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T he publication of case reports is a long-standing tradition for the Journal of Oral Implantology (JOI). This tradition developed because the American Academy of Implant Dentistry and the American Academy of Implant Prosthodontics principally define themselves as a brotherhood of clinicians. Recently, many international journals, particularly in the dental fields, have decided for editorial reasons to reduce the number of published case reports. However, for JOI, case reports are of great interest to our readers and provide added value to the daily clinical practice of implant dentistry. Case reports often bring a relatively low level of scientific proof or demonstration in comparison to case series or full randomized studies, and as a result are rarely cited. Consequently, case reports for many implant journals were among the first victims of the evidence-based implant dentistry era. JOI is a clinically based journal and continues to publish case reports because these articles provide relevant clinical narratives for our readers. Even if imperfect and presenting a relatively low level of proof by evidencebased standards, case reports always offer interesting information for our clinician readership. Additionally, they often are the catalyst for the development of new concepts and techniques or for the understanding of unexpected results. Case reports are also the simplest and potentially only method for non-academic clinicians to publish the incredible clinical experience collected daily in private practice. They are the witnesses of the ‘‘real clinical world,’’ and offer a unique insight different from those presented in evidence-based academic papers. An excellent example would be the Summers’ osteotomy technique—one of the most frequently used approaches in oral implantology today. The initial three papers published concerning the Summers’ technique were technical notes with a limited level of proof. However, these papers have revolutionized the method by which clinicians place implants in the posterior maxilla when there is deficient bone height and also the scientific community’s thoughts regarding the biological properties of the sinus membrane. This explains why many top medical journals continue to publish case reports, albeit in a variety of formats. The best example is The New England Journal of Medicine (ranked among the best scientific journals with a 2010 impact factor over 50), which publishes several short case reports each week, in the form of ‘‘images in clinical medicine,’’ ‘‘clinical problem-solving,’’ ‘‘clinical practice,’’ and various forms of clinical editorials, with each of these following a letter format. Indeed, the case reports can take various formats: EDITORIAL

Evolving From Clinical Case Reports to Clinical Case Letters: A New Direction for the Journal of Oral Implantology