Clinical Case Overview

This document presents a clinical case involving the radiographic control of extra-short dental implants in a female patient aged 59. The treatment involved placement of extra-short implants of type OST®, specifically implants sized ø 5.25 x 6.5 mm at positions 36 and 37.

Implant Placement and Prosthetic Treatment

The patient received an "All on six" implant placement protocol, followed by a fixed aesthetic prosthesis on the implants. The case highlights the use of extra-short implants as a treatment option.

Radiographic Monitoring Timeline

• Initial X-ray (27/11/2014): Baseline radiographic image before implant placement.
• Post-surgical X-ray (15/01/2015): Imaging immediately after implant surgery to verify implant positioning.
• 7-day control X-ray (22/01/2015): Early post-operative check to assess initial healing and implant stability.
• 2-month control X-ray (12/03/2015): Mid-term evaluation of osseointegration progress.
• 3-month X-ray with impression transfer (09/04/2015): Radiograph taken during prosthetic impression phase to confirm implant integration and positioning.
• 4-month prosthesis control X-ray (07/05/2015): Assessment of prosthesis fit and implant condition after prosthetic loading.
• 2-year control X-ray (16/03/2017): Long-term follow-up to evaluate implant success and bone stability over time.

Key Points and Recommendations

• Extra-short implants (6.5 mm length) can be successfully used in fixed prosthetic rehabilitation, even in cases requiring "All on six" protocols.
• Systematic radiographic monitoring at multiple time points is critical to assess implant integration, prosthetic fit, and long-term stability.
• Use of 3D reconstruction and impression transfer radiographs aids in precise prosthetic planning and verification.
• Long-term follow-up (2 years) demonstrates the viability and stability of extra-short implants in clinical practice.

This case supports the clinical efficacy of extra-short implants combined with fixed prostheses, emphasizing the importance of structured radiographic controls throughout treatment phases.