Immediately loaded non-submerged versus delayed loaded submerged dental implants: A meta-analysis

Chrcanovic, Bruno Ramos; Albrektsson, Tomas; Wennerberg, Ann

doi:10.1016/j.ijom.2014.11.011

Cited by 54 publications

(74 citation statements)

References 49 publications

(130 reference statements)

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“…In this study, implants were loaded approximately 3 months after placement using the one‐stage surgical protocol, which may have affected the amount of CBL. The effect of single stage implant placement versus submerged healing has been previously investigated, showing comparable clinical and radiographic results . However, peri‐implant CBL has been demonstrated by others to be significantly higher in the submerged healing group .…”

Section: Discussionmentioning

confidence: 96%

Comparison of Clinical, Radiographic, and Immunologic Inflammatory Parameters around Crestally and Subcrestally Placed Dental Implants: 5‐Year Retrospective Results

Amri

Alfadda

Labban

et al. 2017

Journal of Prosthodontics

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The article is associated with the American College of Prosthodontists' journal-based continuing education program. It is accompanied by an online continuing education activity worth 1 credit. Please visit www.wileyhealthlearning.com/jopr to complete the activity and earn credit. KeywordsCrestal bone loss; crestal placement; dental implants; peri-implant inflammation; proinflammatory cytokines; subcrestal. parameters around crestally and subcrestally placed dental implants 5 years after implant placement. Materials and Methods: Fifty-two patients were divided into 2 groups: group 1 (n = 27): patients with single implants placed approximately 2 mm below the alveolar crest; group 2 (n = 25): patients with single implants placed at bone level. In both groups, peri-implant BOP, PPD, and CBL were measured, and levels of IL-1β and MMP-9 were determined in duplicates using enzyme-linked immunosorbent assay. Full-mouth debridement was performed biannually in both groups. Statistical analysis was performed using the Mann-Whitney U test (significance set at p < 0.05). Results: All measurements in groups 1 and 2 were performed 5.3 ± 0.2 and 5.2 ± 0.1 years after implant placement, respectively. The mean CBL was 1.2 ± 0.2 mm and 1.4 ± 0.2 mm in groups 1 and 2, respectively. There was no significant difference in mean BOP, PPD, CBL and in levels of IL-1β, and MMP-9 among implants in both groups. Conclusion: Clinical, radiographic, and immunologic inflammatory parameters are comparable around crestally and subcrestally placed single dental implants up to 5 years after placement. The depth of implant placement appears to have no effect on clinical status and performance of single dental implants. Correspondence

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Section: Discussionmentioning

confidence: 96%

Comparison of Clinical, Radiographic, and Immunologic Inflammatory Parameters around Crestally and Subcrestally Placed Dental Implants: 5‐Year Retrospective Results

Amri

Alfadda

Labban

et al. 2017

Journal of Prosthodontics

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“…The I 2 statistic was used to analyse the variations in terms of heterogeneity; in which I 2 values above 75% (range: 0‐100) indicate high heterogeneity. Furthermore, as the meta‐analysis showed high heterogeneity a random‐effect model was adopted, whereas the fixed‐effects model was used when meta‐analysis showed low heterogeneity . The Reviewer Manager v 5.3 software program (Nordic Cochrane Centre, Cochrane Collaboration, 2014) was used for the meta‐analysis and creation of the forest and funnel plots, with a P value <.05 considered as indicative of statistical significance.…”

Section: Methodsmentioning

confidence: 99%

Splinted and unsplinted overdenture attachment systems: A systematic review and meta‐analysis

Leão

Moraes

Vasconcelos

et al. 2018

J of Oral Rehabilitation

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Splinted and unsplinted overdenture attachment systems have unique advantages and disadvantages. The aim of the present systematic review was to determine the influence of splinted and unsplinted overdenture attachment systems on the marginal bone loss, prosthetic complications and implant survival rate. PubMed/MEDLINE, Scopus and Cochrane databases were searched for articles published up to October 2017, using the following search terms: "overdenture AND attachment OR overdenture AND bar OR overdenture splinted." The PICO question "Do splinted overdenture attachment systems promote better clinical results in comparison to unsplinted systems?" was evaluated. Eligible studies included randomized controlled clinical trials, prospective studies with at least 10 participants and a minimum follow-up of 6 months, and studies published in English that compared splinted and unsplinted attachment systems within the same study. The 95% confidence interval (CI) was considered for all outcomes analysed. After completion of the different steps in the article selection process, nine articles were included in the qualitative and quantitative analyses. A total of 984 implants were placed in 380 patients (mean age: 62.8 years). The meta-analysis demonstrated no statistically significant differences between splinted and unsplinted attachment systems with regard to marginal bone loss (P = .39; MD: -0.11; 95% CI: -0.37 to 0.14), complications (P = .31; RR: 1.26; CI: 0.80-1.99) and implant survival rate (P = .14; RR: 0.37% CI: 0.10-1.36). In addition, splinted and unsplinted overdenture attachment systems achieved similar results with regard to marginal bone loss, prosthetic complications and implant survival rate.

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“…By contrast, studies have shown that immediately loaded implants have excellent success rates . Evidence suggests immediate loading does not negatively affect osteointegration . A review of histological studies found that immediate loading did not impede osseointegration when kept below a micromotion threshold .…”

Section: Introductionmentioning

confidence: 99%

Immediate placement of tapered implants with a moderately rough anodized surface and smooth collar in fresh extraction sockets: A retrospective analysis with 10‐year follow‐up

Mura¹

2019

Clin Implant Dent Rel Res

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Background There is limited long‐term data on hard‐ and soft‐tissue outcomes of implants immediately placed in postextraction sockets with immediate or early loading. Purpose To evaluate the clinical outcomes of immediately placed anodized tapered implants in consecutive patients with at least 10 years of follow up. Materials and Methods This retrospective analysis evaluated outcomes of 61 consecutive patients who received 89 tapered implants with an anodized implant body and machined collar. Implants were placed in fresh extraction sites and functionalized using an immediate‐ or early‐loading protocol. Outcome measures included survival, marginal bone level change (ΔMBL), and papilla index. Results The 10‐year cumulative survival rate was 100%. ΔMBL at the 10‐year follow up was −0.86 ± 2.10 mm. At 10 years, patients had mesial and distal papilla index scores of 2 or 3 for 95.9% and 87.8% of implants, respectively. Conclusions When used for immediate placement and immediate‐ or early‐loading protocols, this implant produced excellent long‐term hard‐ and soft‐tissue outcomes.

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Immediately loaded non-submerged versus delayed loaded submerged dental implants: A meta-analysis

Cited by 54 publications

References 49 publications

Comparison of Clinical, Radiographic, and Immunologic Inflammatory Parameters around Crestally and Subcrestally Placed Dental Implants: 5‐Year Retrospective Results

Comparison of Clinical, Radiographic, and Immunologic Inflammatory Parameters around Crestally and Subcrestally Placed Dental Implants: 5‐Year Retrospective Results

Splinted and unsplinted overdenture attachment systems: A systematic review and meta‐analysis

Immediate placement of tapered implants with a moderately rough anodized surface and smooth collar in fresh extraction sockets: A retrospective analysis with 10‐year follow‐up

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