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8?��?19.1?months, the cumulative implant-based success and survival rates were respectively 93.1% and 92.5%, and the mean peri-implant bone loss (PBL) was 0.9?��?0.6?mm (range: 0.4�C2.4?mm). Statistical analysis revealed no significant correlation between implant success rate and C/I ratio (P?>?0.05) and between PBL and C/I check details ratio (P?>?0.05). Conclusion and clinical implications This prospective study revealed that 7- and 8.5-mm short implants offer a predictable solution for implant prosthetic rehabilitation in patients with edentulism characterized by different alveolar bone atrophy. From the biomechanical point of view, the C/I ratio does not seem to affect the implant success and the crestal bone loss. Further studies are recommended to investigate significant correlations between higher C/I ratio and CBL or implant success, Aldosterone using ultra-short implants. ""Little is known about the recently introduced ultrasonic implant site preparation. The purpose of this study was to compare material attrition and micromorphological changes after ultrasonic and conventional implant site preparations. Implant site preparations were performed on fresh bovine ribs using one conventional (Straumann, Freiburg, Germany) and two ultrasonic (Piezosurgery?; Mectron Medical Technology, Carasco, Italy and Variosurg?; NSK, Tochigi, Japan) systems with sufficient saline irrigation. Sections were examined by environmental scanning electron microscopy (ESEM). Energy-dispersive X-ray spectroscopy (EDX) was performed to evaluate the metal attrition within the bone and the irrigation fluid. ESEM: After conventional osteotomy, partially destroyed trabecular structures of the cancellous bone that were loaded with debris were observed, whereas after Selleck GDC 973 ultrasonic implant site preparations, the anatomic structures were preserved. EDX: None of the implant site preparation methods resulted in metal deposits in the adjacent bone structures. However, within the irrigation liquid, there was significantly higher metal attrition with ultrasonic osteotomy (P?