Short implants (≤6mm) as an alternative treatment option to maxillary sinus lift

Int J Oral Maxillofac Surg. 2021 Nov;50(11):1502-1510. doi: 10.1016/j.ijom.2021.02.014. Epub 2021 Feb 23.

Abstract

The aim of this systematic review was to evaluate survival rate of short dental implants placed in the posterior area of the maxilla. The electronic literature search of studies published between January 1, 2010 and February 29, 2020 was performed using specific word combinations. The outcome was to meta-analyse the implant survival rate (ISR). The search generated 238 potential studies. After screening procedures, only nine randomized controlled trials fulfilled the inclusion criteria and were selected for qualitative and quantitative analysis. ISR of short implants ranged from 91.9% to 100%, while standard-length implants ISR ranged from 82.9% to 100% with a follow-up from 1 to 5 years in function. The risk ratio difference was 1.24 (95% confidence interval: 0.63-2.45, P=0.52) for short dental implants failure when compared with standard dental implants, and was not statistically significant. Based on the evidence of the included studies, short implants (≤6mm) reported high survival rates over short to medium follow-up in posterior maxilla, but the long-term success is as yet not demonstrated.

Keywords: Bone augmentation procedures; Dental implants; Short implants; Sinus lift.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Dental Implantation, Endosseous
  • Dental Implants*
  • Dental Prosthesis Design
  • Dental Restoration Failure
  • Humans
  • Maxilla / surgery
  • Maxillary Sinus / surgery
  • Sinus Floor Augmentation*

Substances

  • Dental Implants