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Interventions for replacing missing teeth: different times for loading dental implants.

M Esposito1, H V Worthington, P Thomsen

  • 1Department of Biomaterials and Department of Prosthetic Dentistry/Dental Material Sciences, Sahlgrenska Academy at Goteborg University, PO Box 412, Medicinaregatan 8B, Goteborg, Sweden, SE-405 30.

The Cochrane Database of Systematic Reviews
|July 22, 2004
PubMed
Summary
This summary is machine-generated.

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Immediate and early loading of dental implants show comparable success rates to conventional loading in the mandible. Further research is needed to determine the predictability of these immediate and early loading protocols for osseointegrated oral implants.

Area of Science:

  • Oral surgery
  • Dental implantology
  • Prosthodontics

Background:

  • Conventionally, osseointegrated oral implants are kept load-free during healing to minimize failure risk.
  • Removable prostheses during healing are uncomfortable for many patients.
  • Immediate and early loading protocols are increasingly used in mandibles with good bone quality.

Purpose of the Study:

  • To compare the clinical performance of osseointegrated implants loaded at different times (immediately, early, and conventionally) one year after loading.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) was conducted.
  • Searches included Cochrane Oral Health Group's Trials Register, Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE.
  • Five RCTs involving 124 patients were included, comparing immediate (2-3 days), early (6 weeks), and conventional (3-8 months) loading in edentulous mandibles.

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Main Results:

  • No statistically significant differences were found in prosthesis failures, implant failures, or marginal bone loss between immediate, early, and conventional loading groups on a per-patient basis.
  • The study analyzed data from five RCTs with a total of 124 patients.

Conclusions:

  • Immediate loading of oral implants in select patients with adequate mandibular bone density and height is possible.
  • The predictability of immediate and early loading protocols requires further investigation through well-designed RCTs.
  • Priority should be given to trials evaluating immediately loaded implants over early loaded ones.