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The purpose of this study is to evaluate the effects of the number and the placement of implants on load distribution for multiple implants with three-dimensional geometric analysis, and to verify the well-known conceptual figure by Rangert. Three teeth missing in left mandibular region was geometrically modelled in clinically simulated situation. Two implants placement as 'control', 'cantilever', 'three-implants' and 'offset placements' were analyzed with geometric analysis. The cantilever received 180-182% load of control, that is, almost same to the result by Rangert (200%). Three implants received 59-65% load of control, that is, almost same to the result by Rangert (67%). Offset arrangement received 59-65% load of control, that is, larger than the result by Rangert (40%). It was concluded that the influence of the arrangement of implants on the load distribution presented in the conceptual figure by (Rangert BR, Sullivan RM & Jemt TM, J Oral Maxillofac Implants. 1997;12:360) was verified except for the effects of the offset arrangement.

To study the gene products of the HLA complex, we produced two monoclonal antibodies, termed HU-18 and HU-23. They were active in complement-dependent cytotoxicity and detected B-cell alloantigens encoded by a locus (or loci) linked to HLA. When three types of HLA-DR4 homozygous B-cell lines with different HLA-D specificities were tested for reactivity with HU-18 and HU-23, they displayed distinct reaction patterns depending on the HLA-D specificities they possessed: EBV-Wa (HLA-DYT homozygous), negative for both HU-18 and HU-23; KT2 and KOB (HLA-DKT2 homozygous), positive only for HU-18; and ER (HLA-Dw4 homozygous), positive for both. These differential reaction patterns were further confirmed by testing against a panel of 17 HLA-DR4-positive peripheral blood lymphocytes with known HLA-D specificities. Thus, these monoclonal antibodies allow us to identify HLA-DYT, HLA-DKT2, and HLA-Dw4 solely by serologic methods. This is the first clearcut serologic identification of these three HLA-DR4-associated HLA-D specificities, which have been indistinguishable by conventional serology and identified only by cellular techniques. It is hoped that immunochemical investigations using HU-18 and HU-23 will advance our understanding of the HLA-D region on a molecular level.

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