A Long-Term Monitoring of Short Dental Implants in the Posterior Mandibular Region
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Keywords

Short implants
bone atrophy
Mandible
Free gingival graft

How to Cite

Suzuki, D., Miyasawa, E. M., Sartori, I. A. de M., & Thomé, G. (2023). A Long-Term Monitoring of Short Dental Implants in the Posterior Mandibular Region: A 12-Year Clinical Case Study. Brazilian Journal of Implantology and Health Sciences, 5(4), 1503–1514. https://doi.org/10.36557/2674-8169.2023v5n4p1503-1514

Abstract

The use of short implants has been an alternative treatment option in cases where conventional implant placement is limited by available bone height. The aim of this article is to review the importance of long-term monitoring of short implant use and emphasize the need for maintaining keratinized soft tissue around the implant to enable proper hygiene and reduce bacterial biofilm accumulation. In this clinical case, we report on the rehabilitation of the posterior mandibular region using extra-short implants (≤ 6mm) and a free gingival graft in a 12-year follow-up. We can conclude from this clinical report that the use of short implants can be a viable long-term treatment alternative for mandibular bone atrophies, and the maintenance of peri-implant tissue health is crucial for the success of rehabilitation.

https://doi.org/10.36557/2674-8169.2023v5n4p1503-1514
PDF (Português (Brasil))

References

Misch CE, Steigenga J, Barboza E, Misch-Dietsh F, Cianciola LJ, Kazor C. Short Dental Implants in Posterior Partial Edentulism: A Multicenter Retrospective 6-Year Case Series Study. J Periodontol. 2006;77(8):1340–7.

Felice P, Barausse C, Pistilli R, Ippolito DR, Esposito M. Short implants versus longer implants in vertically augmented posterior mandibles: Result at 8 years after loading from a randomised controlled trial. Eur J Oral Implantol. 2018;11(4):385–95.

Papaspyridakos P, de Souza A, Vazouras K, Gholami H, Pagni S, Weber HP. Survival rates of short dental implants (≤6 mm) compared with implants longer than 6 mm in posterior jaw areas: A meta-analysis. Clin Oral Implants Res. 2018;29(March):8–20.

Goené R, Bianchesi C, Hüerzeler M, del Lupo R, Testori T, Davarpanah M, et al. Performance of short implants in partial restorations: 3-Year follow-up of Osseotite® implants. Implant Dent. 2005;14(3):274–80.

Al-Johany SS, al Amri MD, Alsaeed S, Alalola B. Dental Implant Length and Diameter: A Proposed Classification Scheme. Journal of Prosthodontics. 2017;26(3):252–60.

Annibali S, Cristalli MP, Dell’Aquila D, Bignozzi I, la Monaca G, Pilloni A. Short dental implants: A systematic review. J Dent Res. 2012;91(1):25–32.

Bitinas D, Bardijevskyt G. Short implants without bone augmentation vs. long implants with bone augmentation: systematic review and meta-analysis. Aust Dent J. 2021;66(S1):S71–81.

Esposito M, Buti J, Barausse C, Gasparro R, Sammartino G, Felice P. Short implants versus longer implants in vertically augmented atrophic mandibles: A systematic review of randomised controlled trials with a 5-year post-loading follow-up. International journal of oral implantology (New Malden, London, England) [Internet]. 2019;12(3):267–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31535097

Ravidà A, Barootchi S, Askar H, Suárez-López del Amo F, Tavelli L, Wang HL. Long-term effectiveness of extra-short (≤ 6 mm) dental implants: A systematic review. International Journal of Oral and Maxillofacial Implants. 2019;34(1):68–84a.

Haas R, Mensdorff-Pouilly N, Mailath G, Watzek G. Br{right parenthesis, less than}nemark single tooth implants: A preliminary report of 76 implants. J Prosthet Dent. 1995;73(3):274–9.

Rameh S, Menhall A, Younes R. Key factors influencing short implant success. Oral Maxillofac Surg. 2020;24(3):263–75.

Lin IP, Chang CC, Tu CC, Lai CL, Su FY. Efficacy of free gingival grafting to augment keratinized mucosa around dental implants in posterior regions after restorative procedures: A retrospective clinical study. Journal of Prosthetic Dentistry [Internet]. 2022;1–8. Available from: https://doi.org/10.1016/j.prosdent.2021.12.013

Quaranta A, Piemontese M, Rappelli G, Sammartino G, Procaccini M. Technical and biological complications related to crown to implant ratio: A systematic review. Vol. 23, Implant Dentistry. Lippincott Williams and Wilkins; 2014. p. 180–7.

Ravidà A, Galli M, Bianchi M, Parisi E, Saleh MHA, Stacchi C, et al. Clinical outcomes of short implants (≤ 6 mm) placed between two adjacent teeth/implants or in the most distal position: A systematic review and meta-analysis. Int J Oral Implantol. 2021;14(3):241–57.

Tavelli L, Barootchi S, Avila-Ortiz G, Urban IA, Giannobile W v., Wang HL. Peri-implant soft tissue phenotype modification and its impact on peri-implant health: A systematic review and network meta-analysis. Vol. 92, Journal of Periodontology. Wiley-Blackwell; 2021. p. 21–44.

Sullivan HC, Atkins JH. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics. 1968;6(3):121–9.

Chiu YW, Lee SY, Lin YC, Lai YL. Significance of the width of keratinized mucosa on peri-implant health. Vol. 78, Journal of the Chinese Medical Association. Elsevier Ltd; 2015. p. 389–94.

Lin GH, Chan HL, Wang HL. The Significance of Keratinized Mucosa on Implant Health: A Systematic Review. J Periodontol. 2013 Dec;84(12):1755–67.

Perussolo J, Souza AB, Matarazzo F, Oliveira RP, Araújo MG. Influence of the keratinized mucosa on the stability of peri-implant tissues and brushing discomfort: A 4-year follow-up study. Clin Oral Implants Res. 2018 Dec 1;29(12):1177–85.

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Copyright (c) 2023 Dalton Suzuki, Erton Massamitsu Miyasawa, Ivete Aparecida de Mattias Sartori, Geninho Thomé