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Short Implants (short + implant)

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Medical Sciences	100%

Selected Abstracts

Short Implants in the Severely Resorbed Maxilla: A 2-Year Retrospective Clinical Study

CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 2005
Franck Renouard DDS
ABSTRACT Background: Although the predictability of endosseous dental implants is well documented, the restoration of the posterior region of the maxilla remains a challenge. The placement of short implants is one therapeutic option that reduces the need for augmentation therapy. Purpose: The purpose of this retrospective study was to assess the survival rates of 6 to 8.5 mm-long implants in the severely resorbed maxilla following a surgical protocol for optimized initial implant stability. Materials and Methods: The study included 85 patients with 96 short (6,8.5 mm) implants (Brånemark System®, Nobel Biocare AB, Göteborg, Sweden) supporting single-tooth and partial reconstructions. The implants had a machined (54) or an oxidized (TiUniteÔ, Nobel Biocare AB) (42) surface. A one-stage surgical protocol with delayed loading was used. The patients were followed for at least 2 years after loading (average follow-up period 37.6 months). The marginal bone resorption was assessed by radiographic readings. Results: Five implants were lost during the first 9 months, and four implants were lost to follow-up. The cumulative survival rate was 94.6%. Four of the failed implants had a machined surface, and one had an oxidized surface. The mean marginal bone resorption after 2 years in function was 0.44 ± 0.52 mm. Conclusion: This study demonstrates that the use of short implants maybe considered for prosthetic rehabilitation of the severely resorbed maxilla as an alternative to more complicated surgical techniques. [source]

Short Implants Placed One-Stage in Maxillae and Mandibles: A Retrospective Clinical Study with 1 to 9 Years of Follow-Up

CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 1 2007
Paulo Maló DDS
ABSTRACT Background:, The use of short implants (7,8.5 mm) has historically been associated with lower survival rates than for longer implants. However, recent clinical studies indicate that short implants may support most prosthetic restorations quite adequately, but still clinical documentation is sparse. Purpose:, The purpose of this study was to report on the placement of short Brånemark implants, testing the hypothesis that short implants in atrophied jaws might give similar long-term implant survival rates as longer implants used in larger bone volumes. Materials and Methods:, This retrospective clinical study included 237 consecutively treated patients with 408 short Brånemark implants supporting 151 fixed prostheses. One hundred thirty-one of the implants were 7-mm long, and 277 were 8.5-mm long. Final abutments were delivered at the time of surgery, and final prostheses were delivered 4 to 6 months later. Results:, One hundred and twenty six of the 7-mm implants (96%) have passed the 1-year follow-up; 110 (84%), the 2-year follow-up; and 88 (67%), the 5-year follow-up. Five implants failed in four patients before the 6-month follow-up, giving a cumulative survival rate of 96.2% at 5 years. The average bone resorption was 1 mm (SD=0.6 mm) after the first year and 1.8 mm (SD=0.8 mm) after the fifth year of function. Two hundred sixty nine of the 8.5-mm implants (97%) have passed the 1-year follow-up; 220 (79%), the 2-year follow-up; and 142 (51%), the 5-year follow-up. Eight implants failed in seven patients before the 6-month follow-up, giving a cumulative survival rate of 97.1% at 5 years. The average bone resorption was 1.3 mm (SD=0.8 mm) after the first year and 2.2 mm (SD=0.9 mm) after the fifth year of function. Conclusions:, The cumulative survival rates of 96.2 and 97.1% at 5 years for implants of 7.0- and 8.5-mm length, respectively, indicate that one-stage short Brånemark implants used in both jaws is a viable concept. [source]

Early Complete Failures of Fixed Implant-Supported Prostheses in the Edentulous Maxilla: A 3-Year Analysis of 17 Consecutive Cluster Failure Patients

CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 2 2006
Odont Dr/PhD, Torsten Jemt DDS
ABSTRACT Background, Clusters of implant failures in the edentulous maxilla seem to occur in some patients. To create groups for analysis with higher numbers of these patients implies large original groups for inclusion. Purpose, The aim of this study was to retrospectively describe and compare a group of "cluster failure patients" with randomly selected patients treated in the edentulous maxilla. Materials and Methods, From a group of 1,267 consecutively treated patients in one clinic, all patients presenting failing fixed implant-supported prostheses within the first 3 years of follow-up were included. All patients were treated with turned titanium implants using two-stage surgery. A control group of equal number of patients were created for comparison. Data on patients were retrospectively retrieved from their records, and compared. Results, Seventeen patients (1.3%) met the inclusion criteria in the entire group. The bone resorption index revealed less bone quantity in the study group (p < .05) during implant placement, but there was no difference regarding primary implant stability at first-stage surgery. The distribution of short and long implants showed relatively higher number of short implants in the study group (p < .05), and more patients had a presurgical discussion on the risk of implant failure prior to treatment in this group (p < .05). Only 5 out of 102 implants (4.9%) were lost before prosthesis placement as compared to 38 and 25 lost implants during the following two years in the study group. Smoking habits and signs of bone loss related to periodontitis in the lower dentition were more frequent in the study group, but did not reach a significant level (p > .05). Conclusion, The results indicate that bone quantity, reflected in fixture length, has a significant impact on increased implant failure risk. Other factors of interest as predictors for implant failures could be smoking habits and also possibly signs of periodontitis in the opposing dentition. [source]

Short Implants in the Severely Resorbed Maxilla: A 2-Year Retrospective Clinical Study

Stability Measurements of Osseointegrated Implants Using Osstell in Partially Edentulous Jaws after 1 Year of Loading: A Pilot Study

CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 3 2002
Piero Balleri MD
ABSTRACT Background: The introduction of resonance frequency analysis (RFA) as a commercially available technique has made it possible to measure implant stability in implant stability quotient (ISQ) units at any time during the course of implant treatment and loading. However, no information on normal ISQ levels can be found in the literature. Purpose: The aim of this pilot study was to measure the stability of clinically successful implants in partially edentulous patients after 1 year of loading and to study the influence of jaw, anterior/posterior position, implant length, and marginal bone level on implant stability. Materials and Methods: Fourteen partially edentulous patients previously treated with 45 implants were subjected to clinical and radiographie evaluations and RFA measurements using Osstell (Integration Diagnostics, Sävedalen, Sweden) after 1 year of loading. Results: All 45 implants were stable, and implant stability levels were in the range of 57 to 82 ISQ units with a mean of 69 ± 6.5 ISQ after 1 year of loading. Mandibular implants were more stable than were maxillary ones. There were no differences between anterior and posterior implants. No correlation could be found between implant length and stability. Only minor marginal bone resorption was observed. Conclusions: The results from this limited material showed that successfully integrated implants have ISQ levels from 57 to 82 ISQ with a mean of 69 ISQ after 1 year of loading. Mandibular implants are more stable than are maxillary ones. High implant stability can be achieved with short implants and placement in posterior regions. [source]

Long-term Follow-up of Severely Atrophic Edentulous Mandibles Reconstructed with Short Branemark Implants

CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 4 2000
Bertil Friberg DDS
ABSTRACT Background: Oral implant treatment (Brånemark System) of edentulous mandibles has been presented in numerous studies. However, with regard to the severely atrophic lower jaw, no long-term follow-up studies with solely short implants are available. Purpose: The purpose of the present investigation was to retrospectively follow the long-term treatment outcome of patients with severely resorbed edentulous mandibles being subjected to oral implant placement with short (6,7 mm) Brånemark implants. Materials and Methods: A total of 247 standard (7 mm long, 3.75 mm) and 13 wide (6 mm long, 5 mm) implants were inserted in 49 patients, all of whom exhibited severe resorption of edentate mandibles. Fixed implant-supported prostheses were manufactured for 45 patients, whereas 4 patients received overdentures. The patients were followed for a mean period of 8 years (range, 1,14 yr). Results: Seventeen implants failed during the study period (cumulative implant survival rate 95.5% at 5-yr and 92.3% at 10-yr follow-up). Implant-supported constructions were worn continuously throughout the investigation by all study subjects. Marginal bone loss, measured after 1, 5, and 10 years of function, concurred with studies of Brånemark implants placed in more voluminous mandibles. No major clinical or construction complications occurred in the followed patients. Conclusions: The outcome of the present study showed that placement of short Brånemark implants without the use of bone grafting procedures for reconstruction of severely atrophic edentulous mandibles is a highly predictable treatment procedure. [source]

Dental implants placement in conjunction with osteotome sinus floor elevation: a 12-year life-table analysis from a prospective study on 588 ITI®implants

CLINICAL ORAL IMPLANTS RESEARCH, Issue 2 2006
Nicola Ferrigno
Abstract Objectives: The purpose of this prospective study was to evaluate the clinical success of placing ITI dental implants in the posterior maxilla using the osteotome technique. Material and methods: All implants were placed following a one-stage protocol (elevating the sinus floor and placing the implant at the same time). Five hundred and eighty-eight implants were placed in 323 consecutive patients with a residual vertical height of bone under the sinus ranging from 6 to 9 mm. The mean observation follow-up period was 59.7 months (with a range of 12,144 months). This prospective study not only calculated the 12-year cumulative survival and success rates for 588 implants by life-table analysis but also the cumulative success rates for implant subgroups divided per implant length and the percentage of sinus membrane perforation were evaluated. Results: The 12-year cumulative survival and success rates were 94.8% and 90.8%, respectively. The analysis of implant subgroups showed slightly more favourable cumulative success rates for 12 mm long implants (93.4%) compared with 10 and 8 mm long implants (90.5% and 88.9%, respectively). During the study period, only 13 perforations of the Schneiderian membrane were detected with a perforation rate of 2.2% (13 perforations/601 treated sites). Ten perforations out of 13 were caused during the first half of the study period and of these, seven were detected during the first 3 years of this prospective study. Conclusion: Based on the results and within the limits of the present study, it can be concluded that ITI implant placement in conjunction with osteotome sinus floor elevation represents a safe modality of treating the posterior maxilla in areas with reduced bone height subjacent to the sinus as survival and success rates were maintained above 90% for a mean observation period of ,60 months. Shorter implants (8 mm implants) did not significantly fail more than longer ones (10 and 12 mm implants): the differences were small compared with the number of events; hence, no statistical conclusion could be drawn. But, from the clinical point of view, the predictable use of short implants in conjunction with osteotome sinus floor elevation may reduce the indication for complex invasive procedures like sinus lift and bone grafting procedures. [source]

A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants

CLINICAL ORAL IMPLANTS RESEARCH, Issue 2 2004
Results from a private practice
Abstract: This paper reports on a 7-year life table analysis on ITI titanium plasma-sprayed (TPS) and sandblasted and etched (SLA) implants placed in a private practice and loaded for at least 1 year. In 236 patients, 528 (264 TPS and 264 SLA) implants were placed, 351 (66.5%) implants rehabilitated the posterior region and 71.1% implants were ,11 mm. In the posterior mandible and maxilla, the mean implant length was 9.90 and 9.74 mm respectively. Implant length was determined through standard radiographs only. Increase of the number of implants or reduction of the width or the length of the rehabilitations was not specifically sought for the shorter implants. One hundred and twenty-two SLA implants were loaded within 63 days. All early loaded SLA implants resisted the applied 35 N cm without rotation or pain. Three implants failed, one early and two late failures, all were SLA implants placed in the mandible. Shorter implants did not fail more than longer ones. The cumulative success rate was 99.40%. The predictable use of short implants supporting single crowns and small fixed partial dentures of 2,4 units supported by two to three implants permitted (1) restricting the need for sophisticated and expensive presurgical procedures aimed to determine precisely the available bone height by computerized radiographic methods, (2) the placement of prosthetically driven restoration instead of surgically driven ones, (3) reducing the indications span for complex invasive procedures like sinus lift and bone grafting procedures, (4) facilitating the surgery, without attempting to place the longest implant and (5) avoiding the occurrence of sensation disturbance. The safe use of short implants in a private practice should make implant therapy simpler and accessible to a higher number of patients and practitioners. Résumé Ce manuscript rapporte une analyse sur sept ans d'implants ITI® TPS et SLA placés dans un cabinet privé et chargés pendant au moins une année. Chez 236 patients, 528 implants (264 TPS et 264 SLA) ont été placés, 351 (66,5%) d'entre eux pour reconstruire la région postérieure et 71,1 étaient ,11 mm. Dans les parties postérieures de la mandibule et du maxillaire la longueur implantaire moyenne était respectivement de 9,90 et 9,74 mm. La longueur de l'implant était déterminée à partir uniquement de radiographies standards. L'augmentation du nombre d'implants ou la réduction de la largeur ou la longueur des reconstructions n'étaient pas spécifiquement recherchées pour les implants les plus courts. Cent vingt-deux implants SLA ont été mis en charge avant 63 jours. Tous les implants SLA avec mise en charge précoce ont resistéà la force de 35 Ncm appliquée sans rotation ni douleur. Trois implants ont échoué: 1) de manière précoce et 2) plus tard, tous étaient des implants SLA placés dans la mandibule. Les implants les plus courts n'avaient pas davantage d'échec que les plus longs. Le taux de succès cumulatif était de 99,40%. L'utilisation prévisible des implants courts portant des couronnes uniques et des petites prothèses fixées de deux à quatre unités supportées par deux à trois implants permettait 1) de réduire la nécessité de processus préchirurgicaux sophistiqué et cher visant ,a d"terminer précisemnentla hauteur osseuse disponible par des méthodes radiographiques avec ordinateur, 2) le placement de restaurations axées sur la prothèse plutôt que sur la chirurgie, 3) de diminuer la portée des indications des processus invasifs complexes comme l'épaississement du plancher buccal et les processus de greffe osseuse, 4) de faciliter la chirurgie sans essayer de placer l'implant le plus long, 5) d'éviter l'apparition de troubles de sensation. L'utilisation s,re d'implants court dans une pratique privée pourrait rendre la thérapie plus simple et accessible à un polus grand nombre de patients et de praticiens. Zusammenfassung Diese Arbeit berichtet über eine 7 Jahre Life Time Analyse von ITI TPS und SLA Implantaten, welche in einer Privatpraxis gesetzt wurden und für mindestens 1 Jahr unter Belastung standen. Bei 236 Patienten wurden 528 Implantate (264 TPS und 264 SLA) eingesetzt, 351 Implantate (66.5%) dienten der Wiederherstellung der posterioren Region und 71.1% der Implantate waren 11 mm lang. In der posterioren Mandibula bzw. Maxilla betrug die mittlere Implantatlänge 9.9 bzw. 9.74 mm. Die Implantatlänge wurde nur auf Standardröntgenbildern bestimmt. Bei Rekonstruktionen mit kurzen Implantaten wurden nicht speziell mehr Implantate verwendet oder die Breite oder die Länge der Rekonstruktionen reduziert. 122 SLA Implantate wurden innerhalb von 63 Tagen belastet. Alle frühbelasteten SLA Implantate widerstanden den applizierten 35Ncm ohne Rotation oder Schmerzen. 3 Implantate zeigten Misserfolge, einen Früh- und 2 Spätmisserfolge. Es handelte sich dabei ausschliesslich um SLA Implantate, welche im Unterkiefer eingesetzt worden waren. Kurze Implantate zeigten nicht mehr Misserfolge als lange. Die kumulative Erfolgsrate betrug 99.4%. Die Verwendung von kurzen Implantaten, welche Einzelkronen und kleine festsitzende Brücken mit 2,4 Einheiten auf 2,3 Implantanten trugen, erlaubte, 1) die Notwendigkeit von komplizierten und teuren prächirurgischen Abklärungen zur genauen Bestimmung der zur Verfügung stehenden Knochenhöhe durch computerisierte radiologische Methoden zu beschränken, 2) die Platzierung von prothetisch diktierten Rekonstruktionen anstelle von chirurgisch diktierten Rekonstruktionen, 3) eine Reduktion der Indikationsbreite von komplexen invasiven Prozeduren wie Sinuslift und Knochentransplantationen, 4) eine Erleichterung der Chirurgie indem nicht ein möglichst langes Implantat gesetzt werden musste, 5) das Auftreten von Sensibilitätsstörungen zu vermeiden. Die sichere Verwendung von kurzen Implantaten in einer Privatpraxis sollte die Implantattherapie einfacher machen. Dadurch sollte die Behandlung mit Implantaten einer grösseren Anzahl Patienten und Praktikern zugänglich werden. Resumen Este estudio informa sobre un análisis de un cuadro de vida de implantes ITI TPS y SLA colocados en una consulta privada y cargados durante al menos un año. Se colocaron 528 implantes (264 TPS y 264 SLA) en 236 pacientes, 351 implantes (66.5%) rehabilitaron el maxilar posterior y el 71.1% de los implantes fueron ,11 mm. La longitud media de los implantes en la mandíbula posterior y el maxilar fue de 9,90 y 9.74 mm respectivamente. La longitud del implante se determinó solamente a través de radiografías. No se buscaron específicamente incrementos en el número de implantes o reducción en la anchura o longitud de las rehabilitaciones para los implantes cortos. Se cargaron 122 implantes dentro de los 63 días. Todos los implantes SLA cargados tempranamente resistieron la fuerza de 35 Ncm aplicada sin rotación ni dolor. 3 implantes fracasaron, uno tempranamente y 2 tardíos, todos fueron implantes SLA colocados en la mandíbula. Los implantes mas cortos no fracasaron más que los implantes largos. El índice acumulativo de éxito fue del 99.4%. El uso predecible de implantes cortos soportando coronas unitarias y pequeñas prótesis fijas parciales de 2,4 unidades soportadas por 2,3 implantes permitieron, 1) restringir la necesidad de procedimientos quirúrgicos sofisticados y costosos con la intención de determinar con precisión la altura de hueso disponible por medio de métodos de radiografías computarizadas, 2) la colocación de restauraciones orientadas prosteticamente en vez de quirúrgicamente, 3) reducir el abanico de indicaciones para procedimientos complejos invasivos tales como procedimientos de elevación del seno e injertos, 4) facilitar la cirugía, sin intentar colocar el implante mas largo, 5) evitar la aparición de sensación de molestia. El uso seguro de implantes cortos en una consulta privada debería hacer el tratamiento de implantes mas simple y accesible para un mayor número de pacientes y profesionales. [source]