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Tilted implants are a very good alternative for conventional implants because of its numerous advantages, such as immediate function and esthetics, reduced morbidity, high patient satisfaction, and relatively lower costs. These factors should be considered when assessing treatment options for an edentulous jaw for a long term results. The advantages of tilted implants are: (a) the use of longer implants, thereby increasing the contact (osseointegration) surface; (b) improved primary stability by anchoring in more than one cortical layer; (c) the avoidance of cantilever extremities by placing the implants more distal and with better load distribution over the dental arch; and (d) avoidance of the use of bone grafts and sinus lift procedures - with the resulting reduction in morbidity Minimal incidence of surgical complications and high implant survival rates. biomechanically favorable prosthetic support may be obtained by tilting the posterior implants and that implant tilting per se has no negative effect on bone resorption.
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