1. Location, date Presenter name
“Short implants”
Location, date
Presenter name
6.5 mm 1

2. Agenda Welcome and introduction Prerequisites and considerations
Short implant solutions
Prosthetic components & considerations
Scientific overview
Conclusions and wrap-up
Study club presentation ‘short implants’

3. Nobel Biocare on-site staff
Name, Title
Certified dental technician or dental assistant or other
Complete with additional point regarding knowledge in dental field
Study club presentation ‘short implants’

4. Key messages Instruction slide Conclusions and wrap-up
Short implants can offer adequate treatment solution in areas with reduced bone volume / height
Short implants can help to avoid or reduce grafting surgery
Restorative offering is as versatile as for other implant systems with external hex connection
Proper indication and clinical technique provided, short implants are a scientifically proven solution
Literature reports survival and success rates comparable to other (regular length) implant systems
Study club presentation ‘short implants’

5. Agenda Welcome and introduction Prerequisites and considerations
Short implant solutions
Prosthetic components & considerations
Scientific overview
Conclusions and wrap-up
Study club presentation ‘short implants’

6. Reduced bone volume Prerequisites and considerations
Reduced bone volume can be the result of various reasons
Tooth loss and subsequent bone resorption
Inflammatory diseases (e.g. periodontitis, periimplantitis, osteomyelitis)
Trauma, accidents
Maxillofacial reconstruction surgery (e.g. cancer treatment)
General health compromises, e.g. endocrine disorders, diabetes mellitus, mineral deficiency, generalized osteoporosis...
Prosthetic factors, e.g. malfitting dentures, malocclusion/occlusal overload
Genetic predisposition, age, gender
Study club presentation ‘short implants’

7. Bone resorption Prerequisites and considerations Time 7
Maxilla
Mandible
Reference: Lekholm U and Zarb GA. Patient selection and preparation. In tissue-integrated prosthesis: Osseointegration in clinical dentistry., ed. P.-I. Brånemark, G.A. Zarb and T. Albreksson. 1985, Chicago: Quintessence Publ Co
Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: A mixed-longitudinal study covering 25 years. J Prosthet Dent 1972;27:120-32
Study club presentation ‘short implants’ 7

8. Bone volume Prerequisites and considerations
The available bone volume might not be sufficient for implant treatment with regular implant lengths.
Anatomical structures like the sinus maxilla or the nervus mandibularis need to be considered.
Courtesy of Dr Andrew Dawood
Study club presentation ‘short implants’

9. Diagnostics and treatment planning
Prerequisites and considerations
Diagnostics and treatment planning
Already in the treatment planning phase, anatomical conditions and available bone volumes are among the major planning topics, influencing:
Treatment options in general
Selection of implant type and size (diameter, length)
Main considerations e.g.:
Indication
Site (anterior / posterior)
Anatomical considerations (interdental space, vertical / occlusal space)
Grafting vs. short implants
Number of implants
Prosthetic construction, material selection (e.g. full ceramic vs. titanium)
Surgical aspects – bone quality
Loading aspects – one- or two stage surgical protocol
Esthetic considerations (e.g. narrow / short implant vs. bridge on adjacent teeth, cement-retained vs screw-retained)
Functional considerations (e.g. occlusal design, support of veneering ceramic)
Soft tissue conditions
Patient expectations (esthetics, cost …)
Study club presentation ‘short implants’

10. Diagnostics and treatment planning - grafting procedures
Prerequisites and considerations
Diagnostics and treatment planning - grafting procedures
Grafting procedures to build available bone volume increase surgery procedure and site,
and involve grafting materials, which are not always available or tolerated by the patient.
Therefore, grafting might not always be possible or be an appropriate treatment alternative.
Bone grafting option ?
Study club presentation ‘short implants’

11. Diagnostics and treatment planning – implant options
Prerequisites and considerations
Diagnostics and treatment planning – implant options
Surgical / implant treatment options for clinical situations with reduced bone volume, without bone grafting:
Short implants
Tilted implants (e.g. All-on-4)
Zygomatic implants
Combinations of above
Study club presentation ‘short implants’

12. Diagnostics and treatment planning – short implants
Prerequisites and considerations
Diagnostics and treatment planning – short implants
Use of short implants can offer a suitable treatment option in situations:
Where available bone height is limited (e.g. resorbed posterior maxilla and mandible)
When anatomical structures like sinus maxillaris or nervus mandibularis would be in the way for regular length implants
When bone grafting procedures to increase bone volume and height are not indicated or possible (e.g. for reasons of material selection & availability, patient acceptance, general medical reasons, surgery size, clinical situation etc.)
Study club presentation ‘short implants’

13. Diagnostics and treatment planning – short implants
Prerequisites and considerations
Diagnostics and treatment planning – short implants
Example of clinical case:
Digital treatment planning with short implants in an edentulous maxilla case.
Courtesy of Dr Yvan Fortin, Canada
Courtesy of Dr Yvan Fortin, Canada
Courtesy of Dr Yvan Fortin, Canada
Courtesy of Dr Yvan Fortin, Canada
Pictures and radiographs courtesy of Dr Yvan Fortin, Montreal, Canada
Study club presentation ‘short implants’

14. Agenda Welcome and introduction Prerequisites and considerations
Short implant solutions
Prosthetic components & considerations
Scientific overview
Conclusions and wrap-up
Study club presentation ‘short implants’

15. Typical indications Short implant solutions Resorbed posterior maxilla
Protection of sinus maxillaris
Brånemark System
Mk III ”Shorty”
NobelSpeedy
”Shorty”
Resorbed posterior mandible
Protection of nervus mandibularis
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

16. Nobel Biocare short implants
Short implant solutions
Nobel Biocare short implants
Brånemark System Mk III track record since 1981
(predecessor Brånemark implants since the 1960-ies)
Brånemark System Mk III “Shorty”
Brånemark System Mk III TiUnite “Shorty”
Brånemark System Mark IV TiUnite “Shorty”
NobelSpeedy “Shorty”
Length 6.5 mm (apex to platform distance)
TiUnite surface
Composed of cold-worked high strength CP4 (commercially pure) grade 4 titanium
7.2 mm / 6.5 mm
Brånemark System Mk III “Shorty”
Brånemark System Mk III TiUnite “Shorty”
Brånemark System Mk IV TiUnite “Shorty”
NobelSpeedy “Shorty”
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

17. Nobel Biocare short implants
Short implant solutions
Nobel Biocare short implants
Apex to platform distance = 6.5 mm
Brånemark System Mk III “Shorty”
7.2 mm
Brånemark System Mk III TiUnite “Shorty”
Brånemark System Mk IV TiUnite “Shorty”
NobelSpeedy “Shorty”
6.5 mm
5.5 mm
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

18. Brånemark System® Mk III “Shorty”
Short implant solutions
Brånemark System® Mk III “Shorty”
Diameters 3.75 mm, 4.0 mm, 5.0 mm
Parallel drill protocol
Groovy
External hex connection
Indication for anterior and posterior, single & multiple units
Brånemark System Mk III “Shorty”
RP 3.75 mm
RP 4.0 mm
WP 5.0 mm
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

19. Brånemark System® Mk III TiUnite “Shorty”
Short implant solutions
Brånemark System® Mk III TiUnite “Shorty”
Machined collar 0.8 mm (0.2 mm for WP)
Diameters 3.75 mm, 4.0 mm, 5.0 mm
Parallel drill protocol
External hex connection
Indication for anterior and posterior, single & multiple units
Brånemark System Mk III TiUnite “Shorty”
RP 3.75 mm
RP 4.0 mm
WP 5.0 mm
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

20. Brånemark System® Mk IV TiUnite “Shorty”
Short implant solutions
Brånemark System® Mk IV TiUnite “Shorty”
Machined collar 0.4 mm (0.2 mm for WP)
Diameters 4.0 mm, 5.0 mm
Parallel drill protocol
External hex connection
Indication for anterior and posterior, single & multiple units
Brånemark System Mk IV TiUnite “Shorty”
RP 4.0 mm
WP 5.0 mm
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

21. NobelSpeedyTM “Shorty”
Short implant solutions
NobelSpeedyTM “Shorty”
NobelSpeedy track record since 2005
Available in diameters 4.0 mm, 5.0 mm, 6.0 mm
Parallel drill protocol
Groovy
External hex connection
Pointed tip design for osseotomy underpreparation option
Increased initial stability
Ridge expansion procedures
Bicortical placement option – increased stability
Indication for anterior and posterior, single & multiple units
NobelSpeedy “Shorty”
RP 4.0 mm
WP 5.0 mm
WP 6.0 mm
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

22. Material & surface – cold-worked Titanium
Short implant solutions
Material & surface – cold-worked Titanium
TITANIUM
Inert & high corrosive resistance
Bio-compatible
material
Low specific gravity
High specific strength
Non-magnetic property
Made of cold-worked high strength CP4 (commercially pure) titanium (MTA 010) as used in other Nobel Biocare implants
Not alloyed –biocompatible
“Cold-worked”
Cold-worked defines the deformation of a metallic material at a specific temperature and rate that results in strain-hardening
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’ 22

23. Material & surface - TiUnite®
Short implant solutions
Material & surface - TiUnite®
TiUnite surface
For faster osseointegration
TiUnite stimulates rapid bone growth by osseoconduction directly on and along the implant surface:
Osseoconductive properties result in a higher bone-to-implant contact already during the early healing phase and contribute to faster integration of the implant in the surrounding bone (Zechner et al. 2003, Ivanoff et al. 2003)
TiUnite is featured on most Nobel Biocare implants, including those with machined collars.
Courtesy of Dr. Schüpbach, Switzerland
Courtesy of Dr. Schüpbach, Switzerland
TiUnite is a moderately rough surface with micro pores of 0.5 to 3.0 µm.
Machined surface
TiUnite surface
Bone healing after three weeks with a TiUnite® surface implant.
Osseoconduction:
This term means that bone grows on a surface. An osseoconductive surface is one that permits bone growth on its surface or down into pores, channels or pipes which can be seen on this microscopical image.
Study club presentation ‘short implants’ 23

24. Please use speaker notes
Short implant solutions
Please use speaker notes
Animated slide
Material & surface – TiUnite® clinical advantages
Rapid bone growth
Maintained high initial stability
Enhanced treatment possibilities
High cumulative survival rates
&
stable marginal bone levels
Courtesy of Dr. Schüpbach. Switzerland
Glauser R, Portmann M et al. Stability measurements of immediately loaded machined and oxidized implants in the posterior maxilla.
A comparative clinical study using resonance frequency analysis. Appl Osseointegration Res 2001; 2:
Source: Rieben AS et al. AO Poster 2010, Literature search on incl. 49 Nobel Biocare publications. N = 1,987 patients and 5,356 implants
Courtesy of Dr. Glauser, Switzerland
Rapid Bone growth
Accelerates bone growth
TiUnite accelerates early wound healing and shortens healing times
It stimulates rapid bone growth directly on and along the implant surface at a rate of µm per day
This results in a higher bone-to-implant contact already during the early healing phase and contributes to faster integration of the implant in the surrounding bone
Maintained high initial stability
TiUnite maintains high implant stability immediately after placement with enhanced osseointegration and anchorage in surrounding bone
The mechanical stability of the implant can be maintained at a higher level throughout the critical healing phase:
This implies shortened time at risk after implant insertion, which is particularly important in regions with soft bone and/or high occlusal loads, and for immediate loading protocols
Enhanced treatment possibilities
Over 11 million implants sold make TiUnite the surface of choice for both normal and demanding situations. They can be used in all indications, all bone types and treatment protocols: delayed, early and immediate loading.
Nobel Biocare's immediate loading protocol has been well documented with high survival rates in over 100 independent clinical publications comprising over 4,000 patients and over 14,000 TiUnite and machined implants.
An extensive literature analysis with pre-defined inclusion and exclusion criteria revealed that the immediate function protocol was better documented in TiUnite implants compared to major competition.
High cumulative survival rates & stable marginal bone levels
TiUnite implants demonstrate a safe and viable treatment option with very high survival rates, both short and long term
Two Brånemark System Mk IV implants with TiUnite surface were placed in positions 45 and 46 in March X-ray shows both implants restored with screw retained, connected porcelain-fused-to-metal crowns and reveals excellent marginal bone levels in 2011.
Benefits of having TiUnite.
Bone begins forming in the early phase of healing
Mechanical stability is higher during the healing phase, there is no drop in stability during the healing phase.
Initial drop in implant stability is reduced thereby reducing the risk of early implant failure
Implant stability is maintained over time
Soft tissue defense system behaves similarly to soft tissue around a natural tooth
Clinical efficacy is increased especially in compromised situations
Cumulative survival rates of 99% after nine years
Study club presentation ‘short implants’ 24

25. Material & surface - TiUnite® key messages
Short implant solutions
Animated slide
Material & surface - TiUnite® key messages
1. The most frequently used and clinically researched implant surface
TiUnite, no other implant surface on the market has been more critically evaluated and followed up
2. Developed according to biology
TiUnite, the implant surface that works in harmony with biology.
3. Proven long-term function and esthetics
TiUnite, the implant surface with reliable short- and long-term performance.
4. Performs under the most challenging conditions
TiUnite, the preferred implant surface for both challenging indications and standard cases.
5. Tested to the highest performance standards
TiUnite, the implant surface proven to perform.
1. over 11 mio. TiUnite implants sold
3. The surface supports stable marginal bone levels after the initial bone remodeling phase and over the long term.
4. including compromised bone and immediate loading
5. Radiographs taken at implant insertion display the complete bone remodeling history versus those taken after prosthesis installation
Study club presentation ‘short implants’ 25

26. Clinical cases added by lecturer / study club director
Short implant solutions
Instruction slide
Clinical cases – treatment planning, surgery
Clinical cases added by lecturer / study club director
Study club presentation ‘short implants’

27. Agenda Welcome and introduction Prerequisites and considerations
Short implant solutions
Prosthetic components & considerations
Scientific overview
Conclusions and wrap-up
Study club presentation ‘short implants’

28. Restorative options Instruction slide
Prosthetic components & considerations
Instruction slide
Restorative options
On short implants, the usual range of restorative options for single and multiple restoration cases and edentulous cases is available
Single / multiple restorations cases:
Crowns, bridges
Edentulous cases:
Removable: dentures retained on Ball or Locator Abutments
Fixed-removable: dentures on bar
Fixed bridges
To re-establish correct vertical dimension of occlusion, amount of resorbed bone has an influence on decision for best suitable restoration construction option
Study club presentation ‘short implants’

29. External hex connection
Prosthetic components & considerations
External hex connection
Due to the short length of the implant, the compact external hex construction is the adequate connection type
Choice of 6-12 positions depending on abutment for more prosthetic possibilities
Short distance from crown margin to first thread of implant – advantage for marginal thin soft tissue
Impression taking and provisionalization with known components (copings/ abutments) and techniques
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

30. External hex connection – prosthetic restoration range
Prosthetic components & considerations
External hex connection – prosthetic restoration range *
Individualized restorations *
Individualized
abutments
Standard
abutments
***
Healing abutments and temporary
components **
* Broad choice of materials, please refer to IFU for further information.
** Temporary abutments plastic are indicated for max. 3 months intraoral use.
*** Locator® is a registered trademark of Zest Anchors Inc.
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’ 30

31. External hex connection – prosthetic restoration range
Prosthetic components & considerations
External hex connection – prosthetic restoration range
Single tooth restoration
Multiple unit restoration
Overdenture: Fixed-removable / removable
Screw-retained
Cement-retained
Screw-retained
Cement-retained
Bar-retained
Abutment-retained
NobelProcera Abutment Zirconia*
NobelProcera Abutment Titanium
GoldAdapt
Non-Engaging
Locator**
NobelProcera Abutment Zirconia* + Titanium and NobelProcera Abutment Zirconia* + Titanium for direct veneering (1 piece solution)
Multi-unit Abutment (straight, 17º or 30º angled)
NobelProcera Abutment Titanium
Procera Esthetic Abutment*
Ball Abutment
NobelProcera Implant Bar Overdenture Titanium
GoldAdapt
Non-Engaging
Esthetic Abutment (straight or angled)
Procera Esthetic Abutment*
Gold Abutment Bar
GoldAdapt Engaging
Esthetic Abutment (straight or angled)
Snappy Abutment
NobelProcera Implant Bridge Zirconia + Titanium
Multi-unit Abutment (straight, 17º or 30º angled, Gold Coping Bar)
Snappy Abutment
GoldAdapt Engaging
NobelProcera Implant Bar Overdenture Titanium
GoldAdapt Engaging
* Not indicated for Conical Connection: Zirconia is indicated for anteriors only.
** Locator® is a registered trademark of Zest Anchors Inc.
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’

32. Torque guide prosthetic components
Prosthetic components & considerations
Torque guide prosthetic components
Plastic Temporary Abutment
Plastic Temporary Coping
Healing Abutment
Healing Cap
Prosthetic Screws
for final restorations
Titanium Temporary Coping
Ball Abutment
17° Multi-unit Abutment
30° Multi-unit Abutment
Abutments for NobelActive 3.0
All other abutment for Nobel Biocare implant systems
By hand
Note: Other major implant systems may require different torque values. Always consult the respective instructions for use.
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets.
Please contact the local Nobel Biocare sales office for current product assortment and availability.
Study club presentation ‘short implants’ 32

33. by lecturer / study club director / participants
Prosthetic components & considerations
Instruction slide
Clinical cases - prosthetic solutions
Clinical cases added
by lecturer / study club director / participants
Study club presentation ‘short implants’

34. Clinical cases - prosthetic solutions
Prosthetic components & considerations
Instruction slide
Clinical cases - prosthetic solutions
Example of clinical case:
14 year follow-up of short implant case in maxilla and mandible (1995 / 2009)
Maxilla with fixed bridge
Mandible fixed-removable solution, denture on bar
Courtesy of Dr Yvan Fortin, Canada
Courtesy of Dr Yvan Fortin, Canada
Courtesy of Dr Yvan Fortin, Canada
Pictures and radiographs courtesy of Dr Yvan Fortin, Montreal, Canada
Courtesy of Dr Yvan Fortin, Canada
Study club presentation ‘short implants’

35. Agenda Welcome and introduction Prerequisites and considerations
Short implant solutions
Prosthetic components & considerations
Scientific overview
Conclusions and wrap-up
Study club presentation ‘short implants’

36. Conclusions & summary Scientific overview
Surgical and restorative procedures in the posterior region of both the mandible and the maxilla present a complex task. The posterior regions usually exhibit less favorable bone quality and less bone volume, while they are exposed to greater loads than anterior regions of the mouth1,2. Anatomical structures such as the inferior alveolar nerve and maxillary sinus may further restrict the possibility to place implants at posterior sites. Thus short implants (i.e. ≤ 10 mm) are best to use, which creates a dilemma, since short implants historically have been associated with higher failure rates than longer implants1-22. However, no direct correlation between implant length and stability23, anchorage24 or bone stress25 have been demonstrated. Instead poor bone quality is likely the most significant factor associated with short implant failure26-28.
Developments in implant design, surface structure and improved surgical technique have proven short implants to be a viable concept with survival rates comparable to longer implants Short, wide diameter37,38, self-tapping implants with wider threads37 have been shown beneficial in situations of limited bone height. Furthermore, short implants with TiUnite surface have demonstrated high survival rates, between 94.6 and 100%, and excellent performance34,36. Recent clinical studies have also demonstrated that short implants may be viable long-term solutions, up to 20-year follow-up, for sites with limited bone height29,35,39. There are several review articles discussing the impact of implant length40-43.
Study club presentation ‘short implants’

37. References Instruction slide Scientific overview
1 van Steenberghe D, Lekholm U, Bolender C, Folmer T, Henry P, Herrmann I, Higuchi K, Laney W, Linden U, Astrand P. Applicability of osseointegrated oral implants in the rehabilitation of partial edentulism: a prospective multicenter study on 558 fixtures. Int J Oral Maxillofac Implants 1990;5:
2 Jemt T, Lekholm U. Oral implant treatment in posterior partially edentulous jaws: a 5-year follow-up report. Int J Oral Maxillofac Implants 1993;8:
3 Bahat O. Brånemark System implants in the posterior maxilla: clinical study of 660 implants followed for 5 to 12 years. Int J Oral Maxillofac Implants 2000;15:
4 Jemt T, Book K, Linden B, Urde G. Failures and complications in 92 consecutively inserted overdentures supported by Brånemark implants in severely resorbed edentulous maxillae: a study from prosthetic treatment to first annual check-up. Int J Oral Maxillofac Implants 1992;7:162-7.
5 Jemt T, Lekholm U. Implant treatment in edentulous maxillae: a 5-year follow-up report on patients with different degrees of jaw resorption. Int J Oral Maxillofac Implants 1995;10:
6 Herrmann I, Lekholm U, Holm S, Kultje C. Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures. Int J Oral Maxillofac Implants 2005;20:
7 Winkler S, Morris HF, Ochi S. Implant survival to 36 months as related to length and diameter. Ann Periodontol 2000;5:22-31.
8 Jemt T. Failures and complications in 391 consecutively inserted fixed prostheses supported by Brånemark implants in edentulous jaws: a study of treatment from the time of prosthesis placement to the first annual checkup. Int J Oral Maxillofac Implants 1991;6:270-6.
9 Lekholm U, Gunne J, Henry P, Higuchi K, Linden U, Bergstrom C, van Steenberghe D. Survival of the Branemark implant in partially edentulous jaws: a 10-year prospective multicenter study. Int J Oral Maxillofac Implants1999;14:
10 Naert I, Koutsikakis G, Duyck J, Quirynen M, Jacobs R, van Steenberghe D. Biologic outcome of implant supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation. Clin Oral Implants Res 2002;13:381-9.
11 Bahat O. Treatment planning and placement of implants in the posterior maxillae: report of 732 consecutive Nobelpharma implants. Int J Oral Maxillofac Implants 1993;8:
12 Friberg B, Jemt T, Lekholm U. Early failures in 4,641 consecutively placed Brånemark dental implants: a study from stage 1 surgery to the connection of completed prostheses. Int J Oral Maxillofac Implants 1991;6:142-6.
13 Wyatt CC, Zarb GA. Treatment outcomes of patients with implant- supported fixed partial prostheses. Int J Oral Maxillofac Implants 1998;13:
Study club presentation ‘short implants’

38. References Instruction slide Scientific overview
14 Pylant T, Triplett RG, Key MC, Brunsvold MA. A retrospective evaluation of endosseous titanium implants in the partially edentulous patient. Int J Oral Maxillofac Implants 1992;7:
15 Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and fixture success in the Brånemark System. Clin Oral Implants Res 1992;3:
16 Henry PJ, Tolman DE, Bolender C. The applicability of osseointegrated implants in the treatment of partially edentulous patients: three-year results of a prospective multicenter study. Quintessence Int 1993;24:123-9.
17 Bain CA, Moy PK. The association between the failure of dental implants and cigarette smoking. Int J Oral Maxillofac Implants 1993;8:
18 Grunder U, Polizzi G, Goene R, Hatano N, Henry P, Jackson WJ, Kawamura K, Kohler S, Renouard F, Rosenberg R, Triplett G, Werbitt M, Lithner B. A 3-year prospective multicenter follow-up report on the immediate and delayed-immediate placement of implants. Int J Oral Maxillofac Implants 1999;14:210-6.
19 Snauwaert K, Duyck J, van Steenberghe D, Quirynen M, Naert I. Time dependent failure rate and marginal bone loss of implant supported prostheses: a 15-year follow-up study. Clin Oral Investig 2000;4:13-20.
20 Higuchi KW, Folmer T, Kultje C. Implant survival rates in partially edentulous patients: a 3-year prospective multicenter study. J Oral Maxillofac Surg 1995;53:264-8.
21 Lekholm U, Herrmann I, Folmer T, Henry P, Laney W. Osseointegrated Implants in the Treatment of Partially Edentolous Jaws: A Prospective 5-Year Multicenter Study. Int J Oral Maxillofac Implants 1994;9:
22 Stellingsma C, Meijer HJ, Raghoebar GM. Use of short endosseous implants and an overdenture in the extremely resorbed mandible: a five-year retrospective study. J Oral Maxillofac Surg 2000;58:382-7; discussion
23 Balleri P, Cozzolino A, Ghelli L, Momicchioli G, Varriale A. Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. Clin Implant Dent Relat Res 2002;4:
24 Bernard JP, Szmukler-Moncler S, Pessotto S, Vazquez L, Belser UC. The anchorage of Branemark and ITI implants of different lengths. I. An experimental study in the canine mandible. Clin Oral Implants Res 2003;14:
25 Pierrisnard L, Renouard F, Renault P, Barquins M. Influence of implant length and bicortical anchorage on implant stress distribution. Clin Implant Dent Relat Res 2003;5:
26 Tawil G, Younan R. Clinical evaluation of short, machined-surface implants followed for 12 to 92 months. Int J Oral Maxillofac Implants 2003;18:
27 Friberg B, Grondahl K, Lekholm U, Branemark PI. Long-term follow-up of severely atrophic edentulous mandibles reconstructed with short Branemark implants. Clin Implant Dent Relat Res 2000;2:184-9.
Study club presentation ‘short implants’

39. References Instruction slide Scientific overview
28 das Neves FD, Fones D, Bernardes SR, do Prado CJ, Neto AJ. Short implants--an analysis of longitudinal studies. Int J Oral Maxillofac Implants 2006;21:86-93.
29 Tawil G, Aboujaoude N, Younan R. Influence of prosthetic parameters on the survival and complication rates of short implants. Int J Oral Maxillofac Implants 2006;21:
30 Griffin TJ, Cheung WS. The use of short, wide implants in posterior areas with reduced bone height: a retrospective investigation. J Prosthet Dent 2004;92:
31 Maló P, Nobre M, Rangert B. Short Implants Placed One-stage in the Maxillae and Mandibles: A Retrospective Clinical Study with 1 to 9 Years of Follow-Up. Clin Implant Dent Relat Res 2007;9:15-21.
32 Lemmerman KJ, Lemmerman NE. Osseointegrated dental implants in private practice: a long-term case series study. J Periodontol 2005;76:310-9.
33 Gunne J, Astrand P, Lindh T, Borg K, Olsson M. Tooth-implant and implant supported fixed partial dentures: a 10-year report. Int J Prosthodont 1999;12:
34 Renouard F, Nisand D. Short implants in the severely resorbed maxilla: a 2-year retrospective clinical study. Clin Implant Dent Relat Res 2005;7 Suppl 1:S
35 Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years. Int J Prosthodont 2003;16:602-8.
36 Glauser R, Lundgren AK, Gottlow J, Sennerby L, Portmann M, Ruhstaller P, Hammerle CH. Immediate occlusal loading of Brånemark TiUnite implants placed predominantly in soft bone: 1-year results of a prospective clinical study. Clin Implant Dent Relat Res 2003;5 Suppl 1:47-56.
37 Langer B, Langer L, Herrmann I, Jorneus L. The wide fixture: a solution for special bone situations and a rescue for the compromised implant. Part 1. Int J Oral Maxillofac Implants 1993;8:400-8.
38 Bahat O, Handelsman M. Use of wide implants and double implants in the posterior jaw: a clinical report. Int J Oral Maxillofac Implants 1996;11:
39 Lekholm U, Grondahl K, Jemt T. Outcome of oral implant treatment in partially edentulous jaws followed 20 years in clinical function. Clin Implant Dent Relat Res 2006;8:
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Study club presentation ‘short implants’

40. Agenda Welcome and introduction Prerequisites and considerations
Short implant solutions
Prosthetic components & considerations
Scientific overview
Conclusions and wrap-up
Study club presentation ‘short implants’

41. Clinical cases, discussion
Conclusions and wrap-up
Instruction slide
Clinical cases, discussion
Clinical cases added by lecturer / study club director
Discuss clinical cases from participants
Study club presentation ‘short implants’

42. Key messages Instruction slide Conclusions and wrap-up
Short implants can offer adequate treatment solution in areas with reduced bone volume / height
Short implants can help to avoid or reduce grafting surgery
Restorative offering is as versatile as for other implant systems with external hex connection
Proper indication and clinical technique provided, short implants are a scientific proven solution
Literature reports survival and success rates comparable to other (regular length) implant systems
Study club presentation ‘short implants’

43. Thank you for your attention!
“Short implants”
Thank you for your attention!
6.5 mm