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The conception of the endosseous blade implant arose from the intuitions of Leonard I. Linkow (L.I.L.) and Ralph Roberts. Given the thinness of the blade, this implant can be used in any alveolar crest, but it is particularly useful in the thinnest, where the use of root-form implants is difficult and needs bone regeneration procedures. The aim of this paper was to discuss the use of blade implants in the rehabilitation of severely atrophic ridges. Methodology This report involved five centres located throughout the Italian country from 1972 to 2012. The clinicians used a specific surgical protocol; in some cases a variation of the original technique was used like ‘endosseous distal extension’ for the treatment of lower posterior sectors in the presence of low-density bone. In presence of satisfactory primary stability, the blade implants were loaded immediately. Discussion The blade implant allows for a simple surgical technique to be performed with standard instruments, valorisation of existing tissue and can be used without bone expansion and regeneration procedures. Also, it is possible the mechanical correction of parallelism issues during implant surgery and the blade implant can be immediately loaded if adequate stability has been achieved. Conclusion The blade implant is an effective therapeutic device that is useful in the implant and prosthetic rehabilitation of severely atrophic ridges with a reduced trabecular component, especially, in the lower posterior sectors. The distally extended type can be employed in the posterior sectors, both upper and lower, while in the front aesthetic area and in the lateral sectors the blade can be used when an alternative device would entail less predictable and more invasive procedures. The response of the soft tissues surrounding this type of implant is excellent.

Blade implants in the rehabilitation of severely atrophic ridges: 40 years case report, technical improvements, statistical data over 605 implants