Evidence map›Paper›PMID 36070150›Full record

SynthesisClinical oral investigations2022

Short versus standard implants at sinus augmented sites: a systematic review and meta-analysis.

Manuel Toledano, Enrique Fernández-Romero, Cristina Vallecillo, Raquel Toledano, María T Osorio, Marta Vallecillo-Rivas

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Manuel ToledanoFaculty of Dentistry, University of Granada, Colegio Máximo de Cartijo S/N, 18071, Granada, Spain.
Enrique Fernández-RomeroFaculty of Dentistry, University of Granada, Colegio Máximo de Cartijo S/N, 18071, Granada, Spain.
Cristina VallecilloFaculty of Dentistry, University of Granada, Colegio Máximo de Cartijo S/N, 18071, Granada, Spain. ext.cvallecillo@ugr.es.ORCID http://orcid.org/0000-0002-4425-2811
Raquel ToledanoFaculty of Dentistry, University of Granada, Colegio Máximo de Cartijo S/N, 18071, Granada, Spain.
María T OsorioFaculty of Dentistry, University of Granada, Colegio Máximo de Cartijo S/N, 18071, Granada, Spain.
Marta Vallecillo-RivasFaculty of Dentistry, University of Granada, Colegio Máximo de Cartijo S/N, 18071, Granada, Spain.
Universidad de Granada · ES

Funding

Agencia Estatal de Investigación PID2020-114694RB-I00 MINECO/AEI/FEDER/U
6 · The paper itself

Abstract

backgroundShort implants are proposed as a less invasive alternative with fewer complications than standard implants in combination with sinus lift. The aim of this systematic review and meta-analysis was to state the efficacy of placing short implants (≤ 6 mm) compared to standard-length implants (≥ 8 mm) performing sinus lift techniques in patients with edentulous posterior atrophic jaws. Efficacy will be evaluated through analyzing implant survival (IS) and maintenance of peri-implant bone (MBL).

methodsScreening process was done using the National Library of Medicine (MEDLINE by PubMed), EMBASE, the Cochrane Oral Health, and Web of Science (WOS). The articles included were randomized controlled trials. Risk of bias was evaluated according to The Cochrane Collaboration's tool. Weighted means were calculated. Heterogeneity was determined using Higgins (I

resultsFourteen studies (597 patients and 901 implants) were evaluated. IS was 1.02 risk ratio, ranging from 1.00 to 1.05 (CI 95%) (p = 0.09), suggesting that IS was similar when both techniques were used. MBL was higher in patients with standard-length implants plus sinus lift elevation (p = 0.03). MBL was 0.11 (0.01-0.20) mm (p = 0.03) and 0.23 (0.07-0.39) mm (p = 0.005) before and after 1 year of follow-up, respectively, indicating that the marginal bone loss is greater for standard-length implants. DISCUSSION: Within the limitations of the present study, as relatively small sample size, short dental implants can be used as an alternative to standard-length implants plus sinus elevation in cases of atrophic posterior maxilla. Higher MBL was observed in the groups where standard-length implants were used, but implant survival was similar in both groups. Moreover, with short implants, it was observed a reduced postoperative discomfort, minimal invasiveness, shorter treatment time, and reduced costs. CLINICAL CLINICAL RELEVANCE: The low MBL promoted by short implants does contribute to a paradigm shift from sinus grafting with long implants to short implants. Further high-quality long-term studies are required to confirm these findings.

Indexed as

Dental ImplantsSinus Floor AugmentationDental Implantation, EndosseousDental Prosthesis DesignDental Restoration FailureHumansMaxillaDental ImplantsBoneImplantsLossReviewShortSurvival

Identifiers

PMID36070150
PMCPMC9643210
OpenAlexW4294945959

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.