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Updated: Oct 23, 2025

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Placement and Loading Protocols for Single Implants in Different Locations: A Systematic Review.

Wenjie Zhou, German O Gallucci, Stephen Chen

    The International Journal of Oral & Maxillofacial Implants
    |August 19, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Implant survival rates for single tooth replacements vary by location. Certain placement and loading protocols are scientifically validated for specific jaw areas, influencing treatment selection.

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    Area of Science:

    • Dental Implantology
    • Oral Surgery
    • Biomaterials Science

    Background:

    • Single implant tooth replacements are common in restorative dentistry.
    • Optimal implant placement and loading protocols are crucial for long-term success.
    • Understanding location-specific outcomes is essential for predictable results.

    Purpose of the Study:

    • To analyze how implant placement and loading protocols affect single implant survival rates.
    • To evaluate the scientific and clinical validation of different protocol types across various jaw locations.

    Main Methods:

    • An electronic search identified clinical trials on single implant outcomes.
    • Weighted mean survival rates were calculated for each protocol type and location (anterior/posterior maxilla/mandible).
    • Study design, sample size, and outcome homogeneity assessed protocol validation.

    Main Results:

    • 45 publications were analyzed; anterior maxilla had the most data.
    • Immediate placement + conventional loading (Type 1C) and late placement + immediate restoration/loading (Type 4A) were validated for the anterior maxilla.
    • Type 1C was validated for the posterior maxilla; late placement + conventional loading (Type 4C) for the posterior mandible.

    Conclusions:

    • Implant survival is influenced by both jaw location and the chosen treatment protocol.
    • Location-specific evidence supports tailored protocol selection for single implants.
    • Differences in scientific evidence highlight the importance of considering anatomical site.