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Updated: Feb 17, 2026

In situ Compressive Loading and Correlative Noninvasive Imaging of the Bone-periodontal Ligament-tooth Fibrous Joint
Published on: March 7, 2014
A prospective, multi-center study assessing early loading with short implants in posterior regions. A 3-year
Jie Han1, Zhihui Tang2, Xiao Zhang3
1Department of Periodontology, Peking University School and Hospital of Stomatology, Beijing, China.
Background:
Few prospective studies about early loading of short implant have been available and very little evidence exists on the outcomes longer than 3 years.
Purpose:
To assess clinical and radiographic outcomes of 6 mm-short implants placed in the posterior maxilla and mandible applying an early loading protocol.
Materials And Methods:
Ninety-five short implants (6 mm-short, Ø 4 mm) were placed in 45 subjects at 3 study sites, 2 or 3 implants per subject, using a one-stage surgical procedure and loaded with a screw-retained splinted fixed prosthesis 6 weeks later. Follow-up took place at 6, 12, 24, and 36 months after loading. Marginal bone level changes, implant survival, clinical variables, and adverse events were assessed.
Results:
The survival rate for all implants placed was 95.8%. From implant loading to 3 years follow-up, mean marginal bone level changes were minimal (0.07 ± 0.49 mm) and the peri-implant soft tissue status was healthy. No major technical or biological complications occurred except for the 4 early implant losses.
Conclusion:
Three-year data indicates that the use of splinted 6 mm-short implants is a viable treatment in posterior regions with low marginal bone resorption. Early loading after 6 weeks should be taken cautiously in patients with known risk factors.

