Kurze Implantate oder Augmentationen im Seitenzahnbereich: Was ist effizienter?

Die implantatprothetische Versorgung im atrophierten Seitenzahnbereich kann durch die Vorbereitung des Implantatlagers mit einer vertikalen Augmentation oder einer Sinusbodenelevation erfolgen. Beide Verfahren zeigen je nach angewendeter Technik besonders im chirurgischen Behandlungsablauf Risiken. Als Alternative können kurze Implantate empfohlen werden, wobei neben der Auswahl eines adäquaten Implantatdesigns auch die Besonderheiten bei der Planung, der chirurgischen und prothetischen Anwendung und des Recalls berücksichtigt werden müssen.

• Literatur

• 1 Neugebauer J, Vizethum F, Berger C. et al. Update: Kurze, angulierte und durchmesserreduzierte Implantate – Praxisleitfaden: 11. Europäische Konsensuskonferenz (EuCC). BDIZ/EDI Konkret 2016; 20: 88-90
• 2 Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement?. Int J Oral Maxillofac Implants 2007; 22 (Suppl.) 49-70
• 3 Thoma DS, Zeltner M, Husler J. et al. EAO Supplement Working Group 4 – EAO CC 2015 Short implants versus sinus lifting with longer implants to restore the posterior maxilla: a systematic review. Clin Oral Implants Res 2015;
• 4 Aloy-Prosper A, Penarrocha-Oltra D, Penarrocha-Diago M. et al. The outcome of intraoral onlay block bone grafts on alveolar ridge augmentations: a systematic review. Med Oral Patol Oral Cir Bucal 2015; 20: e251-e258
• 5 Atwood DA. Bone loss of edentulous alveolar ridges. J Periodontol 1979; 50: 11-21
• 6 Cawood JI, Howell RA. A classification of the edentulous jaws. Int J Oral Maxillofac Surg 1988; 17: 232-236
• 7 Deporter D, Pharoah M, Yeh S. et al. Performance of titanium alloy sintered porous-surfaced (SPS) implants supporting mandibular overdentures during a 20-year prospective study. Clin Oral Implants Res 2014; 25: e189-e195
• 8 Felice P, Cannizzaro G, Barausse C. et al. Short implants versus longer implants in vertically augmented posterior mandibles: a randomised controlled trial with 5-year after loading follow-up. Eur J Oral Implantol 2014; 7: 359-369
• 9 Thoma DS, Cha JK, Jung UW. Treatment concepts for the posterior maxilla and mandible: short implants versus long implants in augmented bone. J Periodontal Implant Sci 2017; 47: 2-12
• 10 Valles C, Rodriguez-Ciurana X, Clementini M. et al. Influence of subcrestal implant placement compared with equicrestal position on the peri-implant hard and soft tissues around platform-switched implants: a systematic review and meta-analysis. Clin Oral Investig 2018;
• 11 Romeo E, Bivio A, Mosca D. et al. The use of short dental implants in clinical practice: literature review. Minerva Stomatol 2010; 59: 23-31
• 12 Lombardo G, Corrocher G, Pighi J. et al. The impact of subcrestal placement on short locking-taper implants placed in posterior maxilla and mandible: a retrospective evaluation on hard and soft tissues stability after 2 years of loading. Minerva Stomatol 2014; 63: 391-402
• 13 Garaicoa-Pazmino C, Suarez-Lopez del Amo F, Monje A. et al. Influence of crown/implant ratio on marginal bone loss: a systematic review. J Periodontol 2014; 85: 1214-1221
• 14 Passaretti A, Petroni G, Miracolo G. et al. Metal free, full arch, fixed prosthesis for edentulous mandible rehabilitation on four implants. J Prosthodont Res 2017;
• 15 McDermott NE, Chuang SK, Woo VV. et al. Complications of dental implants: identification, frequency, and associated risk factors. Int J Oral Maxillofac Implants 2003; 18: 848-855
• 16 Akeredolu PA, Adeyemo WL, Omololu OB. et al. Implant restoration of partially edentulous ridges: a review of 121 Nigerian patients. Implant Dent 2010; 19: 65-72
• 17 Vehemente VA, Chuang SK, Daher S. et al. Risk factors affecting dental implant survival. J Oral Implantol 2002; 28: 74-81
• 18 Balaji P, Balaji SM, Ugandhar P. Dental implants for severely atrophied jaws due to ectodermal dysplasia. Indian J Dent Res 2015; 26: 205-209
• 19 Urdaneta RA, Daher S, Leary J. et al. The survival of ultrashort locking-taper implants. Int J Oral Maxillofac Implants 2012; 27: 644-654
• 20 Schincaglia GP, Thoma DS, Haas R. et al. Randomized controlled multicenter study comparing short dental implants (6 mm) versus longer dental implants (11–15 mm) in combination with sinus floor elevation procedures. Part 2: clinical and radiographic outcomes at 1 year of loading. J Clin Periodontol 2015; 42: 1042-1051
• 21 Nisand D, Picard N, Rocchietta I. Short implants compared to implants in vertically augmented bone: a systematic review. Clin Oral Implants Res 2015;
• 22 Al-Ansari A. Short implants supporting single crowns in atrophic jaws. Evid Based Dent 2014; 15: 85-86
• 23 Misch CE, Steignga J, Barboza E. et al. Short dental implants in posterior partial edentulism: a multicenter retrospective 6-year case series study. J Periodontol 2006; 77: 1340-1347