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Published on: October 18, 2021
Implant loading protocols for partially edentulous maxillary posterior sites
Mario Roccuzzo1, Marco Aglietta, Luca Cordaro
1Department of Oral and Maxillofacial Surgery, University of Torino, Torino, Italy. mroccuzzo@iol.it
The International Journal of Oral & Maxillofacial Implants
|November 4, 2009
Summary
Early and immediate dental implant loading in the posterior maxilla is possible in select patients, with success depending on primary implant stability and surface characteristics. Further research is needed for evidence-based protocols.
Area of Science:
- Dental Implantology
- Oral Surgery
- Prosthodontics
Background:
- Early and immediate loading protocols for dental implants are gaining traction.
- The posterior maxilla presents unique challenges for implant placement and restoration.
Purpose of the Study:
- To evaluate the success and survival rates of early and immediate implant loading in the posterior maxilla.
- To compare peri-implant parameters, including marginal bone level changes, between early and immediate loading protocols.
Main Methods:
- A systematic review of human clinical studies was performed.
- Publications were selected based on predefined inclusion criteria by two independent reviewers.
Main Results:
- Twelve studies on early loading (2 RCTs, 10 prospective case series) and six on immediate loading (1 RCT, 4 prospective case series, 1 retrospective) were identified.
- High primary implant stability and implant surface characteristics are crucial for successful early/immediate loading.
Conclusions:
- Successful early or immediate dental implant loading in the posterior maxilla is feasible under specific conditions.
- Technique sensitivity, primary stability, and implant surface characteristics influence outcomes.
- Further well-designed randomized controlled trials (RCTs) are required to establish evidence-based protocols, though ethical and practical limitations exist.
