Assessment of vertical ridge augmentation in anterior aesthetic zone using onlay xenografts with titanium mesh versus the inlay bone grafting technique: A randomized clinical trial.

The aim of this study was to evaluate the final vertical gain at the deficient anterior maxillary alveolar ridges using onlay bone grafts with titanium mesh versus inlay bone grafting. This was a single institutional randomized comparative clinical trial. The study population included 16 patients, with edentulous anterior maxillary alveolar ridges (40 implant sites) who were presented and treated at the Faculty of Oral and Dental Medicine in Cairo University from September 2013 to August 2015. Selected patients were randomly divided into two equal groups. The control group received onlay particulate xenograft together with titanium mesh as a space-maintaining device while the study group received inlay block xenograft (sandwich osteotomy) fixed with mini-plates. Assessment using cone beam computed tomography (CBCT) included the mean percentage of vertical gain at the proposed implant sites after 6 months taken from cross-sectional cuts. A total of 40 delayed implant placements were done. Results showed that there was no statistical significance between the two groups (P=0.2); the mean percentage of 6 months postoperative vertical bone gain in the control group was 20.7% and that in the study group was 31.6%.

In-office fabrication of dental implant surgical guides using desktop stereolithographic printing and implant treatment planning software: A clinical report.

Guided surgery is accepted as the most accurate way to place an implant and predictably relate the implant to its definitive prosthesis, although few clinicians use it. However, recent developments in high-quality desktop 3-dimensional stereolithographic printers have led to the in-office fabrication of stereolithographic surgical guides at reduced cost. This clinical report demonstrates a protocol for using a cost-effective, in-office rapid prototyping technique to fabricate a surgical guide for dental implant placement.

Oral health-related quality of life and implant therapy: A prospective multicenter study of preoperative, intermediate, and posttreatment assessment.

PURPOSE: Loss of teeth is associated with a significant reduction in quality of life. The aim of this prospective multicenter study was to assess the impact of dental implants on oral health-related quality of life (OHRQoL). MATERIAL AND METHODS: Patients with various kinds of indications for dental implants ranging from single-tooth loss to edentulous jaws were included. Quality of life related to dental implants was assessed through the Oral Health Impact Profile (OHIP-G 21), which has a score from 0 to 20 in healthy patients. RESULTS: In total, 8689 patients from 17 centers from 2009 to 2014 were enrolled in the study. The sex distribution was almost even (53.3% men, 46.7% women). The most frequent indications for the insertion of dental implants were free-end gaps (30.6%) and posterior single-tooth gaps (27%). In all, 12.4% of patients had an edentulous jaw. For all indications, patients reported significant changes in mean OHIP scores after prosthetic reconstruction. The most significant improvements in the OHIP score occurred in the groups of patients with edentulous jaws (pretreatment score: 42.3) after prosthodontic reconstruction (score: 24.8) and in the patient group with an anterior single-tooth gap (pretreatment score: 36.4) after prosthodontic reconstruction (score: 24.8). CONCLUSION: The insertion of dental implants and prosthodontic rehabilitation led to an improved OHRQoL for patients with all indications for dental implants, with the most significant improvements in patients with edentulous jaws and anterior single-tooth gaps.

Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery.

The aim of this study has been to evaluate and correlate the anatomical features of the posterior mandibular region (submandibular fossa depth, bone height and thickness, and mandibular canal corticalization) to improve accident prevention and allow safe planning in implantology. Four parasagittal sections of cone-beam computed tomography (CBCT) from 100 patients were bilaterally analyzed. Linear measurements of the submandibular fossa depth, bone height and thickness were performed. The submandibular fossa was also classified into non-influential undercuts and influential undercuts for implant placement. Mandibular canal corticalization was also evaluated and classified according to the visualization. Data on patient age and gender were also collected. Forty-one scans (41%) were from male patients, and 59 (59%) were from female patients. Patient age ranged between 18 and 84 years, with an average age of 51.37 years. The submandibular fossa depth and implant bone thickness had a significant effect on the variability of the sample (46.1% and 22.3%, respectively). The submandibular fossa depth was quite variable, and the highest values were observed in the posterior regions. In 18.27% of the cases, the presence of the fossa directly influenced implant placement, considering a bone height of 10mm (standard implant). A significant correlation was observed between fossa depth and bone thickness. Thus, greater attention should be paid to thick ridges; although thick ridges are favorable, they may be associated with deeper submandibular fossae. The mandibular canal was the most influential anatomical structure in the premolar region due to the reduced bone height in this region and the greater difficulty in viewing the canal, and the submandibular fossa was the most influential structure in the molar region due to lower bone height leading up to the fossa and the greater fossa depth in this region. Therefore, CBCT is an important tool for assessing the mandibular region and planning for safe implant installation in the posterior mandible. Furthermore, comprehensive evaluation of the characteristics of this region is necessary, as the variables - submandibular fossa depth, bone height and thickness, and mandibular canal corticalization - are related and must be considered together when planning.

In Vivo Evaluation of Two-Piece Implants Placed Following One-Stage and Two-Stage Surgical Protocol in Posterior Mandibular Region. Assessment of Alterations in Crestal Bone Level.

BACKGROUND: Endosseous implants can be placed following either two-stage technique requiring second-stage surgery or one-stage technique, which does not involve a second surgical intervention. PURPOSE: The present study was undertaken to evaluate and compare the changes in crestal bone level when two-piece implants were placed in posterior mandibular region following one-stage and two-stage surgical protocol. MATERIALS AND METHODS: A parallel group randomized prospective study was designed in which 20 two-piece implants were placed in the posterior mandibular region of 16 partially edentulous healthy patients following either one-stage (Group I) or a two-stage surgical protocol (Group II). Alterations in crestal bone level were assessed with the help of DentaScan at baseline, that is, at the time of implant placement, third month and sixth month. RESULTS: Nonsignificant differences were seen in both groups in terms of changes in crestal bone level at the final evaluation. CONCLUSIONS: Hence, it could be concluded that two-piece implants can be placed following one-stage surgical protocol as predictably as when two-stage surgical technique is followed.

Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial.

PURPOSE: To compare planning and patient rehabilitation using a 3D dental planning software and dedicated surgical guides with conventional rehabilitation of partially or fully edentulous patients using flapless or mini-flap procedures and immediate loading. MATERIALS AND METHODS: Fifty-one fully or partially edentulous patients requiring at least 2 implants to be restored with a single prosthesis, having at least 7 mm of bone height and 4 mm in bone width, had their implant rehabilitation planned on three-dimensional (3D) cone beam computed tomography (CBCT) scans using a dedicated software. Afterwards they were randomised according to a parallel group study design into two arms: computer-guided implant placement aided with templates (computer-guided group) versus conventional implant placement without templates (conventional group) in three different centres. Implants were to be placed flapless and loaded immediately; if inserted with a torque over 35 Ncm with reinforced provisional prostheses, then replaced, after 4 months, by definitive prostheses. Outcome measures, assessed by masked assessors were: prosthesis and implant failures, complications, peri-implant bone level changes, number of treatment sessions, duration of treatment, post-surgical pain and swelling, consumption of pain killers, treatment time, time required to solve complications, additional treatment cost, patient satisfaction. Patients were followed up to 1 year after loading. RESULTS: Twenty-six patients were randomised to the conventional treatment and 25 to computerguided rehabilitation. No patient dropped out. One provisional prosthesis failed, since one of the two supporting implants failed 11 days after implantation in the conventional group (P = 1.0). Four patients of the conventionally loaded groups experienced one complication each, versus five patients (6 complications) in the computer-guided group (P = 0.726). There were no statistically significant differences between the two groups for any of the tested outcomes with the exception of more postoperative surgical pain (P = 0.002) and swelling (P = 0.024) at conventionally treated patients. CONCLUSIONS: When treatment planning was made on 3D CBTC scan using a dedicated software, no statistically significant differences were observed between computer-guided and a free-hand rehabilitations, with the exception of more postoperative pain and swelling at sites treated freehand because more frequently flaps were elevated.

Assessment of marginal bone loss using full thickness versus partial thickness flaps for alveolar ridge splitting and immediate implant placement in the anterior maxilla.

The aim of this study was to evaluate the effectiveness of maintaining the periosteal attachment of the facial and palatal cortical plates on crestal bone loss that occurs at the margin of dental implants placed immediately in split anterior maxillary alveolar ridges. This was a prospective randomized comparative clinical trial. The study population included 22 patients with edentulous anterior maxillary alveolar ridges who presented for treatment during the period March 2012 to September 2013. The selected patients were divided randomly into two equal groups. All patients underwent a maxillary ridge splitting technique; a total of 43 implants were placed immediately. A full thickness mucoperiosteal flap was performed in the control group patients, while a split thickness mucosal flap was done in the study group patients. Assessments included measurements of the linear changes in the marginal bone surrounding the implants immediately postoperative and after 6 months. Measurements were taken from cross-sectional and longitudinal cone beam computed tomography images using special software. The partial thickness flap used in the study group decreased the percentage of bone loss by 9.5% for the labial bone plate, 7.9% for the palatal bone plate, and 3.5% for the mesiodistal bone plate.

Are predoctoral students able to provide single tooth implant restorations in the maxillary esthetic zone?

The objective of this study was to assess the ability of the University of Illinois at Chicago College of Dentistry (UIC-COD) predoctoral students to provide single tooth implant (STI) prostheses in the maxillary esthetic zone. The patient's esthetic satisfaction and the correlation between prosthodontists' and patients' perspectives were examined. Twenty-seven patients were recruited for recall examinations at the UIC-COD predoctoral implant program and underwent clinical and radiographic examination with clinical photographs of the implant sites. The patients completed a semantic differential scale questionnaire. The collected information was formulated into a PowerPoint presentation for two Diplomate of the American Board of Prosthodontists to use the Pink/White Esthetic Score (PES/WES) to evaluate the esthetic outcome. Descriptive analyses, Cohen kappa test, and Spearman rank correlation coefficient test were performed. The average PES/WES were above 6.0 (out of 10). The median for the patient satisfaction and esthetic outcome questionnaires were 10 and 9, respectively, on a scale with 10=highest. There was a medium and positive correlation between prosthodontists' and patients' perspectives in esthetic outcome. This study found that, with strict guidance and proper selection criteria, predoctoral students were able to provide esthetically acceptable STI prostheses in the maxillary esthetic zone and patients were satisfied with the treatment provided.

Accuracy assessment of cone beam computed tomography-derived laboratory-based surgical templates on partially edentulous patients.

OBJECTIVES: The aim of the present prospective clinical study was to evaluate the match between the positions and axes of the virtually planned and the placed implants using laboratory-based surgical guides generated from cone beam computed tomography (CBCT). MATERIALS AND METHODS: A total of 132 implants were placed with the aid of 3D-based transfer templates in 52 consecutive partially edentulous patients between April 2008 and March 2010. After individual adaptation of the scan templates and CBCT scanning, the acquired data for virtual implant planning and simulation were processed using the med3D software program. After finalizing the virtual placement of the implants the radiographic templates were converted into operative guides containing titanium sleeves for cavity preparation. Preoperative planning was merged with postoperative CBCT data to identify linear and angular deviations between virtually planned and placed implants. RESULTS: Compared with the planned implants the installed implants showed linear deviations in the median at the neck and apex of 0.27 mm (range 0.01-0.97 mm), and of 0.46 mm (range 0.03-1.38 mm), respectively. The angle deviation was 1.84° in median, with a range of 0.07-6.26°. The extent of deviation depends on the size of the tooth gap and the distribution of the remaining teeth. CONCLUSION: The results of this study suggested that laboratory-fabricated surgical guides using CBCT data may be reliable in implant placement under prosthodontic considerations in partial edentulism.

One-year clinical and radiographic assessment of fluoride-enhanced implants on immediate non-functional loading in posterior maxilla and mandible: a pilot prospective clinical series study.

OBJECTIVE: The functional, esthetic, and psychological problems of 3-6 months of edentulousness and also discomfort of two-stage surgery might cause many patients to avoid implant-supported restorations. Therefore, the immediate non-functional loading protocol might be of value. METHODS: Twenty Astra Tech implants, 11-13 mm in length and 3.5-4 mm in diameter, were placed in maxillary and mandibular posterior sites of 10 healthy patients (two for each) with adequate alveolar bone. Temporary prostheses were relieved of all centric and eccentric contacts. Functional permanent prostheses were fabricated 13 weeks postoperatively. Clinical and radiographic examinations (including the implant stability quotient [ISQ]) were carried out immediately after implantation and 3, 6, and 12 months postoperatively. RESULTS: A 100% success rate was observed within 1 year. The plaque and bleeding indices, and pocket-probing depths did not show a significant change throughout the study. The ISQ values after implant insertion, and 3, 6, and 12 months later were respectively 76.6 ± 6.57, 77.6 ± 10.54, 81.8 ± 6.8, and 82.43 ± 3.7. The increase was statistically significant (P=0.004) according to the Freidman test. The ISQ values measured after the implant insertion were significantly different from those measured in the sixth and 12th postoperative months (P<0.008) according to the Wilcoxon signed-ranks test. The mean crestal alveolar bone resorption values in the third, sixth, and 12th postoperative months were 0.4 ± 0.55, 0.48 ± 0.37, and 0.48 ± 0.21 mm, respectively; and the change in marginal alveolar bone loss was not significant according to the Freidman test. CONCLUSION: Within the limitations of this pilot study, non-functional immediate loading might meet the expectations of both the patients and clinicians.

Risk assessment of lingual plate perforation in posterior mandibular region: a virtual implant placement study using cone-beam computed tomography.

BACKGROUND: Lingual plate perforation at the time of implant placement in posterior mandible is a potential surgical complication, and presence of a lingual concavity is considered a risk factor. Little is known about the spatial relationship between implant and lingual plate. The role of lingual concavity in the risk of lingual perforation has not yet been fully studied. This computer-simulated study investigates the incidence of lingual plate perforation in edentulous mandibular first molar region and the risk of perforation in the area of lingual concavity. METHODS: One hundred and three qualified cone-beam computed tomography scans were selected from the database. Implants of various dimensions were virtually placed into the area using computer software. The distance between implant tip and lingual plate was measured using a digital caliper. Incidence of lingual plate perforation and proximity of the implant tip to lingual plate were measured for three types of cross-sectional mandibular morphology. RESULTS: One hundred and three cone-beam computed tomography scans with 118 sites were available for analysis. The intraexaminer and interexaminer agreements were 0.93 and 0.89, respectively. The predicted incidence of lingual plate perforation was 1.1% to 1.2%. Most implants, which were within 1 mm from lingual plate, occurred in sites with lingual concavity (type-U ridge). CONCLUSIONS: This study demonstrates a novel experimental design by which the spatial relation between implant and lingual plate in mandibular first molar region is investigated. Incidence of lingual plate perforation during implant placement is predicted to be 1.1% to 1.2% and it will most likely happen in type-U ridge.

Accuracy assessment of computer-assisted flapless implant placement in partial edentulism.

AIM: To assess the accuracy of implants placed flapless by a stereolithographic template in partially edentulous patients. MATERIAL AND METHODS: Eight patients, requiring two to four implants (maxilla or mandible), were consecutively recruited. Radiographical data were obtained by means of a cone beam or a multi-slice CT scan and imported in a software program. Implants (n=21) were planned in a virtual environment, leading to the manufacture of one stereolithographic template per patient to guide the implant placement in a one-stage flapless procedure. A postoperative cone beam CT was performed to calculate the difference between virtual implant (n=21) positions in the preoperative planning and postoperative situation. RESULTS: A mean angular deviation of 2.7 degrees (range 0.4-8, SD 1.9), with a mean deviation at the apex of 1.0 mm (range 0.2-3.0, SD 0.7), was observed. If one patient, a dropout because of non-conformity with the protocol, was excluded, the angular deviation was reduced to 2.2 degrees (range 0.6-3.9, SD 1.1), and the apical deviation to 0.9 mm (range 0.2-1.8). CONCLUSION: Based on this limited patient population, a flapless implant installation appears to be a useful procedure even when based on accurate and reliable 3D CT-based image data and a dedicated implant planning software.

Bone density at implant sites and its relationship to assessment of bone quality and treatment outcome.

PURPOSE: To investigate the relationship between bone mineral density (BMD) before implant placement, implant stability measures at implant placement, and marginal bone loss of immediately loaded implants after 1 year in situ. MATERIALS AND METHODS: Consecutively recruited patients received Straumann SLActive implants loaded with fixed provisional prostheses within 24 hours. BMD was measured from computed tomographic images before implant placement. Alveolar bone quality was assessed during surgery. Implant stability-both rotational and as measured with resonance frequency analysis-and marginal bone height were assessed at implant placement and after 1 year. The Pearson correlation coefficient was used to calculate correlations, and significance was considered when P < .05. RESULTS: Twenty-one patients received 137 implants (87 in maxillae and 50 in mandibles). BMD was significantly correlated with bone quality classification in both arches (P < .001). Mean BMD was also significantly correlated with stability values (P < .001). Mean marginal bone loss at implant surfaces differed, but not significantly, at the 1-year follow-up, regardless of BMD values (P = .086) and measured stability (rotational stability P = .34, resonance frequency analysis P = .43) at implant placement. CONCLUSION: Within the limits of this study, it can be concluded that computed tomographic examination can be used as a preoperative method to assess jawbone density before implant placement, since density values correlate with prevailing methods of measuring implant stability. However, in the short time perspective of 1 year, there were no differences in survival rates or changes in marginal bone level between implants placed in bone tissue of different density.

Outcomes assessment of patients treated with osseointegrated dental implants at the University of Washington Graduate Prosthodontic Program, 1988 to 2000.

PURPOSE: The purpose of this retrospective study was to review and assess the outcomes of subjects treated with dental implants at the University of Washington Graduate Prosthodontic Program from 1988 to 2000. MATERIALS AND METHODS: A retrospective review and an outcomes assessment were conducted of patients treated with osseointegrated implants between 1988 and 2000 at the University of Washington Graduate Prosthodontic Program. Patients were treated by graduate students. All included patients had a prosthesis that had been in service for at least 5 years. Implants and prostheses were assessed by chart review, phone survey, and clinical review. Clinical review consisted of mobility testing, soft tissue evaluation, and occlusal evaluation. Specific success criteria were used and life table analyses of implants and prostheses were performed. RESULTS: Of a total of 114 patients treated, 69 subjects (60.5% of those treated) participated in the assessment; 103 prostheses supported by 273 implants were reviewed clinically. The estimated cumulative survival rate was 96.3% for all implants and 85.4% for all prostheses. CONCLUSIONS: A retrospective review of 69 subjects who were treated in the University of Washington Graduate Prosthodontic Program between the years 1988 and 2000 showed an implant survival rate of 96.3% and a prosthesis survival rate of 85.4%. Prostheses showed higher failure rates than implants.

Self-reported assessment of intraoral prostheses among patients attending the prosthodontic department in a dental institute in India.

AIM: This study was conducted to provide a patient assessment of intraoral prostheses among subjects who reported to the Department of Prosthodontics, Institute of Dental Sciences, Belgaum. METHODS: A nine-item self-designed closed-ended questionnaire was recorded followed by a clinical examination. Patients who reported in a period of 2 months and had at least one prosthesis with a duration of usage of at least 1 month were included for the study. Collected data was statistically analyzed using the chi(2)-test at a significance level of P < 0.05. RESULTS: The questionnaire was answered by 125 patients, 72 completely edentulous and 53 partially edentulous, with age ranging 16-84 years (mean age, 54.13 +/- 17 years). There was a wide variation in the duration of usage of prostheses, ranging 3 months to 27 years. Statistically, a highly significant difference was found between age and duration of prostheses (chi(2) = 77.29, P < 0.001), between the type of prostheses being used with age and opinion with existing prostheses. When opinion regarding existing prostheses was compared with sex, age and duration of prostheses being used, a statistically significant difference was found between opinion with existing prostheses and age, sex and duration of prostheses. Of the patients, 49.6% complained of loss of function, 14.4% of loose prostheses and 7.2% reported pain with the existing prostheses. CONCLUSION: Loss of function was the most common complaint with the existing prostheses among complete denture wearers. As the majority of the patients using fixed prostheses had no complaint with the prostheses, attention should be paid to preservation of natural teeth.

Perceptions of outcomes of implant therapy in patients with ectodermal dysplasia syndromes.

PURPOSE: The purpose of this study was to evaluate patient-specific outcomes and satisfaction using dental implants in a population affected with ectodermal dysplasia. MATERIALS AND METHODS: Patient-based data were collected using a self-reported survey instrument sent to patients belonging to a private patient foundation and/or treated previously at a government clinic. A standardized survey instrument was developed to evaluate patient satisfaction, outcomes, and potential complications using dental implants. RESULTS: The survey instrument was mailed to 253 affected individuals self-reported to have various forms of ectodermal dysplasia and who were voluntarily participants in the National Foundation for Ectodermal Dysplasias and/or were participants in the US National Institute for Dental Craniofacial Research Intramural Ectodermal Dysplasia clinical research program. A total of 109 responses were obtained (43% response rate). The duration following completion of implant therapy ranged from to 1 to 23 years. Of the 109 participants, 50% reported either an implant or prosthetic complication with implant treatment, and 24% reported some form of failure with implant therapy. However, 91% of participants reported being either satisfied or very satisfied with dental implants, and 95% reported that the treatment was worth the time and cost. CONCLUSIONS: Affected individuals receiving tooth replacement therapy with dental implants reported satisfaction with the outcome. A higher level of complications, including infection, mechanical problems, and implant loss, relative to the unaffected population was reported.

Oral rehabilitation between reality and paradigm.

The oral rehabilitation represents the integrative concept which re-establishes every segment of the dental-jaw system that is affected by edentation in different clinical forms, without eluding the induced complications and the influence of general status within the chosen therapy algorithm. Despite the significant development of knowledge and techniques, it is still controversial to which degree the therapy solutions of oral rehabilitation approach the therapy's ideal, and also the way in which particular aspects of the prosthetic treatment, the general status and socioeconomic criterion influence the clinical result. The implant-prosthetic therapy represents the state of art in modern treatment of edentulous patients, starting from the simplest cases and ending up with complex situations. However the problem of choosing the best treatment option remains, the patient being confused between several possibilities and numerous limits. In the best of cases, the patient understands, accepts and can afford the adequate treatment option. In other cases, choosing the therapeutically solution can be made only under the impulse of external factors. In critical situations, the patient's fear, disbelief, the restrained economic possibilities exclude the ideal solution and compromise the long-term success of the treatment. Several complex cases that were treated accordingly to the ideal option, using complex integrated algorithms, support the idea that future economic development and improved education should surpass present obstacles, the reality becoming a paradigm.

Effect of implant support on distal-extension removable partial dentures: in vivo assessment.

PURPOSE: The use of a limited number of implants for support of a removable partial denture (RPD) changes a Kennedy Class I or II situation to that of a Class III. This in vivo pilot study evaluated implant-supported distal-extension removable partial dentures (RPD) in 5 partially edentulous patients. MATERIALS AND METHODS: Two implants (Brånemark TU MK III, Nobel Biocare) were placed in a mandibular Kennedy Class I arch. To fabricate an implant-supported RPD (ISRPD), a conventional RPD base was fitted to the healing abutment with autopolymerizing acrylic resin (Uni-fast II, GC) to support the posterior aspect of the RPD. By changing the healing abutment to a healing cap, there was no connection between the denture base and implant, and the ISRPD became a conventional RPD (CRPD). Using a crossover study design, the masticatory movements (mandibular movements during mastication) of both dentures were measured using a commercially available tracking device (BioPACK, Bioresearch, Japan). The occlusal force and contact area were also measured using pressure-sensitive sheets and an image scanner (T-scan system). Using a visual analog scale (VAS), the 4 criteria of comfort, chewing, retention, and stability were evaluated. All the data obtained were analyzed using Wilcoxen signed rank tests (alpha = .05). RESULTS: There were no significant differences (P > .05) in masticatory movements between the ISRPD and the CRPD (5 patients: 4 women, 1 man). However, the ISRPD had significantly greater force and greater area than the CRPD (P = .043). The center of occlusal force of the ISRPD tended to move more distally compared to the CRPD. All the patients preferred the ISRPD for comfort, chewing, retention, and stability. CONCLUSIONS: One implant per edentulous area and a simple attachment technique yielded a stable distal extension RPD.

[Secondary adentia and dental implantation (epidemiological and sociological study by a telephone interview method)]. / Vtorichnaia adentia i dental'naia implantatsiia (épidemiologicheskoe i sotsiologicheskoe issledovanie metodom telefonnogo oprosa).

Epidemiological research of partial secondary adentia was done by means of telephone interviewing the population of city of Samara (1104 persons are interrogated). Prevalence and intensity of the disease in various age groups, and also average indices for all adult population are established. The share of the persons requiring for dental prosthetics among patients with defects of dental lines is determined. The same method investigates awareness of the population about dental implantation, and also the estimation is given to public opinion on treatment with the use of implants.