Immediate post-extraction implants subject to immediate loading: A meta-analytic study

Abstract

Since Brånemark first started developing its implant system, there has been a continuous and significant evolution in oral implantology through experimental and clinical research, and many of the concepts that were once considered valid have now become the subject of debate. The insertion of the implant immediately after extraction of the tooth to be substituted has now become the implant treatment of choice and is associated with preserving the bone structure and the gingival architecture, as well as with reducing the treatment time, which ultimately benefits the patient. Objective: To evaluate the success rate of the immediate post-extraction implants (IPI) subject to immediate loading. Study Design: A meta-analytic study was carried out on 659 immediate post-extraction implants obtained from a bibliographic review of 25 articles published within the last 9 years. Results: We obtained a sample of 322 patients who had been treated with a total of 659 implants placed immediately following extraction. The mean age of the patients was 51 years old. A total of 441 implants were inserted in the maxilla, 152 in the mandible and 64 were placed in an unspecified location. The survival rate ranged between 85% and 100%. Conclusions: Immediate post-extraction implant treatment is an implant alternative with a survival rate similar to that of the conventional technique for implant placement and enables preserving both the bone structure and gingival architecture, as well as providing immediate functional loading, thus improving the quality of the treatment as far as the patient is concerned.

Single-Tooth Replacement in the Anterior Maxilla by Means of Immediate Implantation and Early Loading: Clinical and Aesthetic Results at 5 Years

“…Several investigation have demonstrated successful immediate loading for implants‐supported fixed cross‐arch splinted superstructure, supported multiunit reconstructions, and also supported single‐tooth restorations . Advances in biomaterials and clinical techniques have further facilitated significant expansion in the indications for dental implant therapy, and in contemporary implantology, installation of implants in fresh extraction sockets and reducing the load‐free period by immediate restoring implants after insertion have been adopted . Today, a growing evidence of data indicates that a treatment protocol involving tooth extraction immediately combined with implant placement and loading can be carried out successfully also in patients with a hopeless maxillary anterior teeth .…”

“…8,9 Advances in biomaterials and clinical techniques have further facilitated significant expansion in the indications for dental implant therapy, and in contemporary implantology, installation of implants in fresh extraction sockets and reducing the load-free period by immediate restoring implants after insertion have been adopted. 10 Today, a growing evidence of data indicates that a treatment protocol involving tooth extraction immediately combined with implant placement and loading can be carried out successfully also in patients with a hopeless maxillary anterior teeth. 11 However, immediate single implant treatment in maxillary esthetic zones may be a risky procedure in terms of soft tissue stability especially when patients are improperly selected.…”

Immediate versus Delayed Treatment in the Anterior Maxilla Using Single Implants with a Laser‐Microtextured Collar: 3‐Year Results of a Case Series on Hard‐ and Soft‐Tissue Response and Esthetics

“…Improved knowledge in the therapeutic use of dental implants has led to radical changes in the traditional guidelines for implant therapy. Immediate placement of implants in fresh extraction sites and reduction of the load‐free period by immediately restoring implants are techniques gradually gaining in popularity . A growing amount of data indicates a treatment protocol of tooth extraction combined with immediate implantation and immediate loading can be carried out successfully in cases of single‐tooth replacement in the esthetic zone .…”

Immediate loading of post‐extractive single‐tooth implants: a 1‐year prospective study

“…Since 1969 when Br anemark introduced the concept of osseointegration, implant dentistry has considerably evolved, making it possible alternative and advanced treatments. The traditional protocols have been modified, and clinical procedures, such as immediate or early implant placement and immediate or early loading, have been proposed to decrease the overall treatment time and optimize functional and esthetic results (De Rouck et al 2008b;Mijiritsky et al 2009;Enr ıquez-Sacrist an et al 2011).…”