Journal
CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH
Volume 11, Issue 4, Pages 257-266Publisher
WILEY
DOI: 10.1111/j.1708-8208.2008.00117.x
Keywords
immediate loading; implant survival; long-term studies; peri-implant bone resorption; square thread
Categories
Funding
- National Research Council, Rome, Italy
- Ministry of Education, University, and Research, Rome, Italy
- Research Association for Dentistry and Dermatology, Chieti, Italy
Ask authors/readers for more resources
Background: Clinical, radiographical, and histological findings have shown that immediately loaded implants show the presence of mineralized tissues at the interface. Purpose: The aim of this study was to compare an immediate loading protocol with a two-staged one using an implant with a square thread design. Materials and Methods: One hundred fifty-five consecutive patients (71 men, 84 women), aged between 18 and 78 years (mean: 54 years) participated in this study. A total of 550 implants (Maestro; BioHorizons, Birmingham, AL, USA) were inserted. In group A, 264 implants were inserted in 82 patients with immediate functional loading with occlusal contact if the patients were completely edentulous, or with immediate nonfunctional loading without occlusal contact if the patients were partially edentulous. In group B, 286 implants were inserted in 73 patients with a one-stage or two-stage surgical procedure. All patients were followed for at least 5 years. Results: In the immediately loaded implants group, three implants failed, all in posterior mandibular sites, with an overall 98.8% 5-year survival rate. In the control group, no implant failed, with a 100% 5-year survival rate. No statistically significant differences were found in the survival rates of the implants in the two groups. Discussion: A very high implant survival rate was also present in our series for the immediately loaded implants. All the three failed implants were retrieved from the same patient, who had poor oral hygiene, after a loading period of 5 years. These data can suggest that, from a clinical point of view, an abbreviated healing period is compatible with the development and maintenance over a longer time period (5 years) of mineralized tissues at the interface with dental implants. Conclusion: We can then conclude that shorter healing periods can be highly satisfactory from a clinical point of view.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available