Atrophic jaw posterior rehabilitation with short and extra-short implants: two cases report

Alexandre da Silveira Gerzson, Marcela Manzoni Bravo, Gabriel Seger Teixeira, Luis Artur Zenni Lopes

Introduction: The remodeling and subsequent atrophy of the alveolar bone directly interferes in bone availability, creating limits to treatment with conventional implants. The rehabilitation option with short and extra-short implants has become increasingly accepted in implant dentistry. This is a predictable treatment and allows to prevent invasive surgical techniques. For these reasons, this study is justified, for elucidating such issues of clinical interest. Methods: by means of a literature review, are discussed the most relevant aspects in rehabilitation of patients with posterior mandibular atrophy, describing the clinical evolution of the treatments with short implants. In addition to reporting two clinical cases where patients were treated with 8-mm, 6-mm and 4-mm implants. Results: Clinical cases described and the support of the literature showed that the choice to treat with short and extra-short implants feature good results and clinical predictability. The great justification for the use of these implants was to avoid the need for invasive surgical techniques such as lateralization of the inferior alveolar nerve, bone grafts and osteogenic distraction. By comparing these techniques, we can observe that patients were treated with lower morbidity and cost, in addition to greater speed. Conclusion: We believe that the short implants can safely be used as prosthetic support in the oral rehabilitation, with success and longevity similar to regular implants. However a rigorous protocol of indication and surgical and prosthetic techniques execution must be followed to guarantee a successful treatment with predictability.

Keywords: Dental implants. Oral surgical procedures, preprosthetic. Surgery, oral. Osseointegration.

How to cite: Gerzson AS, Bravo MM, Teixeira GS, Lopes LAZ. Atrophic jaw posterior rehabilitation with short and extra-short implants: two cases report. J Clin Dent Res. 2017 Oct-Dec;14(4):74-85. DOI: https://doi.org/10.14436/2447-911x.14.4.074-085.oar

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