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Effect of implant insertion and loading protocol on long-term stability and crestal bone loss: A comparative study
Jerry Kohen1, Shlomo Matalon2, Jonathan Block3
1Private practice, Holon, Israel.
The Journal of Prosthetic Dentistry
|January 25, 2016
Summary
Different dental implant protocols show similar long-term outcomes. This study found no significant differences in crestal bone loss or survival rates among various implant insertion and loading methods.
Area of Science:
- Dentistry
- Oral Implantology
- Prosthodontics
Background:
- The impact of various dental implant insertion and loading protocols on patient outcomes remains unclear.
- Understanding these differences is crucial for optimizing implant therapy success.
Purpose of the Study:
- To compare the long-term effects of different implant insertion and loading protocols on crestal bone loss.
- To evaluate the clinical efficacy of various implant placement and restoration timing strategies.
Main Methods:
- A retrospective analysis of 1688 implants in 343 patients was conducted.
- Implants were categorized by insertion (immediate, early, delayed) and loading (immediate, early, delayed) protocols.
- Mixed model analysis was employed to account for multiple implants per patient.
Main Results:
- The average follow-up was 107 months, with a 95.6% survival rate and 2.03 mm average crestal bone loss.
- No statistically significant differences in bone loss were observed between insertion or loading protocols (P > .05).
- Implant type, however, showed a significant influence on marginal bone loss (P < .05).
Conclusions:
- All evaluated implant insertion and loading protocols demonstrated minimal crestal bone loss.
- High implant survival rates were achieved across the different protocols studied.
- Implant type is a significant factor influencing marginal bone loss in long-term outcomes.
