Sierra-Sánchez J-L, García-Sala-Bonmatí F, Martínez-González A, García-Dalmau C, Mañes-Ferrer J-F, Brotons-Oliver A
Clínica Universitaria Odontológica, Universidad Europea de Valencia, C/ Alfambra, 4- bajo, 46009- Valencia, Spain,
Med Oral Patol Oral Cir Bucal. 2016 May 1;21(3):e392-402. doi: 10.4317/medoral.20949.
Short implants (< 10 mm) are one of the treatment options available in cases of limited vertical bone. Although such implants are now widely used, there is controversy regarding their clinical reliability. The purpose of this paper is to evaluate the predictability of short implants as an alternative to technically more complex treatments in patients with atrophic maxillae, based on a systematic review of the literature and the analysis of the implant survival rates, changes in peri-implant bone level, and associated complications. It is postulated that short implants offer clinical results similar to those of longer implants.
A Medline-PubMed search was made covering the period between January 2004 and December 2014 (both included). Studies in English published in indexed journals, involving at least 20 implants and with a follow-up period of at least 12 months were considered. A manual search in four high impact journals was also conducted.
A total of 37 studies meeting the inclusion criteria were included in this review. 9792 implants placed in over 5000 patients were analyzed.
Based on the results of this review, short implants are seen to offer clinical results in terms of survival, bone loss and complications similar to those of longer implants.
短种植体（<10毫米）是垂直骨量有限病例的治疗选择之一。尽管此类种植体目前已广泛应用，但关于其临床可靠性仍存在争议。本文旨在基于对文献的系统回顾以及对种植体存活率、种植体周围骨水平变化和相关并发症的分析，评估短种植体作为萎缩性上颌骨患者技术上更为复杂治疗的替代方案的可预测性。据推测，短种植体的临床效果与长种植体相似。
对2004年1月至2014年12月（含）期间进行了Medline-PubMed检索。纳入索引期刊发表的英文研究，涉及至少20颗种植体且随访期至少12个月。还对四种高影响力期刊进行了手工检索。
本综述共纳入37项符合纳入标准的研究。分析了5000多名患者植入的9792颗种植体。
基于本综述结果，短种植体在存活率、骨吸收和并发症方面的临床效果与长种植体相似。
