Meta-analysis of single crowns supported by short ( <10 mm) implants in the posterior region

J Clin Periodontol. 2014 Feb;41(2):191-213. doi: 10.1111/jcpe.12180. Epub 2013 Nov 25.

Abstract

Aim: To assess the failures and complications of short (<10 mm) implants supporting single crowns in the posterior region and its potential risk factors (RkF).

Materials and methods: Prospective studies were screened according to eligibility criteria, followed by contact with authors. Quality assessment was performed using a standardized protocol. Mean implant failure proportion (FP), biological and prosthetic failure proportions (BFP/PFP) and marginal bone loss (MBL) including 95% confidence intervals were estimated using random-effects models for meta-analysis.

Results: Sixteen studies with a medium methodological quality (mean score: 8 ± 3; 2-14) had data collected. In summary, 762 short implants were followed up for up to 120 months in 360 patients (mean follow-up: 44 ± 33.72 months; mean dropout rate: 5.1%). The means FP, BFP, PFP and MBL were 5.9% (95%CI: 3.7-9.2%), 3.8% (95%CI: 1.9-7.4%), 2.8% (95%CI: 1.4-5.7%) and 0.83 mm (95%CI: 0.54-1.12 mm) respectively. Quantitative analysis showed that placement in the mandible (p = 0.0002) and implants with length ≤8 mm (p = 0.01) increased FP, BFP and MBL, whereas qualitative assessment revealed that crown-to-implant ratio did not influence MBL.

Conclusions: Single crowns supported by short implants in the posterior region are a predictable treatment option with reduced failure rates, biological/prosthetic complications and minimal bone loss.

Keywords: meta-analysis; partially edentulous patients; posterior region; short implants; single crown; systematic review.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Alveolar Bone Loss / etiology
  • Crowns*
  • Dental Implants, Single-Tooth*
  • Dental Prosthesis Design*
  • Dental Restoration Failure*
  • Humans
  • Risk Factors