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SYSTEMATIC REVIEW article

Front. Oral Health

Sec. Oral and Maxillofacial Surgery

Volume 6 - 2025 | doi: 10.3389/froh.2025.1670095

This article is part of the Research TopicCurrent Trends in Oral Surgery and ImplantologyView all 3 articles

Clinical performance of short implants versus standard implants in edentulous patients. An umbrella review

Provisionally accepted
Heber Isac Arbildo-VegaHeber Isac Arbildo-Vega1,2Cruzado-Oliva, FredyCruzado-Oliva, Fredy3Edward Demer Infantes-RuízEdward Demer Infantes-Ruíz4Sara Antonieta Luján-ValenciaSara Antonieta Luján-Valencia5Joan Manuel Meza-MálagaJoan Manuel Meza-Málaga6Consuelo Marroquín-SotoConsuelo Marroquín-Soto7Franz Tito Coronel-ZubiateFranz Tito Coronel-Zubiate8*
  • 1Faculty of Dentistry, Dentistry School; Faculty of Human Medicine, Human Medicine School, Universidad San Martín de Porres, Chiclayo, Peru
  • 2Postgraduate School, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru
  • 3Faculty of Stomatology, Stomatology School, Universidad Nacional de Trujillo, Trujillo, Peru
  • 4Faculty of Health Science, Stomatology School, Universidad César Vallejo, Piura, Peru
  • 5Faculty of Dentistry, Dentistry School; Postgraduate School, Universidad Católica de Santa María, Arequipa, Peru
  • 6Faculty of Dentistry, Dentistry School, Universidad Católica de Santa María, Arequipa, Peru
  • 7Department of Dentistry, School of Dentistry, Universidad Científica del Sur, Lima, Peru
  • 8Faculty of Health Sciences, Stomatology School, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru

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Aim: To assess the clinical performance of short implants compared to standard-length implants in edentulous patients through an umbrella review. Material and Methods: A comprehensive search was conducted in databases such as PubMed, Cochrane Library, Scopus, SciELO, Google Scholar, ProQuest Dissertations and Theses, and OpenGrey, covering literature up to June 2025. Included studies were systematic reviews, with or without meta-analysis, that compared short implants with standard-length implants, with or without bone augmentation, reporting on implant survival, marginal bone loss, and biological or prosthetic complications. Reviews of a narrative nature, rapid reviews, clinical trials, observational or experimental studies, case reports, editorials, letters, protocols, and posters were excluded. The methodological quality of the reviews was assessed using the AMSTAR-2 tool. Results: From an initial retrieval of 790 records, 60 systematic reviews met the inclusion criteria. The data showed no significant differences in survival rates, implant failure, or prosthetic complications between short and standard implants. However, short implants showed less marginal bone loss and fewer biological complications. Conclusion: Based on high-confidence systematic reviews, short implants provide comparable clinical outcomes to standard-length implants and are a viable, less invasive alternative for patients with reduced vertical bone height.

Keywords: Short implants, standard implants, Clinical performance, Edentulous patients, review

Received: 21 Jul 2025; Accepted: 26 Aug 2025.

Copyright: © 2025 Arbildo-Vega, Fredy, Infantes-Ruíz, Luján-Valencia, Meza-Málaga, Marroquín-Soto and Coronel-Zubiate. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Franz Tito Coronel-Zubiate, Faculty of Health Sciences, Stomatology School, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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