Use of 6-mm Short Implants in Japanese Patients: Clinical, Radiologic, and Patient Satisfaction Results in a Retrospective Study with a 2-Year Follow-up

Takeshita, Kenji; Naito, Yoshihito; Kitamura, Tomohisa; Funaki, Katsuyuki; Toia, Marco; Stocchero, Michele; Taninokuchi, Hiromi; Morishima, Hiromitsu; Takahashi, Tsuneo

doi:10.11607/prd.5086

Cited by 2 publications

(2 citation statements)

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“…In relation to the satisfaction and experience of the patients who were included in the reviewed studies, this was not evaluated or reported under any validated scale or any other report, but it has been observed that patients who receive short implant treatments have greater satisfaction according to the OHIP-14 scale [ 106 ]. On the other hand, patient satisfaction was not considered when selecting the type of graft to be used, which is relevant in this type of procedure, since xenografts present less postoperative pain and operating time, which could mean an increase in patient satisfaction [ 107 , 108 ].…”

Section: Discussionmentioning

confidence: 99%

Short implants compared to regular dental implants after bone augmentation in the atrophic posterior mandible: umbrella review and meta-analysis of success outcomes

Sáenz-Ravello,

Ossandón-Zúñiga,

Muñoz-Meza

et al. 2023

Int J Implant Dent

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Purpose To assess the body of evidence of short versus regular implants after bone augmentation (BA) in the atrophic posterior mandible in the context of implant treatment success outcomes. Methods Seven databases, two registries, and reference lists were searched for systematic reviews and meta-analysis (SR/MA), randomized controlled trials (RCTs) and longitudinal studies published in English, Spanish or German since 2012. Confidence in the SR/MA methodology was evaluated using AMSTAR-2 and the risk of bias of primary studies using Cochrane’s RoB 2.0 and ROBINS-I. A random-effects meta-analysis and a meta-regression were performed for continuous and dichotomous outcomes. GRADE approach was used to assess the certainty of the evidence. Results Eighteen SRs/MAs, most of them “critically low” and “low” confidence with substantial overlap, included 14 relevant RCTs with a high risk of bias. A cohort study with moderate risk of bias was added. Quantitative synthesis of 595 implants and 281 hemiarches/patients indicates that the use of short implants (< 10 mm) compared to regular implants and BA may reduce implant failure at 1-year follow-up, and marginal bone loss (MBL) at 3-, 5-, and 8-year follow-up; is likely to reduce the risk of biological complications at 1-, 3-, 5-, and 8-year follow-up; and may be the patient's preferred alternative. There is a correlation between bone height, MBL and biological complications. Conclusions The available evidence partially suggests that the use of short implants could decrease implant failure, MBL, and biological complications, and increase patient satisfaction. However, given the need for further RCTs and real-world evidence to fully evaluate short- and long-term outcomes, it would be prudent for clinicians to carefully consider the individual needs and circumstances of the patients before deciding whether to use short implants. Trial registration PROSPERO CRD42022333526 Graphical Abstract

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Section: Discussionmentioning

confidence: 99%

Short implants compared to regular dental implants after bone augmentation in the atrophic posterior mandible: umbrella review and meta-analysis of success outcomes

Sáenz-Ravello,

Ossandón-Zúñiga,

Muñoz-Meza

et al. 2023

Int J Implant Dent

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“…Short dental implants may be employed as part of multiple restorative strategies to rehabilitate long edentulous spans, including the use of short implants in the more atrophic region in combination with longer implants inserted in sites presenting enough residual alveolar bone. Aside from high levels of patient acceptance and satisfaction 77 and favorable cost‐effectiveness, mainly due to the reduced surgical invasiveness and the avoidance of ancillary bone augmentation procedures, there is a substantial amount of scientific data to support the use of short dental implants in contemporary dental practice. Although earlier studies on this topic reported lower short‐term (up to 5 years) survival rate of short implants compared to standard length implants, 78,79 more recent evidence indicates that the clinical performance of short implants placed in posterior maxillary segments is comparable or even superior to regular implants placed after or in concomitance with bone augmentation procedures 80–83 …”

Section: Treatment Alternativesmentioning

confidence: 99%

Treatment alternatives for the rehabilitation of the posterior edentulous maxilla

Ávila‐Ortiz

Végh

Mukaddam

et al. 2023

Periodontology 2000

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Rehabilitation of the edentulous maxilla with implant‐supported fixed dental prostheses can represent a significant clinical challenge due to limited bone availability and surgical access, among other factors. This review addresses several treatment options to replace missing teeth in posterior maxillary segments, namely the placement of standard implants in conjunction with maxillary sinus floor augmentation, short implants, tilted implants, and distal cantilever extensions. Pertinent technical information and a concise summary of relevant evidence on the reported outcomes of these different therapeutic approaches are presented, along with a set of clinical guidelines to facilitate decision‐making processes and optimize the outcomes of therapy.

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Use of 6-mm Short Implants in Japanese Patients: Clinical, Radiologic, and Patient Satisfaction Results in a Retrospective Study with a 2-Year Follow-up

Cited by 2 publications

References 0 publications

Short implants compared to regular dental implants after bone augmentation in the atrophic posterior mandible: umbrella review and meta-analysis of success outcomes

Short implants compared to regular dental implants after bone augmentation in the atrophic posterior mandible: umbrella review and meta-analysis of success outcomes

Treatment alternatives for the rehabilitation of the posterior edentulous maxilla

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