A comprehensive network meta-analysis, titled "Comparative Effectiveness of Short Implants Versus Long Implants with Sinus Floor Elevation in the Posterior Maxilla: A Network Meta-Analysis" (PROSPERO: CRD42023495027), offers groundbreaking insights into the performance of short implants (4–8 mm) compared to long implants (≥8 mm) with sinus floor elevation (SFE) in the posterior maxilla, offers groundbreaking insights into the performance of short implants (4–8 mm) compared to long implants (≥8 mm) with sinus floor elevation (SFE) in the posterior maxilla. Reviewing data from 17 studies between 2014 and 2024 involving 1,076 patients and 1,751 implants, the study highlights how short implants reduce complications and bone loss while providing comparable outcomes to traditional long implants.
Key findings include:
- Short implants significantly reduced marginal bone loss.
- They minimized biological and mechanical complications, enhancing success rates.
- Long implants showed slightly lower failure rates, with delayed placement combined with SFE proving most effective for implant stability.
This research emphasizes short implants as a viable alternative for patients with limited vertical bone height. While long implants maintain their place, personalized treatment plans focusing on patient-specific conditions can optimize success. Future studies will further validate these findings and refine implant strategies.
Conclusion:
The adoption of short implants is reshaping dental implantology in challenging anatomical conditions. This evidence-based approach offers practitioners more options to achieve sustainable, long-term outcomes.