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Related Experiment Video

Updated: May 12, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

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

Marco Esposito1, Maria Gabriella Grusovin, Hassan Maghaireh

  • 1Cochrane Oral Health Group, School of Dentistry, The University of Manchester, Manchester, UK. espositomarco@hotmail.com.

The Cochrane Database of Systematic Reviews
|April 2, 2013
PubMed
Summary
This summary is machine-generated.

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This study found no significant difference in dental implant success rates between immediate, early, or conventional loading protocols. Further high-quality randomized controlled trials are needed to confirm these findings for implant and prosthesis survival.

Area of Science:

  • Dental Implantology
  • Prosthodontics
  • Biomaterials Science

Background:

  • Conventional dental implant loading requires 3-8 months for osseointegration, aiming to minimize failure risks.
  • Accelerated healing periods through early or immediate loading could offer patient benefits if implant success is maintained.
  • The comparative success rates of immediate, early, and conventional loading protocols require thorough evaluation.

Purpose of the Study:

  • To compare the clinical outcomes of immediate (within 1 week), early (1 week-2 months), and conventional (after 2 months) loading of osseointegrated dental implants.
  • To assess the impact of occlusal vs. non-occlusal loading and direct vs. progressive loading on implant success.
  • To evaluate prosthesis and implant failures, and marginal bone level changes across different loading protocols.

Related Experiment Videos

Last Updated: May 12, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

Main Methods:

  • A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted.
  • Searches included major electronic databases (Cochrane, CENTRAL, MEDLINE, EMBASE) up to June 2012.
  • Data extraction and risk of bias assessment were performed independently by at least two authors; fixed-effect models were used for analysis.

Main Results:

  • Twenty-six RCTs involving 1217 participants and 2120 implants were included; 2.5% mean implant failure rate observed.
  • No significant difference in prosthesis or implant failure rates between immediate and conventional loading in the first year.
  • A small, potentially not clinically important, reduction in bone loss favored immediate loading; insufficient evidence for early loading comparisons.

Conclusions:

  • Currently, there is no convincing clinical evidence demonstrating a significant difference in implant or prosthesis failure, or bone loss, based on loading time.
  • Further high-quality, well-designed RCTs adhering to CONSORT guidelines are necessary to provide more definitive conclusions.
  • The findings suggest that current loading protocols may not critically impact short-term implant outcomes, but long-term data and robust trials are needed.