Comparative evaluation of the influence of immediate versus delayed loading protocols of dental implants: A radiographic and clinical study

Kushaldeep,; Tandan, Amrit; Upadhyaya, Viram; Raghuvanshi, Mohit Singh

doi:10.4103/jips.jips_127_17

Cited by 11 publications

(8 citation statements)

References 20 publications

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“…This could be attributed due to the stress created by the immediate functional loading of the implant in IFL group used in the present study. [ 19 ] Bone density changes in the apex postimplant placement is consistent with the study by Tavitian et al . [ 20 ] INFL group also showed lesser bone density changes in the middle region as compared to the IFL group at all times.…”

Section: Discussionsupporting

confidence: 91%

A randomized controlled trial for evaluation of bone density changes around immediate functionally and nonfunctionally loaded implants using three-dimensional cone-beam computed tomography

Singh

Chand

Chaurasia

et al. 2022

J Indian Prosthodont Soc

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Aim: The aim of this study was to compare and assess bone density changes around immediate functionally and nonfunctionally loaded implants. Settings and design: In vivo comparative study Materials and Methods: Sixty participants selected based on the predetermined inclusion and exclusion criteria received single tooth implants in mandible under two implant loading protocols: Immediate functionally loaded (IFL) and immediate nonfunctionally loaded (INFL). Randomization was done by computer-aided simple randomization procedure. Self-tapering, aggressive SLA implants were placed in the single tooth edentulous sites of mandible in both the groups. Three-dimensional cone-beam computed tomography (3D CBCT) was taken at baseline, 3 and 6 months postimplant placement. Quantitative analysis of the bone density was performed using 3D CBCT in three areas around the implants at crestal, middle, and apical regions of implants. Statistical Analysis Used: Quantitative data were summarized as mean ± standard deviation. Statistical analyses were performed using the SPSS software version 21.0 (SPSS Inc., Chicago, IL, USA) by unpaired t -test. Results: Bone density changes after implant placement in IFL group from baseline to 3 months were; crestal region (314.18 ± 71.69), middle (278.23 ± 70.17), apical (274.70 ± 59.79) and changes from 3 to 6 months were; crestal (−105.55 ± 39.60), middle (−114.80 ± 41.46), apical (−141.88 ± 69.58). Bone density changes after implant placement in INFL group from baseline to 3 months were crestal region (199.42 ± 47.97), middle (56.91 ± 10.39), apical (200.98 ± 67.43) and changes from 3 to 6 months were; crestal (−194.38 ± 75.30), middle (−204.40 ± 63.75), apical (−191.28 ± 62.33). Conclusions: It was concluded that INFL implant group showed better bone density when compared to IFL implant group.

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Section: Discussionsupporting

confidence: 91%

A randomized controlled trial for evaluation of bone density changes around immediate functionally and nonfunctionally loaded implants using three-dimensional cone-beam computed tomography

Singh

Chand

Chaurasia

et al. 2022

J Indian Prosthodont Soc

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“…This short period of time leads to uncertainty in the long-term results in the clinical practice of implantology. However, problems arising from an immediate loading protocol tend to occur in the first months during the osseointegration phase, so the two-year follow-up is adequate [ 50 ]. Nevertheless, to evaluate the survival rate, which can be influenced by peri-implant disease or crestal bone loss, these outcomes require long-term follow-up, and these results cannot be extrapolated in this study.…”

Section: Discussionmentioning

confidence: 99%

Survival rate and peri-implant evaluation of immediately loaded dental implants in individuals with type 2 diabetes mellitus: a systematic review and meta-analysis

et al. 2021

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Objectives To evaluate the survival rate, success rate, and peri-implant biological changes of immediately loaded dental implants (ILs) placed in type 2 diabetic patients (DM2). Materials and methods The present study was registered on PROSPERO and followed the PRISMA checklist. The search was performed by the first reviewer in January 2021. The electronic databases used were MEDLINE via PubMed, Cochrane, BVS, Web of Science, Scopus, LIVIVO, and gray literature. The risk of bias analysis was performed using an instrument from the Joanna Briggs Institute. Results A total of 3566 titles and abstracts were obtained. The qualitative synthesis included 7 studies, while the quantitative synthesis included 5 studies. The meta-analysis of IL in individuals with DM2 compared to nondiabetic individuals showed no significant difference among the groups regarding the survival rate of dental implants (RR = 1.00, 95% CI 0.96–1.04; p = 0.91; I2 = 0%), even if the patient had poor glycemic control (RR = 1.08, 95% CI 0.87–1.33; p = 0.48; I2 = 70%). Meta-analysis of marginal bone loss in IL compared to conventional loading in DM2 patients also showed no significant difference (mean difference = − 0.08, 95% CI − 0.25–0.08; p = 0.33; I2 = 83%). Conclusions Type 2 diabetes mellitus does not seem to be a risk factor for immediately loaded implants if the glycemic level is controlled, the oral hygiene is satisfactory, and the technical steps are strictly followed. Clinical relevance Rehabilitation in diabetic individuals is more common due to the highest prevalence of edentulism in this population. It is essential to establish appropriate protocols for loading dental implants.

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“…From the aspect of a clinician, the immediate loading approach saved chairside time and lowered treatment costs. [ 51 52 ] The evidence on the performance of axial and tilted implants in function for at least 3 years has been summarized in this systematic review. After 3 years of function, no significant difference in implant survival was observed between axial and tilted implants, according to the meta-analysis findings ( P = 0.59).…”

Section: Discussionmentioning

confidence: 99%

Clinical success between tilted and axial implants in edentulous maxilla: A systematic review and meta-analysis

Mehta

Sutariya

Pathan

et al. 2021

J Indian Prosthodont Soc

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Aim: This systematic review and meta-analysis evaluated the clinical survival of axial and tilted implants in atrophic edentulous maxilla after three years of immediate loading and also the corresponding marginal bone loss. Setting and Design: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines (PRISMA). Materials and Methods: The relevant studies were retrieved from MEDLINE(PubMed), the Cochrane Central Register of Controlled Trials (CENTRAL), Science Direct, Google Scholar databases. The search was limited to studies published in the English language with no date restrictions. A further hand search was conducted on individual journals and reference lists of studies. The risk of bias in included studies was assessed by using the Evidence Project risk of bias tool. Statistical Analysis Used: Statistical meta-analysis was conducted using RevMan 5.4 software. The assessment for the level of evidence was done using GRADEpro software. Results: Eleven studies were finalised. All were included in the meta-analysis for implant survival, while only seven studies were included in the meta-analysis of marginal bone loss. After three years, the meta-analysis results for implant survival showed no statistical difference between axial and tilted implants, with the forest plot neither favouring axial nor tilted implants (RR = 1.00 (95% CI: 0.98-1.01); P-value = 0.59). After three years, the meta-analysis results for marginal bone showed no statistical difference between axial and tilted implants, with the forest plot neither favouring axial nor tilted implants (MD = -0.02; 95% CI; -0.09-0.06; P-value = 0.69). Conclusion: In the immediately loaded rehabilitation of completely edentulous atrophic maxillae, tilting of implants did not induce any significant alteration in their survival and their corresponding marginal bone loss levels compared to conventionally placed axial implants even after three years of function.

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Comparative evaluation of the influence of immediate versus delayed loading protocols of dental implants: A radiographic and clinical study

Abstract: After achieving good primary stability, immediate-loaded implants can be used for the benefit of the patients as it reduces the period of edentulism.

Cited by 11 publications

References 20 publications

A randomized controlled trial for evaluation of bone density changes around immediate functionally and nonfunctionally loaded implants using three-dimensional cone-beam computed tomography

A randomized controlled trial for evaluation of bone density changes around immediate functionally and nonfunctionally loaded implants using three-dimensional cone-beam computed tomography

Survival rate and peri-implant evaluation of immediately loaded dental implants in individuals with type 2 diabetes mellitus: a systematic review and meta-analysis

Clinical success between tilted and axial implants in edentulous maxilla: A systematic review and meta-analysis

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