SHORT AND ULTRASHORT IMPLANTS UNDER IMMEDIATE LOADING IN EDENTULOUS AND ATROPHIC JAWS – A LITERATURE REVIEW
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Published:
Jun 26, 2024
Keywords:
Survival rate; Dental implants; Immediate loading; Edentulous jaw; Bone loss.
Main Article Content
Abstract
Planning prosthetic rehabilitation in cases of edentulism in atrophic bone structures embraces a high and extensive complexity. Supported implants require a thick bone which accommodates the implant fixation functionally and, in cases of bone atrophy, rehabilitation with conventional implants (10mm) is based on surgical techniques to increase the ridge, which are more invasive and present greater risks. Currently, the literature presents short (<10mm) and ultrashort (4mm) implants as a safer and more economical alternative, which has shown an eficiency and good prognosis. The objective of this study is to evaluate the survival rates of total prosthesis on short/ultrashort implants with immediate loading in atrophic bone structures. In most cases, immediate loading has been a prerequisite for patients and the results have been promising. The surface treatment of the implant linked to detailed prosthesis’ planning makes this condition viable. However, not only primary stability is what determines clinical success, but also bone biological response and the number of implants to be installed.
Article Details
How to Cite
Sabrina Martins Romualdo, Suellen do Nascimento Romualdo, & João Cossatis. (2024). SHORT AND ULTRASHORT IMPLANTS UNDER IMMEDIATE LOADING IN EDENTULOUS AND ATROPHIC JAWS – A LITERATURE REVIEW. Naval Dental Jounal, 51(1), 55-61. https://doi.org/10.69909/1983-7550-implantes-curtos-e-ultracurtos-sobre-carga-imediata-em-estruturas-osseas-edentulas-e-atroficas-uma-revisao-de-literatura
Section
Literature Reviews
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
1.Neto UGG, Bacelar SM de A. Implantes dentários com superfície tratada: Revisão de literatura. Brazilian Journal of Implantology and Health Sciences. 2019 Sep 15;1(4):69–83.
2.Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969;3(2):81-100.
3.Scarano A, Bernardi S, Rastelli C, Mortellaro C, Vittorini P, Falisi G. Soft tissue augmentation by means of silicon expanders prior to bone volume increase: a case series. Journal of Biological Regulators and Homeostatic Agents. 2019;33(6 Suppl. 2):77–84.
4.Srinivasan M, Vazquez L, Rieder P, Moraguez O, Bernard JP, Belser UC. Survival rates of short (6 mm) micro-rough surface implants: a review of literature and meta-analysis. Clinical Oral Implants Research. 2013 Feb 18;25(5):539–45.
5.Yalçın M, Can S, Akbas M, Dergin G, Garip H, Aydil B, Varol A. Retrospective Analysis of Zygomatic Implants for Maxillary Prosthetic Rehabilitation. Int. J. Oral Maxillofac. Implant. 2020, 35, 750–756.
6.Jung RE; Al-Nawas B; Araujo M, Avila-Ortiz G, Barter S, Brodala N, Chappuis V, Chen B, Souza A, Almeida RF, et al. Group 1 ITI Consensus Report: The influence of implant length and design and medications on clinical and patient-reported outcomes. Clin. Oral Implant. Res. 2018, 29, 69–77.
7.Frascaria M, Pietropaoli D, Casinelli M, Cattaneo R, Ortu E, Monaco A. Neutral zone recording in computer-guided implant prosthesis: A new digital neuromuscular approach. Clin. Exp. Dent. Res. 2019, 5, 670–676.
8.Cicconetti, A.; Passaretti, A.; Rastelli, C.; Rastelli, E.; Falisi, G. Innovations in oral and maxillofacial surgery: Biomimetics meets physiology. J. Biol. Regul. Homeost Agents 2019, 33, 1609–1613.
9.Guillaume B. Dental implants: A review. Morphologie. 2016 Dec;100(331):189-198.
10.Silva IDD, Pavan ÂJ, Camarini ET, Gomes CR de G. A reabsorção óssea alveolar severa e a utilização de implantes curtos: Revisão de literatura. Revista Uningá. 2019 Jul 17;56(S5):43–53.
11.Pellizzer EP, Moraes SLD de, Santiago Junior JF, Almeida DA de F, Honório HM, Verri FR. Implantes curtos do tipo cone - Morse: Proporção coroaimplante. Revista de Cirurgia e Traumatologia Buco-maxilo-facial. 2013 Sep 1 ;13(3):79–86.
12.Costa ABS, Paiva JL de, Lucena T de A, Barbosa MES, Pereira TBF, Duarte TV de A, Felipe Junior J, Almeida DR de MF, Lima JG da C, Pinheiro JC. O uso de implantes curtos para reabilitação de mandíbula atrófica: revisão de literatura. RSD. 2022, nov 26;11(15):e559111537714.
13.Lages FS, Queiroz TP, Oliveira DWD, Margonar R, Rivera CP, Marcantonio E. Cinco anos de reabilitação total de mandíbula atrófica com implantes curtos em carga imediata – relato de caso. Full Dent. Sci. 2016; 8(29):82- 85.
14.Manfro R, Bortoluzzi MC, Pratto LM, Fabris V, Cecconello R, Bitencourt AZ. Mandíbulas Edêntulas Severamente Reabsorvidas Tratadas com Implantes Curtos – Apresentação de 4 Casos Clínicos e Controle de 30 a 36 Meses. Journal of Oral Investigations. 2013 Jun 30;2(1):10–6.
15.Pauletto P, Ruales-Carrera E, Gonçalves T, Philippi A, Donos N, Mezzomo L. Fixed and Removable Full-Arch Restorations Supported by Short (≤ 8 mm) Dental Implants in the Mandible: A Systematic Review and Meta-Analysis. The International Journal of Oral & Maxillofacial Implants. 2019 Jul;34(4):873–85.
16.Luca S, Tomazi, FHS, Rocha, MM, Conci RA, Griza GL. Prótese inferior do tipo protocolo sobre implantes curtos com carga imediata - relato de caso. Rev. Odontologia (ATO), 2015 Fev; 15(2): 49-58.
17.Falisi G, Di Paolo C, Rastelli C, Franceschini C, Rastelli S, Gatto R, et al. Ultrashort Implants, Alternative Prosthetic Rehabilitation in Mandibular Atrophies in Fragile Subjects: A Retrospective Study. Healthcare. 2021 Feb 6;9(2):175.
18.Perelli M, Abundo R, Corrente G, Saccone C. Short (5 and 7 mm long) porous implants in the posterior atrophic maxilla: a 5-year report of a prospective single-cohort study. European Journal of Oral Implantology. 2012;5(3):265–72.
19.Rossi F, Botticelli D, Cesaretti G, De Santis E, Storelli S, Lang NP. Use of short implants (6 mm) in a single-tooth replacement: a 5-year follow-up prospective randomized controlled multicenter clinical study. Clinical Oral Implants Research. 2015 Feb 18;27(4):458–64.
20.Felice P, Checchi L, Barausse C, Pistilli R, Sammartino G, Masi I, et al. Posterior jaws rehabilitated with partial prostheses supported by 4.0 x 4.0 mm or by longer implants: One-year post-loading results from a multicenter randomised controlled trial. European Journal of Oral Implantology. 2016;9(1):35–45.
21.Ewers R. The incisal foramen as a means of insertion for one of three ultra-short implants to support a prosthesis for a severely atrophic maxilla – A short-term report. Heliyon. 2018 Dec;4(12):e01034
22.Elias DM, Valerio CS, de Oliveira DD, Manzi FR, Zenóbio EG, Seraidarian PI. Evaluation of Different Heights of Prosthetic Crowns Supported by an Ultra-Short Implant Using Three-Dimensional Finite Element Analysis. The International Journal of Prosthodontics. 2020;33(1):81–90.
23.Ferrantini Gonçalves de Almeida J, Gomes Silva M. Implantes curtos em região posterior de maxila: uma revisão narrativa da literatura. Pesquisas e Inovações em Odontologia: Produções Científicas Multidisciplinares no Século XXI, Volume 1. 2022 Aug 20;7–26
24.Pistilli, R; Baurasse, C; Gasparro, R; Berti, C; Felice, P. Minimally Invasive Fixed Reabilitation of a Totally Edentulous Severely Atrophic Mandible with 4-mm Ultrashort Immediately Loaded Implants: A Case Report. Int J Periodontics Restorative Dent 2020;40:549-559.
25.Amorim H, Gomes CE. Implantes curtos na região maxilomandibular posterior. Revista Brasileira de Implantologia e Ciências da Saúde. 2020, 29 de novembro;2(12):19–29.
26.Hadzik J, Krawiec M, Sławecki K, Kunert-Keil C, Dominiak M, Gedrange TA influência da relação coroa-implante no nível ósseo crestal e na estabilidade secundária do implante: estudo clínico de 36 meses. BioMed Pesquisa Internacional. 2018;2018:1–7.
27.Cruz RS, Lemos CAA, Batista VES, Oliveira HFF, Gomes JML, Pellizzer EP, et al. Short implants versus longer implants with maxillary sinus lift. A systematic review and meta-analysis. Brazilian Oral Research. 2018 Sep 13;32(0).
28.Luiz R, Maia S. Implantes curtos. Brazilian Journal of Implantology and Health Sciences. 2022 Feb 3;4(1):35–49.
29.Ewers R, Marincola M, Perpetuini P, Morina A, Bergamo ETP, Cheng YC, Bonfante EA. Severely Atrophic Mandibles Restored With Fiber-Reinforced Composite Prostheses Supported by 5.0-mm Ultra-Short Implants Present High Survival Rates Up To Eight Years. J Oral Maxillofac Surg. 2022 Jan;80(1):81-92.
30.Dreossi GB, Landi BM, Campaner M, Shibayama R. Planejamento reverso em implantodontia - Revisão de literatura. Revista Odontológica de Araçatuba. 2021;42(2):53–7.
31.Barros AC, Cardoso E, Barbosa M, Miguel Dias Tenório, Barros J, Maria Izabel Ribeiro. Planejamento reverso em implantodontia: revisão de literatura. Brazilian Journal of Health Review. 2023 Jun 12;6(3):12339–46.
32.França SSM, Paraguassu EC. Carga imediata em prótese total implantosuportada: Revisão de literatura. Brazilian Journal of Implantology and Health Sciences. 2022 Feb 3;4(1):14–34.
33.Wagner AA. Implantes curtos: tamanho, sobrevida e influência da proporção coroa-implante: revisão de literatura. Journal of Multidisciplinary Dentistry. 2022 Sep 2;10(3):57–63.
34.Sedov Y, Mordanov O, Grigoriev S, Avanesov A, Khabiev K. The Placement of Four Short Implants and Full-Arch Early Loading in the Edentulous Patient Suffering from Severe Mandibular Alveolar Ridge Atrophy. Case Reports in Dentistry. 2019 Oct 22;2019:1–4.
35.Trento CL, Moreschi E, Zamponi M, Zardeto Júnior R, Gottardo VD, Costa DG. Implantes cone morse com carga imediata: relato de caso. Odontologia Clínico-Científica. 2012 Jun 1;11(2):159–64.
36.Manfrinato L, Marchiolli CL, Oliveira ME de FS, De Souza FRB. Fatores cirúrgicos e o planejamento da reabilitação total com próteses implanto-suportada e carga imediata / Surgical factors and planning for total rehabilitation with implant-supported prosthesis and immediate load. Brazilian Journal of Development. 2021 Nov 22;7(11):106818–37.
37.Nunes V, Del’Arco A, Júlio Vianna Barbosa, Ocon T, Leonardo Perez Faverani, Paula A. Implantes dentários curtos na implantodontia moderna: revisão sistematizada. 2019 Mar 11;7(11).
2.Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969;3(2):81-100.
3.Scarano A, Bernardi S, Rastelli C, Mortellaro C, Vittorini P, Falisi G. Soft tissue augmentation by means of silicon expanders prior to bone volume increase: a case series. Journal of Biological Regulators and Homeostatic Agents. 2019;33(6 Suppl. 2):77–84.
4.Srinivasan M, Vazquez L, Rieder P, Moraguez O, Bernard JP, Belser UC. Survival rates of short (6 mm) micro-rough surface implants: a review of literature and meta-analysis. Clinical Oral Implants Research. 2013 Feb 18;25(5):539–45.
5.Yalçın M, Can S, Akbas M, Dergin G, Garip H, Aydil B, Varol A. Retrospective Analysis of Zygomatic Implants for Maxillary Prosthetic Rehabilitation. Int. J. Oral Maxillofac. Implant. 2020, 35, 750–756.
6.Jung RE; Al-Nawas B; Araujo M, Avila-Ortiz G, Barter S, Brodala N, Chappuis V, Chen B, Souza A, Almeida RF, et al. Group 1 ITI Consensus Report: The influence of implant length and design and medications on clinical and patient-reported outcomes. Clin. Oral Implant. Res. 2018, 29, 69–77.
7.Frascaria M, Pietropaoli D, Casinelli M, Cattaneo R, Ortu E, Monaco A. Neutral zone recording in computer-guided implant prosthesis: A new digital neuromuscular approach. Clin. Exp. Dent. Res. 2019, 5, 670–676.
8.Cicconetti, A.; Passaretti, A.; Rastelli, C.; Rastelli, E.; Falisi, G. Innovations in oral and maxillofacial surgery: Biomimetics meets physiology. J. Biol. Regul. Homeost Agents 2019, 33, 1609–1613.
9.Guillaume B. Dental implants: A review. Morphologie. 2016 Dec;100(331):189-198.
10.Silva IDD, Pavan ÂJ, Camarini ET, Gomes CR de G. A reabsorção óssea alveolar severa e a utilização de implantes curtos: Revisão de literatura. Revista Uningá. 2019 Jul 17;56(S5):43–53.
11.Pellizzer EP, Moraes SLD de, Santiago Junior JF, Almeida DA de F, Honório HM, Verri FR. Implantes curtos do tipo cone - Morse: Proporção coroaimplante. Revista de Cirurgia e Traumatologia Buco-maxilo-facial. 2013 Sep 1 ;13(3):79–86.
12.Costa ABS, Paiva JL de, Lucena T de A, Barbosa MES, Pereira TBF, Duarte TV de A, Felipe Junior J, Almeida DR de MF, Lima JG da C, Pinheiro JC. O uso de implantes curtos para reabilitação de mandíbula atrófica: revisão de literatura. RSD. 2022, nov 26;11(15):e559111537714.
13.Lages FS, Queiroz TP, Oliveira DWD, Margonar R, Rivera CP, Marcantonio E. Cinco anos de reabilitação total de mandíbula atrófica com implantes curtos em carga imediata – relato de caso. Full Dent. Sci. 2016; 8(29):82- 85.
14.Manfro R, Bortoluzzi MC, Pratto LM, Fabris V, Cecconello R, Bitencourt AZ. Mandíbulas Edêntulas Severamente Reabsorvidas Tratadas com Implantes Curtos – Apresentação de 4 Casos Clínicos e Controle de 30 a 36 Meses. Journal of Oral Investigations. 2013 Jun 30;2(1):10–6.
15.Pauletto P, Ruales-Carrera E, Gonçalves T, Philippi A, Donos N, Mezzomo L. Fixed and Removable Full-Arch Restorations Supported by Short (≤ 8 mm) Dental Implants in the Mandible: A Systematic Review and Meta-Analysis. The International Journal of Oral & Maxillofacial Implants. 2019 Jul;34(4):873–85.
16.Luca S, Tomazi, FHS, Rocha, MM, Conci RA, Griza GL. Prótese inferior do tipo protocolo sobre implantes curtos com carga imediata - relato de caso. Rev. Odontologia (ATO), 2015 Fev; 15(2): 49-58.
17.Falisi G, Di Paolo C, Rastelli C, Franceschini C, Rastelli S, Gatto R, et al. Ultrashort Implants, Alternative Prosthetic Rehabilitation in Mandibular Atrophies in Fragile Subjects: A Retrospective Study. Healthcare. 2021 Feb 6;9(2):175.
18.Perelli M, Abundo R, Corrente G, Saccone C. Short (5 and 7 mm long) porous implants in the posterior atrophic maxilla: a 5-year report of a prospective single-cohort study. European Journal of Oral Implantology. 2012;5(3):265–72.
19.Rossi F, Botticelli D, Cesaretti G, De Santis E, Storelli S, Lang NP. Use of short implants (6 mm) in a single-tooth replacement: a 5-year follow-up prospective randomized controlled multicenter clinical study. Clinical Oral Implants Research. 2015 Feb 18;27(4):458–64.
20.Felice P, Checchi L, Barausse C, Pistilli R, Sammartino G, Masi I, et al. Posterior jaws rehabilitated with partial prostheses supported by 4.0 x 4.0 mm or by longer implants: One-year post-loading results from a multicenter randomised controlled trial. European Journal of Oral Implantology. 2016;9(1):35–45.
21.Ewers R. The incisal foramen as a means of insertion for one of three ultra-short implants to support a prosthesis for a severely atrophic maxilla – A short-term report. Heliyon. 2018 Dec;4(12):e01034
22.Elias DM, Valerio CS, de Oliveira DD, Manzi FR, Zenóbio EG, Seraidarian PI. Evaluation of Different Heights of Prosthetic Crowns Supported by an Ultra-Short Implant Using Three-Dimensional Finite Element Analysis. The International Journal of Prosthodontics. 2020;33(1):81–90.
23.Ferrantini Gonçalves de Almeida J, Gomes Silva M. Implantes curtos em região posterior de maxila: uma revisão narrativa da literatura. Pesquisas e Inovações em Odontologia: Produções Científicas Multidisciplinares no Século XXI, Volume 1. 2022 Aug 20;7–26
24.Pistilli, R; Baurasse, C; Gasparro, R; Berti, C; Felice, P. Minimally Invasive Fixed Reabilitation of a Totally Edentulous Severely Atrophic Mandible with 4-mm Ultrashort Immediately Loaded Implants: A Case Report. Int J Periodontics Restorative Dent 2020;40:549-559.
25.Amorim H, Gomes CE. Implantes curtos na região maxilomandibular posterior. Revista Brasileira de Implantologia e Ciências da Saúde. 2020, 29 de novembro;2(12):19–29.
26.Hadzik J, Krawiec M, Sławecki K, Kunert-Keil C, Dominiak M, Gedrange TA influência da relação coroa-implante no nível ósseo crestal e na estabilidade secundária do implante: estudo clínico de 36 meses. BioMed Pesquisa Internacional. 2018;2018:1–7.
27.Cruz RS, Lemos CAA, Batista VES, Oliveira HFF, Gomes JML, Pellizzer EP, et al. Short implants versus longer implants with maxillary sinus lift. A systematic review and meta-analysis. Brazilian Oral Research. 2018 Sep 13;32(0).
28.Luiz R, Maia S. Implantes curtos. Brazilian Journal of Implantology and Health Sciences. 2022 Feb 3;4(1):35–49.
29.Ewers R, Marincola M, Perpetuini P, Morina A, Bergamo ETP, Cheng YC, Bonfante EA. Severely Atrophic Mandibles Restored With Fiber-Reinforced Composite Prostheses Supported by 5.0-mm Ultra-Short Implants Present High Survival Rates Up To Eight Years. J Oral Maxillofac Surg. 2022 Jan;80(1):81-92.
30.Dreossi GB, Landi BM, Campaner M, Shibayama R. Planejamento reverso em implantodontia - Revisão de literatura. Revista Odontológica de Araçatuba. 2021;42(2):53–7.
31.Barros AC, Cardoso E, Barbosa M, Miguel Dias Tenório, Barros J, Maria Izabel Ribeiro. Planejamento reverso em implantodontia: revisão de literatura. Brazilian Journal of Health Review. 2023 Jun 12;6(3):12339–46.
32.França SSM, Paraguassu EC. Carga imediata em prótese total implantosuportada: Revisão de literatura. Brazilian Journal of Implantology and Health Sciences. 2022 Feb 3;4(1):14–34.
33.Wagner AA. Implantes curtos: tamanho, sobrevida e influência da proporção coroa-implante: revisão de literatura. Journal of Multidisciplinary Dentistry. 2022 Sep 2;10(3):57–63.
34.Sedov Y, Mordanov O, Grigoriev S, Avanesov A, Khabiev K. The Placement of Four Short Implants and Full-Arch Early Loading in the Edentulous Patient Suffering from Severe Mandibular Alveolar Ridge Atrophy. Case Reports in Dentistry. 2019 Oct 22;2019:1–4.
35.Trento CL, Moreschi E, Zamponi M, Zardeto Júnior R, Gottardo VD, Costa DG. Implantes cone morse com carga imediata: relato de caso. Odontologia Clínico-Científica. 2012 Jun 1;11(2):159–64.
36.Manfrinato L, Marchiolli CL, Oliveira ME de FS, De Souza FRB. Fatores cirúrgicos e o planejamento da reabilitação total com próteses implanto-suportada e carga imediata / Surgical factors and planning for total rehabilitation with implant-supported prosthesis and immediate load. Brazilian Journal of Development. 2021 Nov 22;7(11):106818–37.
37.Nunes V, Del’Arco A, Júlio Vianna Barbosa, Ocon T, Leonardo Perez Faverani, Paula A. Implantes dentários curtos na implantodontia moderna: revisão sistematizada. 2019 Mar 11;7(11).