SHORT IMPLANTS VERSUS BONE GRAFTING: ALTERNATIVES FOR THE REHABILITATION OF ATROPHIC MAXILLAE
DOI:
https://doi.org/10.56238/levv16n53-010Keywords:
Dental Implants, Short Dental Implants, Maxilla, Bone Grafting, Treatment OutcomeAbstract
The rehabilitation of atrophic posterior maxillae is a challenge due to bone resorption and sinus pneumatization. Traditionally, sinus floor elevation and bone grafting are performed to enable placement of long implants, although these procedures increase morbidity, costs, and treatment time. In this context, short implants have emerged as a less invasive alternative. The aim of this study was to review the literature comparing short implants with long implants associated with grafting, evaluating survival rates, marginal bone loss, complications, clinical time, costs, and patient satisfaction. A narrative review was carried out in PubMed, Scopus, Web of Science, SciELO, and Cochrane, including studies published between 2014 and 2025. Results indicate that short implants achieve survival rates comparable to long implants, with additional advantages such as reduced morbidity, shorter surgical time, and favorable economic impact. However, in cases of severe atrophy with residual bone height below 4 mm, grafting procedures remain necessary to ensure primary stability. In conclusion, short implants represent a predictable, safe, and cost-effective option for the rehabilitation of atrophic maxillae, provided that case selection is performed carefully.
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References
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