Short Dental Implants : A Literature Review and Rationale for Use

Short Implant에 대한 문헌 고찰과 임상 적용

  • Kim, Yu-Lee (Department of Proshodontics, College of Dentistry, Wonkwang University)
  • 김유리 (원광대학교 치과대학 치과보철학교실)
  • Received : 2009.08.30
  • Accepted : 2009.09.25
  • Published : 2009.09.30

Abstract

The clinical use of several endosseous oral implants designs has become highly predictable in recent decades. Implant success critically depends both on the vertical and horizontal dimensions of the prospective host site and on the quality of the local bone. Implants shorter than 10 mm can be a long-term solution for sites with limited bone height. This article describes theoretical characteristics and clinical outcome of short implants through a medline search. When surgical preparation is related to bone density, textured-surfaced implants are employed, operators' surgical skills are developed, and indications for implant treatment duly considered, the survival rates for short implants has been found to be comparable with those obtained with longer implants.

Acknowledgement

Supported by : 원광대학교

References

  1. Naert, I., Koutsikakis, G., Quirynen, M, Jacobs, R. & van steenberghe,D. Biologic outcome of implant-supported restorations in the treatment of partial edentulism. Part I : a longitudinal clinical evaluation. Clin Oral Implants Res 2000;13: 381-389 https://doi.org/10.1034/j.1600-0501.2002.130406.x
  2. Testori, T., Wiseman, L., Woolfe,S.& Porter, S.S. A prospective multicenter clinical study of the Osseotite implant: four-year interim report. Int J Oral & Maxillofac Implants 2001;16:193-200
  3. Friberg, B., Gröndahl, K., Lekholm, U. & Brånemark, P.I. Long -term follow-up of severely atrophic edentulous mandibles reconstructed with short Brånemark implants. Clinical Implant Dentistry & Related Research 2000;2: 184-189 https://doi.org/10.1111/j.1708-8208.2000.tb00116.x
  4. Georges Tawil, Nadim Aboujaoude, Roland Younan, Influence of Prosthetic Parameters on the Survival and Complication Rates of Short Implants. Int J Oral Maxillofac Implants 2006;21:275-282
  5. ten Bruggenkate CM, Asilainen P, Foitzik C, Krekeler G, Sutter F. Short (6mm) nonsubmerged dental implants: Results of a multicenter clinical trial of 1 to 7 years. Int J Oral Maxillofac Implants 1998;6:791-798
  6. Penny RE., Kraal JH. Crown to root ratio : its significance in restorative dentistry. J Prosthet Dent 1979;42:34-8 https://doi.org/10.1016/0022-3913(79)90327-5
  7. Turesky JD, Shepherd NJ, Morgan VJ, Muftu A. A simple prosthetic approach using cement-retained implant prosthesis after surgical treatment of ameloblastoma. Implant Dent 1999;8:407-12 https://doi.org/10.1097/00008505-199904000-00015
  8. Tawill, G., Younan, R. Clinical evaluation of short, machined-surface implants followed for 12 to 92 months. Int J Oral Maxillofac Implants 2003;18: 894-901
  9. Schwartz-Arad, D., Herzberg, R. & Dolev, E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75:511-516 https://doi.org/10.1902/jop.2004.75.4.511
  10. Ferrigno, N., Laureti, M. & Fanali, S. Inferior alveolar nerve transposition in conjunction with implant placement. Int J Oral Maxillofac Implants 2005;20: 610-620
  11. van Steenberghe D, De Mars G, Quirynen M, Jacobs R, Naert I. A prospective split-mouth comparative study of two screw-shaped self-tapping pure titanium implant systems. Clin Oral Implants Res 2000;3: 202-209
  12. Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and ixture success in the Brånemark system. Clin Oral Implants Res 1992;3:104-111 https://doi.org/10.1034/j.1600-0501.1992.030302.x
  13. Wyatt, C.C.L. & Zarb, G.A.Treatment outcomes of patients with implant-supported fixed partial prostheses. Int J Oral Maxillofac Implants 1998;13:204-211
  14. Feldman, S., Boitel, N., Weng, D., Kohles, S.S. & Stach, R.M. Five - year survival distributions of short-length (10mm or less) machined-surfaced and osseotite implants. Clinical Implant Dentistry & Related Research 2004;6:16-23 https://doi.org/10.1111/j.1708-8208.2004.tb00023.x
  15. Parfitt GS. Measurement of the physiologic mobility of individual teeth in an axial direction. J Dent Res 1960;39:68
  16. Nevins M. The placement of mandibular posterior implants. In:Nevins M(eds). Implant Therapy, Clinical Approaches and Evidence of Success Chicago:Quintessence. 1998:145-56
  17. Jemt T. & Lekholm, U. Implant treatment in edentulous maxillae: a 5-year follow-up report on patients with different degrees of jaw resorption. Int J Oral & Maxillofa Implants 1995;10:303-311
  18. Lum LB. A biomechanical rationale for the use of short implants. J Oral Implantol 1991;17:126-31
  19. Bahat O. Br${\aa}$nemark system implants in the posterior maxilla: clinical study of 660 implants followed for 5 to 12 years. Int J Oral Maxillofac Implants 2000;5:646-653
  20. Himmlova L., T.Dostalova, A.Kacovsky, and S.Konvickovea. Influence of implant length and diameter on stress distribution: a finite element analysis. J Prosthet dent 2004;91:20-25 https://doi.org/10.1016/j.prosdent.2003.08.008
  21. Kim YL, Cho HW, Lee JB. Three dimensional finite element analysis of internally connected implant systems. J Kor Acad Prosthodont 2006;44: 85-102
  22. Winkler, S., Morris, H.F. & Ochi, S. Implant survival to 36 months as related to length and diameter. Annals of Periodontology 2000;5:22-31 https://doi.org/10.1902/annals.2000.5.1.22
  23. Lekholm U, Gunne J, Henry P, Higuchi K, Linden U, Bergstrom C, van Steenberghe D. Survival of the Br${\aa}$nemark implant in partially edentulous jaws: A 10-year prospective multicenter study. Int J Oral Maxillofac Implants 1999;14:639-45
  24. Fugazzotto, P.A., Beagle, J.R., Ganeless, J., Faffin, R., Vlassis, J. & Kumar, A. Success and failure rates of 9mm or shorter implants in the replacement of missing maxillary molars when restored with individual crowns: preliminary results 0 to 84 months in function. A retrospective study. J Periodontol 2004;75:327-332 https://doi.org/10.1902/jop.2004.75.2.327
  25. Buser, D., Mericske-Stern, J.P. Bernard, A. Behneke, N. Behneke, H.P. Hirt, U.C. Belser, and N.P. Lang. Long-term evaluation of non-submerged ITI Implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8:161-172 https://doi.org/10.1034/j.1600-0501.1997.080302.x
  26. Muhlemann HR, Sabdir LS, Rakeitshak KH. Tooth mobility: Its cause and significance. J Periodontol 1965;36:148 https://doi.org/10.1902/jop.1965.36.2.148