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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 40 (2020), No. 6     11. Nov. 2020
Int J Periodontics Restorative Dent 40 (2020), No. 6  (11.11.2020)

Online Article, Page e235-e240, doi:10.11607/prd.4957, PubMed:33151196

Online Article: Minimally Invasive Fixed Rehabilitation of an Extremely Atrophic Posterior Mandible Using 4-mm Ultrashort Implants: A Case Report with a 7-Year Follow-up
Pistilli, Roberto / Zucchelli, Giovanni / Barausse, Carlo / Bonifazi, Lorenzo / Karaban, Maryia / Gasparro, Roberta / Felice, Pietro
This case report describes the rehabilitation of an extremely atrophic posterior mandible using 4-mm ultrashort implants and reports clinical and radiographic outcomes 7 years after loading. The patient refused to undergo any other treatment, from the removable prosthesis to the reconstructive surgery, and asked for a fixed, minimally invasive solution in the shortest possible time. The residual bone height above the alveolar nerve was an average of about 5 mm, so it was decided to treat the patient with four 4-mm ultrashort implants. Within the limitations of this case report, this procedure appears successful at 7 years after loading in this specific case and could reduce invasiveness, rehabilitative times, and costs. However, longer follow-ups on a large number of patients coming from randomized controlled clinical trials are necessary before making more reliable recommendations.
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