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Related Experiment Videos

Interventions for replacing missing teeth: 1- versus 2-stage implant placement.

M Esposito1, M G Grusovin, E Martinis

  • 1School of Dentistry, Department of Oral and Maxillofacial Surgery, University of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH. espositomarco@hotmail.com

The Cochrane Database of Systematic Reviews
|July 20, 2007
PubMed
Summary
This summary is machine-generated.

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A one-stage dental implant procedure appears as effective as a two-stage approach, potentially reducing surgical interventions and healing time. Further research is needed to confirm these findings for dental implant success.

Area of Science:

  • Oral Surgery
  • Dental Implantology
  • Evidence-Based Dentistry

Background:

  • Dental implants can be placed using a one-stage (transmucosal) or two-stage (submerged) procedure during bone healing.
  • Two-stage procedures minimize early loading risks but require a second surgery and prolong prosthetic treatment time.
  • One-stage procedures offer potential advantages by avoiding a second surgical intervention.

Purpose of the Study:

  • To compare the effectiveness of one-stage versus two-stage dental implant placement procedures.
  • To evaluate clinical outcomes including implant and prosthesis failures, bone level changes, patient preference, aesthetics, and complications.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) identified through comprehensive database searches (Cochrane, MEDLINE, EMBASE) and handsearching.

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  • Included RCTs compared one-stage versus two-stage placement of identical two-piece osseointegrated dental implants with at least 6 months follow-up post-loading.
  • Data extraction and quality assessment were performed independently by two reviewers; results were synthesized using random-effects models.

    • Main Results:

    • Two RCTs involving 45 patients met the inclusion criteria.
    • No statistically significant differences were observed between one-stage and two-stage procedures on a per-patient basis.
    • Preliminary findings suggest comparable outcomes between the two surgical approaches.

    Conclusions:

    • The limited number of patients in the included trials precludes definitive conclusions.
    • One-stage procedures may be preferable due to fewer surgical interventions and reduced treatment time, if confirmed by larger trials.
    • Two-stage approaches might be indicated in specific situations, such as suboptimal initial implant stability or use of barriers.