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Changes in crestal bone levels for immediately loaded implants.

Roy H Yoo1, Sung-Kiang Chuang, Mohammed S Erakat

  • 1Advanced Periodontology, University of Southern California, School of Dentistry, Los Angeles, USA.

The International Journal of Oral & Maxillofacial Implants
|April 26, 2006
PubMed
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Immediate loading of dental implants shows minimal crestal bone loss, with 92.5% within recommended limits. The mandible presents a higher risk for bone loss compared to the maxilla.

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Periodontology

Background:

  • Immediate loading of dental implants is a common practice.
  • Assessing crestal bone level changes is crucial for implant success.
  • Identifying risk factors for bone loss is essential for predictable outcomes.

Purpose of the Study:

  • To measure crestal bone level changes in patients with immediately loaded implants.
  • To identify risk factors associated with crestal bone level changes.

Main Methods:

  • Retrospective cohort study design.
  • Analysis of 347 immediately loaded implants in 174 subjects.
  • Evaluation of demographic, health, anatomic, implant-specific, prosthetic, and surgical variables.

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Main Results:

  • Mean crestal bone loss was -0.5 mm (mesial) and -0.6 mm (distal) at 6.9 months.
  • Estimated bone levels at 12 months were -1.0 mm (mesial) and -0.8 mm (distal).
  • Radiolucency near the implant site increased the risk of bone loss (OR 1.88).
  • 92.5% of implants showed <= 1.5 mm bone loss at 12 months.
  • The mandible showed a higher risk for crestal bone loss than the maxilla.

Conclusions:

  • Crestal bone level changes with immediately loaded implants are generally within recommended ranges.
  • The mandible is a higher-risk area for crestal bone loss.
  • Further research on long-term changes and risk factors is recommended.