The use of short dental implants has proven achievable in patients who are apprehensive about undergoing augmentation procedures. Several studies have shown that the use of short dental implants is easier to insert into the patient’s posterior (back) regions of the mouth, and a simpler placement method.
The evidence indicates that given the complicated nature of grafting and bone augmentation and success rates seem to be similar as with simpler procedures.
Therefore, according to Chiapasco et al 2009 systemic review “the priority should be given to simpler procedures”.
In general, today less than 10mm is regarded as a short implant. However, we feel it is more appropriate to refer to 8.5mm or less as a short implant, according to recent published literature.
Short implants are preferable choice to bone augmentation (assessment case by case only), since the treatment is faster, and associated with less morbidity and decreased surgical complications and postoperative patient discomfort. We do have more than 5 years of data, but 10-year data is scarce.
Advantages of short implants where indicated in reducing additional procedure for grafting:
Wider implants are defined as diameter with 4.5mm or more. Narrow implant is defined with 3.5mm or less. What contributes to the success of short implants?