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Related Experiment Video

Updated: Mar 10, 2026

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

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Single mandibular implant study - denture satisfaction in the elderly.

N Passia1, W Att2, S Freitag-Wolf3

  • 1Department of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University at Kiel, Kiel, Germany.

Journal of Oral Rehabilitation
|December 16, 2016
PubMed
Summary

A single dental implant significantly improves denture satisfaction for edentulous patients. Delayed loading, compared to immediate loading, resulted in better denture stability and fit after four months.

Keywords:
loading protocolpatients’ denture satisfactionrandomised clinical trialsingle mandibular implant

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Area of Science:

  • Dentistry
  • Oral Implantology
  • Prosthodontics

Background:

  • Edentulism affects denture satisfaction, impacting comfort, function, and stability.
  • Single-implant rehabilitation is a common treatment for the edentulous mandible.
  • Loading protocols for mandibular implants can influence patient outcomes.

Purpose of the Study:

  • To compare denture satisfaction in edentulous patients receiving a single mandibular implant with either immediate or delayed loading.
  • To assess the impact of loading timing on patient-reported outcomes like comfort, function, and stability.

Main Methods:

  • A randomized controlled trial involving 158 edentulous patients with a single midline mandibular implant.
  • Patients were assigned to immediate loading (Group A) or delayed loading after 3 months (Group B).
  • Denture satisfaction was evaluated using Visual Analogue Scales (VAS) at various time points, including pre-treatment and post-loading.

Main Results:

  • Both immediate and delayed loading significantly improved denture comfort, function, and stability one month after loading.
  • Patients in the delayed loading group reported significantly better denture stability and fit compared to the immediate loading group at four months post-loading.
  • A slight, non-significant improvement in satisfaction was noted between one and four months post-loading in both groups.

Conclusions:

  • A single implant in the edentulous mandible substantially enhances denture satisfaction, irrespective of the loading protocol.
  • Delayed loading, following a submerged healing period, may offer superior long-term denture stability and fit.
  • This study highlights the benefits of single-implant rehabilitation for improving the quality of life for edentulous patients.