de sutura
  • 135 parafusos Mondani, sem a utilização de bisturi ou pontos de sutura
  • 46 lâminas de Lo Bello, utilizando bisturi e sutura
  • 32 implantes sepultos Lo Bello, em dois tempos cirúrgicos, utilizando-se bisturi e sutura
  • 1950 parafusos de Garbaccio, sem bisturi ou pontos de sutura

A utilização da barra estabilizadora nos Implantes Dentários com a Máquina de Fusão Molecular

Journal Of Periodontology .May 2010.Volume 81. Number 5.Pag. 748/757

Inflammatory Infiltrate, Microvessel Density, Vascular Endothelial Growth Factor, Nitric Oxide Sunthase, and Proliferative Activity in Soft Tissues Below Intraorally Welded Titanium Bars.

Stefano Fanali, *Vittoria Perroti, *Luciano Riccardi, * Adriano Piattelli, *Marcello Piccirilli, *Laura Ricci, *and Luciano Artese *

Department od Odontostomatologic Science, Dental School, University of Chieti-Pescara, Chieti, Italy.

This work was partialy supported by the National Resserch Council (NRC), Rome, and by the Ministry of the Education, University, Research (MIUR), Rome, Italy.


Therefore, this study can suggest submitting patients at strict protocol of oral hygiene to avoid progression of inflammation. Indeed, the use of the titanium bar intraorally welded to support immediately loaded implants could be a safe technique if supported by strict clinical protocol of oral hygiene.

A retorspective study on needle implants positioned in the posterior inferior sector: surgical positioned and recommendations
Autores: L Dal Carlo, ME Pasqualini, F Carinci, PM Mondani, S Fanali, F Vannini, M Nardone.

Aggiornamento Professionale di Michele Nardone - Impianti ad ago elettrosaldati negli edentulismi mascellari totali e parzali: studio multicentrico retrospettivo su 24 anni di casistica clinica. Clique aqui


“Truth is daughter of the time, not of authority” - Berthold Brecht

“Happy is the man who changes of opinion.” - R. C. Miguel

When we talk about life, we are talking about changing. For this reason the father of anti-logic, Heraclitus, said: “You cannot take a bath twice in the same river”.

In science we can also apply this concept, because it is possible that the current truths are not the truths of tomorrow. Such fact happened, and it is still happening, in a number of areas of science, and, with the called term ‘osseointegration’, more recently. In the beginning, the mentioned term, through its definition, meant: “Direct contact between the bone and the dental implant under Light Microscopy, with no interposition of any tissue”. This statement, however, could be true, at the time it was announced. Thus, as time goes by and the development of science, the statement of Berthold Brecht is confirmed; in other words, ‘osseointegration’ does not exist in dental implants.

This situation happened because the history of dental implants was ignored. How can we understand the current time if we do not know the past? Studies, which demonstrated that ‘osseointegration’ did not exist, were available at that time. The father of the modern dental implantology, Doctor Manglio Salvatore Formiggini, from the city of Modena, Italy, presented his works in 1947.

At any part of our organism, between two hard elements, i. e., bones that move themselves, for example, arm and forearm, teeth and bone, implant and bone, etc., if it there were not soft tissues (fibrous connective tissue) between two hard elements, they would be broken, destroyed. Because of this is that every prosthesis for orthopedic implant is fixed by the organism with a layer of fibrous connective tissue, mainly of the articulation of the femur (coxofemoral).

As time goes by, histologic studies could verify through the light microscopy and laser that ‘osseointegration’ does not exist as is confirmed in the bibliography and on the cover of the Journal of Oral Implantology, glossary terms, 2007, as well. The biggest defenders and writers about ‘osseointegration’, Tomas Albrektsson and George A. Zarb (foreward) wrote a book, together with John A. Hobkirk, Roger M. Watson, and Geoffrey H. Forman, named Color Atlas and of Dental Maxillo-Facial Implantology, edited by Mosby-Wolfe, in 1995, USA. Observe what is reported in this book, on the page 9: “However, attempts to define osseointegration based on histologic criteria have failed”, therefore they are saying that, through the histologic studies, ‘osseointegration’ does not exist, and, on the page 13: “In the biologic reality there is no evidence of a complete bone to implant contact, but there is more or less soft tissue”.

This terminology, ‘ossointegration’, is quite astonishing to us for the following reasons:

  • titanium implant does not grow with a person; just the same the organism accepts it, however, it does not integrate it.
  • At present, ankylosis (osseointegration) is studied as pathology, not physiology.
  • In orthopedics, all prosthetics are mounted by woven fibrous, and not directly to the bone (osseointegration).
  • 400 million years ago, when the first vertebrates arose, they were agnathous, i.e., they did not possess a jaw. During the Jurassic period, over 280 million years ago, when reptiles evolve into mammals, there arouse the dental gomphoses, joints characteristic of all mammals (Teeth, connective tissue and bone). However, before mammals, there existed thecodontia, a classification that includes alligators and crocodiles, which have teeth that are directly attached to the bone of the animal. Soon thereafter, with osseointegration, a human trait, rather than an evolutionary one, was an involution (retrogression).

We conclude that time is the lord of reason and truth, jointly with science that showed that ‘osseointegration’ does not exist in dental implants.

Professor Ronaldo de Carvalho Miguel


Albrektsson, T., & Zarb, G. A. (Preface), & Hobkirk, J. A., & Watson, R. N. & Forman, G. H. (1995). Color Atlas and Text of Dental and Maxillo Facial Implantology. Mosby, Wolfe, USA, 9-13.

Al.- Salman,A. Chappell,R. (1979)- Wound healing of endosteal vitreous carbon implants in dogs The Journal of Prosthetic Dentistry, Vol. 41, Nº 1- pages 83-89.

Babbush, C.A. Staikoff, L. (1974). The Scanning Electro Microscope and the Endosteal Blade-Vent Implant. The Journal of Oral Implantology- Vol. IV – Nº 4- pages 373 -385.

Babbush, C. A. (1980). Surgical Atlas of Dental Implant Techniques. W. B. Soundres Company, Philadelphia, 71-93.

Bert, M. (1987). Les Implants Dentaires. Éditions CDP, Paris, France, 63-68.

Bodine, R.L., Melrose, R.J., Grenoble, D.-(1976). Long Term Implant Denture Histology and Comparison with previous reports. The Journal of Prosthetic Dentistry. Vol. 35, Nº 6 pages 665-673.

Borrel, A. (1980). Studio Comparativo della reazione e del comportamento biologico del tessuto osseo masceralle di fronte all´aggressione determinata de un impianto di ceramica (ossido d´alluminio) e da un impianto di metallo, nel caso specifico Ticonium chirurgico (cromo-cobalto). Revista Europea di Implantologia. Milano, Itália, No. 4, 14-24.

Brunski, J.B. (1984)- In vivo forces on endosteal implants: A measurement system and biomechanical consideration- The Journal Prosthetic Dentistry- Vol. 51, Nº 1,pages 82-90.

Cherchéve, R. (1985). Implantes Odontológicos. Editora Médica Panamericana, Buenos Aires, Argentina, 78-89.

Combres, M. (1972). Remaniement Experimental D´um Tissu Osseux de Cobaye Adulte. Revue Odonto-Implantologique. Paris, France, 45, 27-27.

Cranin, A. N. (1970). Oral Implantology. Charles C. Thomas Springfiel , IL, USA, 116-124, 127-128.

Danan, M., & Sauvan, J. L., & Brion, M., & Tobali, K. (1989). Évaluation à trois ans du Comblement de Lésions Intra-Osseuses à I´aide D´hydroxylapatite non Résorbable. Journal de Biomatériaux Dentaires. Editions CDP, vol.4, Reims, France, 83-93.

Doms, P.- (1974). The Tissue Response to Endosteal Blade Implants. Microradiographic and Tetracycline Marking- The Journal of Oral Implantology- Vol. IV, Nº 4- pages 470-474.

Fagan, M. J. Jr., & Ismail, J. Y. H., & Meffert, R. M., & Fagan, M. J. III. (1990). Implant Prosthodontics. Year Book Medical Publishers, INC., Chicago, USA, 273-280.

Ferreira Neto, J. V. (1971). Constatation Histopathologique d’um implant. Revue Odonto-implantologique. Paris, France, No. 40, 44-49.

Forest, M. Y. & Himdani, K. A. (1987). Implants et Réactions Tissulaires-Données Histologiques et Ultrastructurales. Actualités Odonto-Stomatologiques. Paris, France, No. 159 selp., 479-488.

Grenoble, D.E.- Kim, R.L. (1973). Progress in the evaluation of a vitreous carbon endosteal Implant- The Journal of Oral Implantology- Vol. IV- Nº 2- pages 216-235.

Hodosh, M.- Shklar,G. Povar,M.(1976).Syntactic, porous, polymethacrylate- Vitreous Carbon Tooth replica implants as abutments for fixed partial dentures- The Journal o Prosthetic Dentistry. Vol. 36, Nº 6, pages 676-684.

Linkow, L.I. (1968) , Histopathologic and radiologic studies on endosseous implants Dent- Concepts 11 (3), 3-13.

Linkow, L. I., & Chercheve, R. (1970). Theories and Techniques of Oral Implantology. The C. V. Mosby Company, Saint Louis, USA, 81-133.

Linkow, L.I.-(1973), My Thoughts, Philosophies and Contributions for severely atrofhied maxilae That are partially or Totally edentulus- The Journal of Implantology,A Quartely Review Vol. IV – Nº 1, pages 7-45.

Linkow, L. I. (1990). Implant Dentistry Today. Editora Picci, Padua, Italy, 206-27.

Lobello, S. (1976). Implantologia Orale. Piccin Editore, Padova, Italia, 171-180.

Mackinney, R., Steflik, D.E., Koth, D.L.(1984)- The biologic response to the Single Crystal Sapphine endosteal dental implants: Scanning electon microscopic observations.

The Journal of Prosthetic Dentistry. Vol.51, Nº 3, pages 372-379.

McKinney, R. V. Jr., & Lemons, J. E. (1985). The Dental Implant – clinical and biological response of oral tissues. PSG Publishing Company, INC., Littleton, MA, USA, 25-56, 95-113.

Markle, D. H., & Grenoble, D. E., & Melrose, R. J. (1974). Vitredente Endosteal Implant Research Program. Los Angeles , CA, USA, 7-10.

Melcher, A. H., & Bowen, W. H. (1969). Biology of Periodontium. Academic Press, London, New York, 1-26.

Michielis,S. Leake,D, Freeman, S., Bokros, J.,Haubold, A., Pizzoferrato,A. (1979)- Vapor-deposited carbon-coated Tooth root implants: Preliminary evaluation of stylised Tooth implant system in dogs. The Journal of Prosthetic Dentistry- Vol.42,Nº 1, pages 58-66.

Miguel, R. C. (1979). Os tecidos em torno de um implante: observações com microscopia óptica e eletrônica de varredura. Boletim Informativo da Sociedade Odontológica Latino-Americana de Implantes Aloplásticos y Transplantes. July/August, No.26, 27-28.

Miguel, R. C., & Guerrieri, G. L. (1982). Implantologia Oral. Editora Guanabara Koogan S. A., Rio de Janeiro, Brasil, 34-52.

Miguel, R. C., & Nina, L. S., & Guerrieri, L., & Almeida, J. M. (1983).

Observações Histopatológica de um Implante Agulheado Scialom em um Maxilar Humano. Revista ARS Curandi. São Paulo, Brasil, Volume 9, No. 2, April/May, 17-20.

Muratori, G. (1969). El Implante Endooseo con sobreestrutura removible y fija. Editora S.A.M., Via Parigi 11, Bologna, Italia, 59-74.

Muratori, G. (1972). L´Implantologia Orale Multitipo. Editrice Marino Cantelli, Bologna, Itália, 47-66.

Nishikava, T. & Masuno, K. & Mori, M. & Tajime, Y. & Kakudo, K. & Tanaka, A.(2006). Calcification at the Interface Between Titanium Implants and Bone: Observation with Confocal Laser Scanning Microscopy. Journal of Oral Implantology. vol. 23, No. 5, 211-217.

Perel, M. L. (1977). Dental Implantology and Prostheses. J. B. Lippincott Company, Philadelphia, Toronto, Canada, 80-93.

Pierazzini, A. (1982). Línea Implantologica A Monconi Unificati. Revista Europea Di Implantologia. Milano, Itália, No.2, 19-42.

Pierazzini, A. (1992). Implantologia. Editrici Torinese, Torino, Italia, 63-85.

Pierazzini, A. & Fanali, S., Fanfani, S. (2001). Insuccessi in Implantologia. Editrice Torinese, Torino, Itália, 27-46.

Plekavich, E. (1979)- A variation of the endosseos blade-vent implant. The Journal of Prosthetic Dentistry, Vol. 41 , Nº 6, pages 644,649.

Richards, L.W.- Gourley, I.M., Gordy, D.R.(1974). Titanium endosteal dental implants in the mandibles of dogs Preliminary Studies. The journal of Prosthetic Dentistry. Vol. 31, Nº 2, pages 198-203.

Russel, T.E.- Kapur, S.P.(1977), Bone Surfaces adjacent a subperiosteal Implant: A SEM Study-The Journal of Oral Implantology, Vol. VII- Nº 3- pages 415,439.

Schnitman,P.A., Woolfson, M.W., Feingold, R.M.- Gettleman, L.- Freedman, H.M., Kalis,P.J.

Buchanam,W.-Shulman,L.B.-(1980), Vitreous Carbon Implants: A Five-year Study in Baboons- The Journal Of Prosthetic Dentistry- Vol. 44- Nº 2,pages 190-200.

Serson, D. (1985). Implantes Orais. Editora Artes Médicas, São Paulo, Brasil, 9,39-43.

Steinberg, B- (1978) .Tissue Response to Dental Implant- The Journal of Oral Implantology- Vol.VII- Nº 4, pages 475,491.

Souza, J. A. (1964). Implantes Sub-periósticos Totais dos Maxilares. Editora Iguaçu Ltda., São Paulo, Brasil, 63-77.

Toth, R.W.,Parr, G.R.- Gardner, L.K. (1985). Soft Tissue response to endosseos Titanium oral Implants- The Journal of Prothetic Dentistry, Vol. 54, Nº 4, pages 564-567.

Zarb, G.A.,- Smith,D.C.- Levant,H.C., Grahan,B.S.,Staatsexamen,W.Z.-(1979).The effects of cemented and uncemented endosseos implants.The Journal of Oral Prosthetic Dentistry -Vol.42- Nº 2- pages 202-210.