All rights reserved. No part of this book covered by the copyrights hereon may be reproduced, stored, communicated or copied in any form or by any means - graphic, electronic, or mechanical including photocopying, taping, or information storage and retrieval systems - without written consent from Marco E. Pasqualini (tel. +39.02.799651).
Prof. Leonard I. Linkow
World-renowned pioneer of implant dentistry
I have given up the surgical phases of implantology after fifty years of practice. Many of those years were not easy for me especially with the envious minds of the mediocre dentists that would rather spend a good part of their empty minds trying to destroy the great strides of those few brave and brilliant colleagues that moved dentistry forward rather than treat their own patients to the best of their abilities.
During those many years of pioneering the field of implant dentistry there were only but a few true pioneers that I had respect for.
Professor Ugo Pasqualini, by far, was the truest and greatest pioneer of them all.
He, and only he, was the true discoverer of osseointegration. Unfortunately, unlike some others he did not have the large sums of money to promote his important findings. He also was a very humble human being and even if he did had the marketing availability, he wouldn’t have used it to promote himself.
In 1970, in one of my books titled, “Theories and Techniques of Oral Implantology” by CV Mosby Co., St. Louis (MO), I had displayed some of his magnificent works on osseointegration.
Professor Ugo Pasqualini also published a magnificent book on Implantology and Prosthetic Dentistry. As far as his nephew, Marco Pasqualini, who continued with the practice after Ugo passed on, I can only say that he has become a very dear friend of mine. I have listened to his many exhilarating and dynamic lectures, have seen his clinical cases and without any doubts on my part he is and will continue to be a shining light in the field of implant dentistry.
Prof. Cesare Brusotti
Professor of Dental Surgery at the University of Pavia
Few dental disciplines have experienced the dramatic evolution that characterized implant dentistry from its debut until today. To date, however, no author has ever emphasized the key role played by Italian professionals in the development of this important subject.
It is with great pleasure that, along with many distinguished colleagues, I present this work, which was missing on the Italian publishing scene, and I am even more delighted to do so given my long friendship with Marco Pasqualini.
The text reflects the passion that the authors have always brought to their work, and I would like to take this opportunity to underscore the affection and esteem I have always had for them over all the years we spent together facing thousands of battles at various congresses and conferences. We did not always agree, but our differences of opinion were never transformed into controversy, and we have always been bound by profound friendship.
Lastly, I would like to congratulate Paolo Zampetti, non-tenured professor at the University of Pavia, for his fundamental contribution to the historical reconstruction of the evolution of implant dentistry, a subject that has never been fully investigated but is one that allows us to understand how the current clinical results have been achieved.
Therefore, I hope that the authors will receive the credit they deserve for their expertise and enormous efforts in writing this book.
Prof. Enrico Cislaghi
Director of the Dental Department of the National Cancer Institute, IRCCS Foundation, Milan
When my dear friend and colleague Marco Pasqualini asked me for honest comments on this difficult and complex scientific effort, I suspected that he had turned to me not only as a friend, but also as an “old” implantologist.
I have always been an implantologist a latere and, in effect, I have not only dealt with this topic but my friendship with almost all the “pure” implantologists has allowed me to learn a great deal and sometimes even offer criticism.
This is a comprehensive book that can be defined as historical-scientific, and it is one that must therefore be read, consulted and followed. Nearly half a century after the true advent of implantology, nearly all of us - young and old alike - still need to learn, discuss and analyze, in order to improve and shed light on the confusion created by numerous commercial intrusions. Materials and techniques have been very useful - they are crucial in our profession - and scientific and commercial research cannot be ignored.
This is another aim of a work as comprehensive and passionate as this one. We should thus be grateful to Marco Pasqualini, who with his abiding enthusiasm has masterfully pieced together the history and purposes of oral implantology. I must thus join the chorus of praise offered by my distinguished colleagues and continue to insist that, even today, there is a great need to teach the practical evolution of implant techniques, overcoming differences that have created nothing but confusion and uncertainty.
In the wake of such unexpected enthusiasm, many critics have changed their stance. Even peri-odontologists who, for years, were the most tenacious opponents of implant dentistry have now turned into implantologists, hopefully in a positive way.
Once again, I wish this groundbreaking book every success.
Dr. Pierluigi Floris
President AISI (Italian Academy of Implant Stomatology)
I am both excited and thrilled to write this brief introduction to the implant dentistry book written by my long-time friend Marco Pasqualini.
We first met in Bologna at the GISI (Italian Implant Study Group) directed by Prof. Giordano Muratori, where we would see each other biannually for two of the most prestigious congresses in the world, along with many other talented Italians and foreign implantologists, and our unforgettable teachers.
Marco had a special mentor, the late Prof. Ugo Pasqualini, who was not only his uncle, but also his professional advisor on a day-to-day basis. When he told me about this book, my first thought was that there was no one better suited than he for a comprehensive examination of implant dentistry, not only because he had nearly 30 years of knowledge and practice, but above all because he did not limit himself to probing a single technique. He is knowledgeable in different methods and a great expert in immediate-load implant dentistry, and for years he has followed the evolution of this wonderful branch of dentistry. We have discussed divergent scientific opinions, bitterly in some cases, but always fairly. This is why I consider him the champion of great battles and scientific opinions that went “against the tide” for decades, and that today are enormously topical.
This book represents expertise, professional maturity, a review of implant dentistry, and a guide for the new generations, but above all it offers those who have passionately practiced this marvelous discipline for years the opportunity to rethink things.
My teacher always said, “Learn to be patient, time is a gentleman.” And time has proven him right.
Dr. Dino Garbaccio
Pioneer of immediate-load implant dentistry and the inventor of bicorticalism
I am immensely pleased to present this work by my dear friend Marco Pasqualini.
Marco was one of my first students, a pupil who understood and embraced everything he considered valid. I have followed his career for the past 25 years and can say that his scientific knowledge has always become more profound and continues to grow.
Marco is one of the few links between past and present and, growing up beside his distinguished uncle, Ugo Pasqualini, he was also able to exploit his mentor’s vast scientific knowledge, assimilating and learning from it. Marco witnessed the evolution of Italian implant dentistry. He met every pioneer, was able to grasp the best of each one, and can now convey his knowledge to his pupils. With this work he aims to illustrate - to those who were not there or did not want to be there, in Italy and abroad - the state of the art of the Italian school of implant dentistry.
Lastly, I hope Marco will continue the journey that we old implantologists first undertook many years.
Prof. Hans Grafelmann
Honorary President of DGZI (Deutsche Gesellschaft für Zahnärztliche Implantologie)
The evolution of European oral implant dentistry started in the early 1960s, when a few brave pioneers placed implants on their patients, raising hostility in academic circles.
Prof. Ugo Pasqualini, from Milan, was one of them. His research led to the development of revolutionary techniques, along with the success that brought him fame in his own country and Germany. It was fortunate that he was able to introduce his young nephew, Marco Pasqualini, to this specialized field, assisting him in the treatment of many implant cases and then allowing him to take over his private practice, which he runs with the same high professional standards.
Marco Pasqualini has also been active in academia and, as an author, he stimulated the interest of many students in implant dentistry, ideally carrying on his uncle’s work.
The Garbaccio bicortical screw, modified by me, and the blade implants that Linkow and I introduced in Europe, evolved in Italy and Germany, and new implant placement techniques were developed. For example, the polymorphic blade can be adapted to different anatomic conditions and has allowed many dentists to treat borderline cases.
Marco Pasqualini has also developed prosthetic techniques that yield excellent cosmetic results. Thanks to Pasqualini and a group of Italian implantologists—including Bertolini, Ciuffini, Colombo, Garbaccio, Hoffer, Lo Bello, Mondani, Muratori, Pierazzini, Tramonte and others—Italy, France and Germany are considered the cradle of European oral implant dentistry. It is crucial that young colleagues carry on this work and develop new methods, contributing to solving problems related to bone augmentation (with or without membranes), sinus lift procedures, the use of laser, and so on, and research into implant surfaces in order to shorten ossification time.
I wish Marco the best of luck and great success on both a professional and personal level.
I would like to praise both men—uncle and nephew—on behalf of the world of implant dentistry for the results they have achieved in our field.
Die Evolution der oralen Implantologie in Europa begann in den frühen 60er Jahren, als einige mutige Pioniere die ersten Implantate bei ihren Patienten einsetzten und gegen Anfeindungen aus Universität-sinstituten antraten.
Zu diesen couragierten Einzelgängern gehörte neben den Pionieren in USA, Francreich und Italien auch Prof. Dr. Ugo Pasqualini aus Mailand. Er hat sich in Praxis un Universität der Forschung un Entwicklung mit revolutionaren Ergebnissen auf dem Gebiet der Wissenschaftlichen und praktischen oralen Implantologie in Italien un später auch in Deutschland einen Namen gemacht.
Es ist höchst erfreulich, das er seinen jungen Neffen Dr. Marco Pasqualini noch in das Spezialgebiet einführen konnte. So begleitete Dr. Marco Pasqualini nicht nur die in vielen Jahren therapierten Fälle in der privaten Praxis, sondern er konnte auch die Nachfolgepatienten nach Übernahme der Parxis auf dem gevonnen Standard weiterhin versorgen. Dr. Marco Pasqualini hat sich ausserdem den universitären un publizistichen Aufgaben gewidmet und jung Studenten in dieses Fachgebiet eingeführt das Lebenswerk von Ugo wurde so im positiven Sinne weiterentwickelt.
Das von mir nach Dr. Dino Garbaccio’s Entwurf weiterentwickelte Bicortical-Schraubimplantat und das von Linkow und mir in Europa engeführte Blattimplantat wurden in Deutschland und Italien weiter modifiziert und mit neuen chirurgischen Insertionstechnicken veröffentlicht. Die Idee der Anwendung multipler Implantatypen für die verschiedenen anatomischen und qualitativen Kieferknochenbereiche, unter Berücksichtigung der verschiedene artigen Indikationen, hat es vielen Zahnärzten ermöglicht, auch für schwierige anatomische Situazionen eine Lösung zu finden.
Ausserdem hat dr. Marco Pasqualini wichtige prothetische Komponenten in seiner Therapielehre berucksichtigt und damit eine hervorragende Ästhetik erziehlen können.
In einer Reihe von grossen Italienischen Namen auf unserem Gebiet wie Bertolini, Ciuffini, Colombo, Garbaccio, Hoffer, Lo Bello, Mondani, Muratori, Pierazzini, Tramonte, u.w.a. neben Pasqualini sind neben Italien, Frankreich un Deutschland als Ursprungländer der oralen Implantologie in Europa anerkannt worden.
Es ist von grosser Wichtigkeit, dass nunmehr junge Kollegen die Arbeit fortsetzen und immer neue Verfahren, z.B. Augmentation und Membrantechniken, Sinus lift, Laser-Techniken ecc., sowie innovative Oberflächenbehandlungen der enossalen Implantte zur Erweiterung der Indikation und Reduzierung der Einheilungszeit beitragen.
Dr. Marco Pasqualini wünschen wir weiterhin Erfolg und Freude für seine Arberit auf unserem gemeinsamen Fachgebiet sowie eine Reflektion in sein privates Leben. Icj möchte allen vorangehen und beiden Kollegen sowohl Dr. Pasqualini Senior wie auch Neffe Junior die Anerkennung der implantologischen Fachwelt für ihre Leistungen auf diesem Gebiet aussprechen.
Dr. Doña Araceli Morales Sánchez
President SEI (Sociedad Española de Implantes)
Talking about implant dentistry today means talking about a dental field that is technologically advanced and absolutely on the cutting edge. There is no congress, course or symposium that fails to discuss its many aspects, not to mention the multitude of events that it can produce every year.
There is no doubt that its advent in the dental field completely changed assumptions, and it is precisely this aspect of modernity that I would like to emphasize.
It is a great honor for me to write a few lines for this book, as this allows me once more, but certainly not for the last time, to remind everyone that we owe this implant dentistry to Ugo Pasqualini and Stefano Tramonte, the pioneering masters of the past who contributed to its growth in Italy and Spain.
They laid the foundations for all we know and apply in our profession today. Marco Pasqualini and Silvano Tramonte are well aware of this and it may well be that genetics deeply influenced them: They are respectively Ugo’s nephew and Stefano’s son, but they have unquestionably demonstrated that they can fully live up to the legacy of their forebears.
Both men boast an impeccable scientific background, but they also have extraordinary human qualities. I hope these words will suffice as a tribute to everything I have learned from them, everything our predecessors have taught us, and this book, which is much more than a treatise on implant dentistry. Indeed, it is a book full of life and history.
Hablar actualmente de implantes dentro de la odontoestomatología, es sinónimo de desarrollo tecnológico y de vanguardia. Raro es el congreso, curso, simposio, donde no se contemple, en alguno de sus muchos aspectos, la implantología. Por no hablar de la multitud de eventos que por si mismo convoca. Sin duda, su irrupción en la profesión dental revolucionó por completo el quehacer de todos nosotros y es, en este alarde de modernidad que parece supone la implantología, donde humildemente me gustaría hacer memoria. Me piden - con la gentileza que les caracteriza - los Dres. Tramonte y Pasqualini, que escriba unas líneas para su libro. Me hacen con ello, un honor que no merezco pero que agradezco infinito, pues me permite una vez mas - y no será la última - recordad que somos deudores de la implantología que, atrevidos y visionarios maestros de antaño, comenzaron a desarrollar en Italia y en España. Ellos establecieron las bases de lo que hoy conocemos y disfrutamos. Eso lo saben muy bien los Dres. Tramonte y Pasqualini, a quienes tal vez “la genética” -su padre, su tío- les marcaron el camino, pero que han sabido responder con creces a la herencia recibida. A ambos, les caracteriza una impecable formación científica llena de pasión y sabiduría, pero además y sobre todo, poseen una extraordinaria calidad humana.
Sirvan estas líneas de sentido homenaje a lo mucho que he aprendido de ellos. A lo mucho que nos han enseñado quienes nos precedieron y créanme, este libro que sostienen en sus manos, es mucho mas que un tratado de implantología. Es una obra llena de vida y de historia.
Prof. Benito Vernole
Director of the Dental Institute of the University of Modena from 1972 to 1999
In 1961, Ugo Pasqualini (a university assistant at our dental clinic at the time) completed the studies that provided extraordinary proof of the biocompatibility of his “two-step” cylinders, kept in a quiescent state during the reparative osteogenic period and fitted with an external prosthetic abutment only later. The trial, which required four years of work, was awarded the top “Campione D’Italia 1962” prize and was published in the official journal of the Italian Dental Association. This work elevated implant dentistry to the level of medical science.
Therefore, I was honored to write the preface to this book, which confirms once again his value and scientific integrity, and reminds me of the many battles we fought together.
- Forewords - Treatise of Implant DentistryForewords - Treatise of Implant Dentistry
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