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Sammanfattning

Prosthetic rehabilitation of the posterior part of the maxilla using short implants is an increasingly used treatment alternative to sinus floor augmentation and placement of standard length implants. Thereby, the surgical procedure can be simplified because sinus floor augmentation including an autogenous bone graft and/or a bone substitute can be avoided. Several systematic reviews and meta-analyses have revealed high survival of suprastructure and implant, limited peri-implant bone loss, high patient satisfaction, and few complications. In accordance with these results, European Association for Osseointegration concluded in a consensus report from 2015, that prosthetic rehabilitation of the atrophic posterior maxilla using short implants was a reliable treatment alternative to sinus floor augmentation and standard length implants. However, few randomized controlled long-term trials comparing the two treatment modalities are available. Moreover, the influence of reduced implant surface, increased crown-to-implant ratio, and necessity of splinted prosthetic constructions are inadequately clarified. In the present review, current knowledge on the prosthetic rehabilitation of the atrophic posterior maxilla using short implants compared to sinus floor augmentation and standard length implants is presented. However, further randomized controlled long-term trials comparing the two treatment modalities are needed before evidence-based treatment guidelines can be provided about the indication for prosthetic rehabilitation using this treatment method.

MeSH