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Published on: March 7, 2014
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Immediate loading of post-extractive single-tooth implants: a 1-year prospective study.
Maria Paola Cristalli1, Roberta Marini1, Gerardo La Monaca1
1Oral Surgery Unit, Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy.
Clinical Oral Implants Research
|April 17, 2014
Summary
Immediate implant loading after tooth extraction shows high success rates and stable bone levels. This dental implant technique offers a predictable option for restoring single teeth with good esthetic outcomes.
Area of Science:
- Dental Implantology
- Prosthodontics
- Oral Surgery
Background:
- Immediate implant placement and loading offer potential benefits in single-tooth restorations.
- Assessing long-term clinical, radiological, and esthetic outcomes is crucial for validating this approach.
Purpose of the Study:
- To evaluate the 1-year clinical, radiological, and esthetic results of immediate-loaded NobelActive implants placed in fresh extraction sockets.
Main Methods:
- A prospective clinical trial included 24 patients receiving 25 NobelActive implants immediately after extraction.
- Implants were loaded immediately, with definitive prosthetics placed at 6 months.
- Evaluations included clinical parameters, marginal bone loss, and Pink and White Esthetic Scores (PES/WES) at 3, 6, and 12 months.
Main Results:
- A 91.67% implant success rate was observed after 1 year, with 2 implants lost due to lack of osseointegration.
- Mean marginal bone loss was 0.383 mm (mesial) and 0.278 mm (distal).
- No significant changes in plaque or bleeding scores were noted; mean PES/WES was 17.13, with all implants meeting clinical acceptability thresholds.
Conclusions:
- Immediate placement and loading of NobelActive implants in fresh extraction sockets is a viable option.
- Careful patient selection and adherence to a strict protocol are key to success.
- This technique demonstrates predictable outcomes regarding implant survival and hard/soft tissue stability.
