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Dental Implants With Immediate Loading Using Insertion Torque of 30 Ncm: A Systematic Review
Dhelfeson Willya Douglas de Oliveira1, Frederico Santos Lages, Leonardo Avellar Lanza
1*PhD Student, Department of Periodontology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil. †Professor, Implantology Post-Graduation Program, University Center of Araraquara, Araraquara, Brazil. ‡Professor, Department of Periodontology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Immediate loading of dental implants using 30 Ncm insertion torque shows a 96.8% survival rate. However, current evidence is insufficient to confirm this torque is adequate for long-term implant survival.
Area of Science:
- Dentistry
- Oral Surgery
- Biomaterials Science
Background:
- Immediate loading protocols for dental implants offer functional and aesthetic advantages.
- Determining optimal insertion torque is crucial for primary stability and long-term success.
Purpose of the Study:
- To systematically review the literature on the survival rate of dental implants subjected to immediate loading with an insertion torque of 30 Ncm.
Main Methods:
- A systematic review adhering to PRISMA and Cochrane guidelines was conducted.
- Searches included PubMed, Web of Science, Cochrane Library, OVID, and Scielo databases, supplemented by manual searches.
- Six clinical trials involving dental implants, immediate loading, and 30 Ncm torque in adult patients were included.
Main Results:
- The systematic review included six studies, analyzing data from 589 initially identified articles.
- The overall survival rate for dental implants with immediate loading at 30 Ncm insertion torque was 96.8%.
- Three of the included studies demonstrated a low potential risk of bias.
Conclusions:
- While the observed survival rate is high, the current evidence is not robust enough to definitively conclude that 30 Ncm insertion torque is sufficient for ensuring dental implant survival in immediate loading scenarios.
- Further high-quality research is warranted to establish definitive guidelines for insertion torque in immediate loading protocols.
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