Do Dental Implant Width and Length Matter?

Achieving predictable outcomes in implant dentistry requires not only an understanding of surgical and prosthetic protocols but also knowledge of bone biology. Regarding implant stability, a distinction exists between non-osseointegrated and osseointegrated implants. Primary or mechanical stability at implant placement is different than secondary or biological stability. Bone quality, implant length, and implant width all influence the achievement of primary stability. This article reviews the contemporary literature on dental implant osseointegration, with the intent of presenting clinicians scientific information concerning the biomechanical parameters and limitations of endosseous implants and their components during the osseointegration phase, as well as their behavior once occlusal forces are present following osseointegration.