Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Short dental implants in the posterior maxilla: a review of the literature

  • Esfahrood, Zeinab Rezaei (Department of Periodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Ahmadi, Loghman (Department of Periodontics, School of Dentistry, Shahid Sadoughi University of Medical Sciences) ;
  • Karami, Elahe (Department of Periodontics, School of Dentistry, Shahid Sadoughi University of Medical Sciences) ;
  • Asghari, Shima (International Branch, Shahid Beheshti University of Medical Sciences)
  • Received : 2016.02.12
  • Accepted : 2016.05.04
  • Published : 2017.04.30
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Abstract

The purpose of this study was to perform a literature review of short implants in the posterior maxilla and to assess the influence of different factors on implant success rate. A comprehensive search was conducted to retrieve articles published from 2004 to 2015 using short dental implants with lengths less than 10 mm in the posterior maxilla with at least one year of follow-up. Twenty-four of 253 papers were selected, reviewed, and produced the following results. (1) The initial survival rate of short implants in the posterior maxilla was not related to implant width, surface, or design; however, the cumulative success rate of rough-surface short implants was higher than that of machined-surface implants especially in performance of edentulous dental implants of length <7 mm. (2) While bone augmentation can be used for rehabilitation of the atrophic posterior maxilla, short dental implants may be an alternative approach with fewer biological complications. (3) The increased crown-to-implant (C/I) ratio and occlusal table (OT) values in short dental implants with favorable occlusal loading do not seem to cause peri-implant bone loss. Higher C/I ratio does not produce any negative influence on implant success. (4) Some approaches that decrease the stress in posterior short implants use an implant designed to increase bone-implant contact surface area, providing the patient with a mutually protected or canine guidance occlusion and splinting implants together with no cantilever load. The survival rate of short implants in the posterior edentulous maxilla is high, and applying short implants under strict clinical protocols seems to be a safe and predictable technique.

Keywords

References

  1. Sato T, Abe T, Nakamoto N, Tomaru Y, Koshikiya N, Nojima J, et al. Nicotine induces cell proliferation in association with cyclin D1 up-regulation and inhibits cell differentiation in association with p53 regulation in a murine pre-osteoblastic cell line. Biochem Biophys Res Commun 2008;377:126-30. https://doi.org/10.1016/j.bbrc.2008.09.114
  2. Mertens C, Meyer-Baumer A, Kappel H, Hoffmann J, Steveling HG. Use of 8-mm and 9-mm implants in atrophic alveolar ridges: 10-year results. Int J Oral Maxillofac Implants 2012;27:1501-8.
  3. Sennerby L, Roos J. Surgical determinants of clinical success of osseointegrated oral implants: a review of the literature. Int J Prosthodont 1998;11:408-20.
  4. Kim YK, Hwang JY, Yun PY. Relationship between prognosis of dental implants and maxillary sinusitis associated with the sinus elevation procedure. Int J Oral Maxillofac Implants 2013;28:178-83. https://doi.org/10.11607/jomi.2739
  5. Kim BJ, Lee JH. The retrospective study of survival rate of implants with maxillary sinus floor elevation. J Korean Assoc Oral Maxillofac Surg 2010;36:108-18. https://doi.org/10.5125/jkaoms.2010.36.2.108
  6. Morand M, Irinakis T. The challenge of implant therapy in the posterior maxilla: providing a rationale for the use of short implants. J Oral Implantol 2007;33:257-66. https://doi.org/10.1563/1548-1336(2007)33[257:TCOITI]2.0.CO;2
  7. Lee JH, Frias V, Lee KW, Wright RF. Effect of implant size and shape on implant success rates: a literature review. J Prosthet Dent 2005;94:377-81. https://doi.org/10.1016/j.prosdent.2005.04.018
  8. Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington HV, Coulthard P. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev 2009;(4):CD003607.
  9. Queiroz TP, Aguiar SC, Margonar R, de Souza Faloni AP, Gruber R, Luvizuto ER. Clinical study on survival rate of short implants placed in the posterior mandibular region: resonance frequency analysis. Clin Oral Implants Res 2015;26:1036-42. https://doi.org/10.1111/clr.12394
  10. Esposito M, Felice P, Worthington HV. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev 2014;(5):CD008397.
  11. Kennedy KS, Jones EM, Kim DG, McGlumphy EA, Clelland NL. A prospective clinical study to evaluate early success of short implants. Int J Oral Maxillofac Implants 2013;28:170-7. https://doi.org/10.11607/jomi.2810
  12. Oikarinen K, Raustia AM, Hartikainen M. General and local contraindications for endosseal implants--an epidemiological panoramic radiograph study in 65-year-old subjects. Community Dent Oral Epidemiol 1995;23:114-8. https://doi.org/10.1111/j.1600-0528.1995.tb00212.x
  13. Misch CE, Steignga 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;77:1340-7. https://doi.org/10.1902/jop.2006.050402
  14. Srinivasan M, Vazquez L, Rieder P, Moraguez O, Bernard JP, Belser UC. Efficacy and predictability of short dental implants (<8 mm): a critical appraisal of the recent literature. Int J Oral Maxillofac Implants 2012;27:1429-37.
  15. Grant BT, Pancko FX, Kraut RA. Outcomes of placing short dental implants in the posterior mandible: a retrospective study of 124 cases. J Oral Maxillofac Surg 2009;67:713-7. https://doi.org/10.1016/j.joms.2008.11.004
  16. Nedir R, Bischof M, Briaux JM, Beyer S, Szmukler-Moncler S, Bernard JP. A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice. Clin Oral Implants Res 2004;15:150-7. https://doi.org/10.1111/j.1600-0501.2004.00978.x
  17. Testori T, Del Fabbro M, Feldman S, Vincenzi G, Sullivan D, Rossi R Jr, et al. A multicenter prospective evaluation of 2-months loaded Osseotite implants placed in the posterior jaws: 3-year follow-up results. Clin Oral Implants Res 2002;13:154-61. https://doi.org/10.1034/j.1600-0501.2002.130205.x
  18. Monje A, Chan HL, Fu JH, Suarez F, Galindo-Moreno P, Wang HL. Are short dental implants (<10 mm) effective? a meta-analysis on prospective clinical trials. J Periodontol 2013;84:895-904. https://doi.org/10.1902/jop.2012.120328
  19. Romeo E, Chiapasco M, Ghisolfi M, Vogel G. Long-term clinical effectiveness of oral implants in the treatment of partial edentulism. Seven-year life table analysis of a prospective study with ITI dental implants system used for single-tooth restorations. Clin Oral Implants Res 2002;13:133-43. https://doi.org/10.1034/j.1600-0501.2002.130203.x
  20. Atieh MA, Zadeh H, Stanford CM, Cooper LF. Survival of short dental implants for treatment of posterior partial edentulism: a systematic review. Int J Oral Maxillofac Implants 2012;27:1323-31.
  21. Anitua E, Orive G, Aguirre JJ, Andia I. Five-year clinical evaluation of short dental implants placed in posterior areas: a retrospective study. J Periodontol 2008;79:42-8. https://doi.org/10.1902/jop.2008.070142
  22. Anitua E, Orive G. Short implants in maxillae and mandibles: a retrospective study with 1 to 8 years of follow-up. J Periodontol 2010;81:819-26. https://doi.org/10.1902/jop.2010.090637
  23. Kotsovilis S, Fourmousis I, Karoussis IK, Bamia C. A systematic review and meta-analysis on the effect of implant length on the survival of rough-surface dental implants. J Periodontol 2009;80:1700-18. https://doi.org/10.1902/jop.2009.090107
  24. Hagi D, Deporter DA, Pilliar RM, Arenovich T. A targeted review of study outcomes with short (< or = 7 mm) endosseous dental implants placed in partially edentulous patients. J Periodontol 2004;75:798-804. https://doi.org/10.1902/jop.2004.75.6.798
  25. Menchero-Cantalejo E, Barona-Dorado C, Cantero-Alvarez M, Fernandez-Caliz F, Martinez-Gonzalez JM. Meta-analysis on the survival of short implants. Med Oral Patol Oral Cir Bucal 2011;16:e546-51.
  26. Ketabi M, Farkhani N, Amini S. Comparing the implant stability and radiographic crestal bone loss between HA/coated and RBM short Dentis implants in posterior maxilla. J Res Dent Sci 2014;11:54-9.
  27. Peng W, Kim IK, Cho HY, Pae SP, Jung BS, Cho HW, et al. Assessment of the autogenous bone graft for sinus elevation. J Korean Assoc Oral Maxillofac Surg 2013;39:274-82. https://doi.org/10.5125/jkaoms.2013.39.6.274
  28. Nedir R, Nurdin N, Khoury P, El Hage M, Abi Najm S, Bischof M. Paradigm shift in the management of the atrophic posterior maxilla. Case Rep Dent 2014;2014:486949.
  29. Barone A, Orlando B, Tonelli P, Covani U. Survival rate for implants placed in the posterior maxilla with and without sinus augmentation: a comparative cohort study. J Periodontol 2011;82:219-26. https://doi.org/10.1902/jop.2010.100177
  30. Esposito M, Grusovin MG, Rees J, Karasoulos D, Felice P, Alissa R, et al. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev 2010;(3):CD008397.
  31. Corbella S, Taschieri S, Del Fabbro M. Long-term outcomes for the treatment of atrophic posterior maxilla: a systematic review of literature. Clin Implant Dent Relat Res 2015;17:120-32. https://doi.org/10.1111/cid.12077
  32. Thoma DS, Zeltner M, Husler J, Hammerle CH, Jung RE. EAO Supplement Working Group 4--EAO CC 2015 Short implants versus sinus lifting with longer implants to restore the posterior maxilla: a systematic review. Clin Oral Implants Res 2015;26 Suppl 11:154-69.
  33. Shi JY, Qiao SC, Gu YX, Zhu Y, Lai HC. Treatment strategies in moderate atrophic posterior maxilla: short dental implants or sinus floor elevation? Musculoskelet Regen 2015;2:e1002.
  34. Schincaglia GP, Thoma DS, Haas R, Tutak M, Garcia A, Taylor TD, et al. Randomized controlled multicenter study comparing short dental implants (6 mm) versus longer dental implants (11-15 mm) in combination with sinus floor elevation procedures. Part 2: clinical and radiographic outcomes at 1 year of loading. J Clin Periodontol 2015;42:1042-51. https://doi.org/10.1111/jcpe.12465
  35. Tawil G, Aboujaoude N, Younan R. Influence of prosthetic parameters on the survival and complication rates of short implants. Int J Oral Maxillofac Implants 2006;21:275-82.
  36. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Bragger U, Hammerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res 2003;14:329-39. https://doi.org/10.1034/j.1600-0501.000.00934.x
  37. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.
  38. Birdi H, Schulte J, Kovacs A, Weed M, Chuang SK. Crown-to-implant ratios of short-length implants. J Oral Implantol 2010;36:425-33. https://doi.org/10.1563/AAID-JOI-D-09-00071
  39. Rangert BR, Sullivan RM, Jemt TM. Load factor control for implants in the posterior partially edentulous segment. Int J Oral Maxillofac Implants 1997;12:360-70.
  40. Friberg B, Grondahl K, Lekholm U, Branemark PI. Long-term follow-up of severely atrophic edentulous mandibles reconstructed with short Branemark implants. Clin Implant Dent Relat Res 2000;2:184-9. https://doi.org/10.1111/j.1708-8208.2000.tb00116.x
  41. Bahat O. Branemark system implants in the posterior maxilla: clinical study of 660 implants followed for 5 to 12 years. Int J Oral Maxillofac Implants 2000;15:646-53.
  42. Anitua E, Pinas L, Orive G. Retrospective study of short and extrashort implants placed in posterior regions: influence of crown-toimplant ratio on marginal bone loss. Clin Implant Dent Relat Res 2015;17:102-10. https://doi.org/10.1111/cid.12073
  43. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res 2006;17 Suppl 2:136-59. https://doi.org/10.1111/j.1600-0501.2006.01357.x
  44. Donos N, Mardas N, Chadha V. Clinical outcomes of implants following lateral bone augmentation: systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol 2008;35(8 Suppl):173-202. https://doi.org/10.1111/j.1600-051X.2008.01269.x
  45. Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 2008;35(8 Suppl):216-40. https://doi.org/10.1111/j.1600-051X.2008.01272.x
  46. Rocchietta I, Fontana F, Simion M. Clinical outcomes of vertical bone augmentation to enable dental implant placement: a systematic review. J Clin Periodontol 2008;35(8 Suppl):203-15. https://doi.org/10.1111/j.1600-051X.2008.01271.x
  47. Tonetti MS, Hammerle CH. Advances in bone augmentation to enable dental implant placement: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 2008;35(8 Suppl):168-72. https://doi.org/10.1111/j.1600-051X.2008.01268.x
  48. Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res 2004;15:667-76. https://doi.org/10.1111/j.1600-0501.2004.01120.x
  49. Wyatt CC, Zarb GA. Treatment outcomes of patients with implantsupported fixed partial prostheses. Int J Oral Maxillofac Implants 1998;13:204-11.
  50. Telleman G, Raghoebar GM, Vissink A, den Hartog L, Huddleston Slater JJ, Meijer HJ. A systematic review of the prognosis of short (<10 mm) dental implants placed in the partially edentulous patient. J Clin Periodontol 2011;38:667-76. https://doi.org/10.1111/j.1600-051X.2011.01736.x
  51. Blanes RJ. To what extent does the crown-implant ratio affect the survival and complications of implant-supported reconstructions? A systematic review. Clin Oral Implants Res 2009;20 Suppl 4:67-72.
  52. das Neves FD, Fones D, Bernardes SR, do Prado CJ, Neto AJ. Short implants--an analysis of longitudinal studies. Int J Oral Maxillofac Implants 2006;21:86-93.
  53. Bergkvist G, Simonsson K, Rydberg K, Johansson F, Derand T. A finite element analysis of stress distribution in bone tissue surrounding uncoupled or splinted dental implants. Clin Implant Dent Relat Res 2008;10:40-6. https://doi.org/10.1111/j.1708-8208.2007.00059.x
  54. Misch CE, Dietsh-Misch F, Hoar J, Beck G, Hazen R, Misch CM. A bone quality-based implant system: first year of prosthetic loading. J Oral Implantol 1999;25:185-97. https://doi.org/10.1563/1548-1336(1999)025<0185:ABQISF>2.3.CO;2
  55. Tada S, Stegaroiu R, Kitamura E, Miyakawa O, Kusakari H. Influence of implant design and bone quality on stress/strain distribution in bone around implants: a 3-dimensional finite element analysis. Int J Oral Maxillofac Implants 2003;18:357-68.
  56. Deporter D, Todescan R, Caudry S. Simplifying management of the posterior maxilla using short, porous-surfaced dental implants and simultaneous indirect sinus elevation. Int J Periodontics Restorative Dent 2000;20:476-85.
  57. Renouard F, Nisand D. Short implants in the severely resorbed maxilla: a 2-year retrospective clinical study. Clin Implant Dent Relat Res 2005;7 Suppl 1:S104-10. https://doi.org/10.1111/j.1708-8208.2005.tb00082.x

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