[Simplification and rationalization of oral implantology]

A number of rules, often considered as dogmas by some, made it possible for oral implants to achieve a high success rate. However, some of these concepts have been questioned. Indeed, the submerged fashion of implant placement, the arbitrary 3 to 6 months healing period, bicortical anchorage, placement of the longest possible implants, as well as implant placement in strict sterile conditions have been scientifically challenged. The aim of this article is thus to give a critical review of these concepts, in order to further simplify and rationalize oral implantology, putting this field in the reach of a bigger number of patients and practitioners. However, procedural simplification in oral implantology is not synonymous to poor patient preparation. On the contrary, an in-depth knowledge and experience in both the surgical and prosthetic aspects of oral implantology are of utmost importance in order to achieve a high success rate.