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Related Experiment Videos

Immediate loading versus immediate provisionalization of maxillary single-tooth replacements: a prospective

Jerome A Lindeboom1, Joost W Frenken, Leander Dubois

  • 1Department of Oral and Maxillofacial Surgery, Academic Medical Center and Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands. j.a.lindeboom@amc.uva.nl

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|May 23, 2006
PubMed
Summary

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Immediate loading of dental implants in the maxilla showed similar outcomes to non-loaded provisionalization. Both immediate loaded (IL) and immediate provisionalized (IP) BioComp implants demonstrated comparable implant stability quotient (ISQ) values, bone loss, and gingival esthetics.

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Prosthodontics

Background:

  • Immediate loading of dental implants is a technique aiming to reduce treatment time.
  • Assessing the clinical outcomes of immediate loading versus non-loaded provisionalization is crucial for patient care.
  • Solid plasma-sprayed (TPS) BioComp implants are utilized in esthetic zones of the maxilla.

Purpose of the Study:

  • To compare the clinical outcomes of immediately loaded TPS BioComp implants versus immediate non-loaded provisionalized BioComp implants.
  • To evaluate implant stability, bone loss, and gingival esthetics in the anterior and premolar maxilla.
  • To determine the efficacy of immediate loading in a prospective randomized study.

Main Methods:

  • A prospective randomized study involving 48 patients receiving 50 TPS BioComp implants.

Related Experiment Videos

  • Two groups were formed: immediate loaded (IL) and immediate provisionalized/non-loaded (IP).
  • Clinical and radiographic assessments, including implant stability quotient (ISQ) and marginal bone loss, were performed at 6 months and 1 year.

    • Main Results:

    • No significant difference in mean ISQ values between IL (63.7) and IP (63.2) groups (P=.78).
    • Similar marginal bone loss observed: mesial (0.27 mm IL vs. 0.28 mm IP) and distal (0.19 mm IL vs. 0.2 mm IP).
    • Gingival esthetics showed ideal buccal margins in 100% of IL implants versus 91% of IP implants; papilla regeneration was comparable.

    Conclusions:

    • Immediate loading of BioComp implants in the maxilla is a viable option with comparable outcomes to non-loaded provisionalization.
    • No significant differences were found in implant stability, bone loss, or gingival esthetics between the two groups.
    • The study supports immediate loading protocols for TPS BioComp implants in the anterior and premolar maxilla.