Immediate Versus Delayed Loading of Postextraction Implants

Testori, Tiziano; Taschieri, Silvio; Scutellà, Fabio; Fabbro, Massimo Del

doi:10.1097/id.0000000000000635

Cited by 7 publications

(3 citation statements)

References 20 publications

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“…A detailed description of the primary stability is provided in Toljanic et al 10 Additionally shown that immediate loading had similar long-term results as the conventional delayed protocol. 31 These mentioned studies may indicate that the implant losses we saw in this follow-up are unlikely caused by the immediate loading, but rather due to poor maintenance leading to peri-implantitis.…”

Section: Inclusion Criteriamentioning

confidence: 78%

“…However, long-term studies with immediately loaded implants in the edentulous maxillae also report good implant survival, such as the follow-up presented by Cassetta with an implant survival rate of 97.9% after 10 years 29 and Testori et al that observed a survival rate of 95.1% after 10 years 30. In another study by Testori et al that compared immediate and delayed loading in fresh extraction sites, it was shown that immediate loading had similar long-term results as the conventional delayed protocol 31. These mentioned studies may indicate that the implant losses we saw in this follow-up are unlikely caused by the immediate loading, but rather due to poor maintenance leading to peri-implantitis.…”

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confidence: 90%

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Eight to eleven‐year follow‐up of immediately loaded implants placed in edentulous maxillae with compromised bone volume and poor bone quality: A prospective cohort study

Trbakovic

Toljanic

Kumar

et al. 2019

Clin Implant Dent Rel Res

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Background There is a lack of long‐term evaluations of immediately loaded implants in patients with compromised maxillary bone. Purpose To evaluate long‐term survival and success of immediately loaded implants in subjects with poor maxillary bone quality and volume. Material and methods Follow‐up was performed on subjects who received six implants loaded within 24 hours with screw‐retained fixed prostheses. Twenty‐five subjects with limited bone (Lekholm and Zarb, quantity 3 and 4, and quality C and D) were included in the study. Nineteen participated in the radiographic examination and of these 17 participated in the clinical examination at the last visit. Evaluations of marginal bone loss were performed at 1, 3, 5, and 8‐11 years. The last clinical examination included removal of the prosthesis followed by registration of: plaque, pus, pocket depth, bleeding upon probing, mobility, and percussion testing. Results The mean follow‐up was 9 years and 2 months (101‐131 months) after surgery and showed a cumulative implant survival rate of 81.9% and success rate of 74.7%. Mean marginal bone loss was 1.29 mm (SD 2.47 mm range 0‐11 mm) with a mean pocket depth of 3.1 mm (SD 2.4 mm, range 1.5‐13.5 mm). 42.5% of the implants showed plaque retention and 72.2% showed bleeding on probing. Conclusion This nonaugmenting immediate loaded implant protocol for maxillary edentulous patients is a satisfactory solution for selected patients.

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Section: Inclusion Criteriamentioning

confidence: 78%

mentioning

confidence: 90%

Eight to eleven‐year follow‐up of immediately loaded implants placed in edentulous maxillae with compromised bone volume and poor bone quality: A prospective cohort study

Trbakovic

Toljanic

Kumar

et al. 2019

Clin Implant Dent Rel Res

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“…It must be emphasized that all the included studies concerning time for implant placement involved single tooth replacements and the patient perceptions in cases with multiple tooth extractions and provisional prosthesis may be different as reported by Testori and coworkers (Testori et al, 2004(Testori et al, , 2017.…”

Section: Implant Placementmentioning

confidence: 99%

Patient’s perception of timing concepts in implant dentistry: A systematic review

Gotfredsen

Hosseini

Rimborg³

et al. 2021

Clinical Oral Implants Res

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Protocols for implant dentistry, most frequently include periods until healing of the extraction sockets and osseointegration of the implant. Deductional thinking imply that patients would prefer if treatment time in implant dentistry were reduced. Aim What is the patient perception of immediate or early implant placement or loading in comparison with traditional, delayed placement, and/or loading assessed by patient‐reported outcome measures, as evidenced in randomized controlled clinical trials or prospective controlled studies? Material and methods A systematic review was performed following the PRISMA guidelines with a literature search up to June 30. All hits were imported into Rayyan online software and analyzed by two authors for eligibility. Cochrane RoB2.0 and Newcastle‐Ottawa Scale were used to evaluate risk of bias in the individual studies. Results Of the initially 1439 articles, 76 underwent full‐text analysis and finally 40 articles, representing 35 cohort studies, were included. The quality evaluation demonstrated some concerns among most of the studies. Conclusion a) There is no strong evidence to support that the time for implant placement or loading of implant‐supported single or short‐span reconstructions or overdentures influence patients´ discomfort, satisfaction with function or esthetics or overall satisfaction with the implant treatment. b) There is some evidence that studies including edentulous patients rehabilitated with implant‐supported full‐arch FDPs demonstrate more satisfied patients with immediate than for the early or delayed loaded implant reconstructions after short time, but the difference is not clear one year after treatment.

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Comparing success of immediate versus delay loading of implants in fresh sockets: a systematic review and meta-analysis

Eini

Yousefimanesh

Ashtiani

et al. 2021

Oral Maxillofac Surg

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Background and aims: The replacement of teeth with osseointegrated implants is one of the signi cant advances in the eld of restorative dentistry. The time interval between tooth extraction and the implant can be very short or long. This systematic review and meta-analysis aimed to collect and evaluate articles related to determining the effect of immediate loading of dental implants are placed in the fresh socket initial stability on the clinical success of the implant compared to delay loading procedure.Materials and Methods: In this study, all the available articles indexed in leading databases, including PubMed, ISI Web of Science, Embase, PsycINFO, PROSPERO, and Scopus were searched. The full text of the articles meeting the primary criteria to be included in this research was obtained and appraised. Data of studies were extracted if they were scored as a high or moderate level of evidence.Results: A total of 2,258 published articles were found through electronic database searching. After screening the titles and abstracts, and full-text of articles 16 studies met the inclusion criteria and were included in the analysis. The results of this study revealed that regarding the success rate, although there was no signi cant difference between immediate and delay loading of dental implants, immediate procedure showed a lower incidence of bone loss in single implants. Conclusion:Based on the results of this study, immediate loading of dental implant, under certain conditions, is a successful treatment process and is effective in reducing treatment time. Thus, immediate loading represents a valid alternative to the traditional delayed loading rehabilitation.

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Immediate Versus Delayed Loading of Postextraction Implants

Abstract: IL does not negatively influence the long-term prognosis of implants inserted into fresh extraction sockets.

Cited by 7 publications

References 20 publications

Eight to eleven‐year follow‐up of immediately loaded implants placed in edentulous maxillae with compromised bone volume and poor bone quality: A prospective cohort study

Eight to eleven‐year follow‐up of immediately loaded implants placed in edentulous maxillae with compromised bone volume and poor bone quality: A prospective cohort study

Patient’s perception of timing concepts in implant dentistry: A systematic review

Comparing success of immediate versus delay loading of implants in fresh sockets: a systematic review and meta-analysis

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