Soft Loading Protocol of Short Strategic Implants in Posterior Mandibles Supporting Removable Bilateral Free-End Prostheses: 1-year Results of a Prospective Cohort Study.

Abstract

To evaluate 1-year survival and success rates of 6-mm short implants placed in mandibular molar sites with two different abutments (dome/ball) retaining existing removable partial dentures (RPDs). In 19 patients, 38 implants of 6-mm length were placed bilaterally. After 4 months, each participant received the dome abutment, which 2 months later was exchanged with the ball abutment. Clinical data were recorded at abutment connection (4 months postsurgery) and at 6 and 12 months postsurgery, including probing depth, bleeding on probing, presence of plaque, and standardized radiographs. Implant success was assessed using the following criteria: presence of pain, mobility, radiographic bone loss, probing depth, and the presence of exudate. For descriptive analyses, mean and SD values were calculated. Paired sample t tests and linear regressions with a significance level of α < .05 were applied to analyze the evolution of peri-implant parameters and the influence of implant placement depth. The overall mean marginal bone level alteration (DMBL) was 1.05 ± 0.69 mm. A statistically significant marginal bone loss over time was observed at the mesial and distal aspects of all implants (P < .05). The implant survival rate was 100%. No implants showed pain, exudate, mobility, or probing depth > 7 mm. Three implants were classified as having satisfactory survival due to a DMBL > 2 mm (resulting success rate: 92.1%). No influence of implant placement depth was found. These short-term results suggest that short implants can be used in mandibular molar sites for additional posterior support of free-end RPDs. However, in individual cases, DMBL > 2 mm may occur.