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A randomized controlled trial for evaluation of bone density changes around immediate functionally and

Kamleshwar Singh1, Pooran Chand1, Akhilanand Chaurasia2

  • 1Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.

Journal of Indian Prosthodontic Society
|December 13, 2022
PubMed
Summary

Immediate nonfunctionally loaded (INFL) implants demonstrated superior bone density maintenance compared to immediate functionally loaded (IFL) implants over six months. This comparative study highlights the importance of loading protocols in dental implant success.

Keywords:
Bone densitydental implantimmediate loadingstability

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Area of Science:

  • Dental Implantology
  • Bone Physiology
  • Biomaterials Science

Background:

  • Optimizing dental implant success involves understanding bone response to different loading protocols.
  • Immediate loading offers functional benefits but requires careful assessment of bone integration.
  • Bone density changes are a key indicator of implant stability and long-term prognosis.

Purpose of the Study:

  • To compare bone density alterations around dental implants subjected to immediate functional loading versus immediate non-functional loading.
  • To assess the impact of two distinct loading protocols on peri-implant bone quality over a six-month period.

Main Methods:

  • A comparative in vivo study involving sixty participants receiving single-tooth mandibular implants.
  • Implants were subjected to either immediate functionally loaded (IFL) or immediate nonfunctionally loaded (INFL) protocols.
  • Three-dimensional cone-beam computed tomography (3D CBCT) was utilized for quantitative bone density analysis at baseline, 3, and 6 months post-placement.

Main Results:

  • The immediate nonfunctionally loaded (INFL) group exhibited more favorable bone density changes compared to the immediate functionally loaded (IFL) group.
  • Specific quantitative bone density values and changes over time were recorded for crestal, middle, and apical regions in both groups.
  • The INFL group showed less pronounced bone density reduction between 3 and 6 months post-placement.

Conclusions:

  • Immediate nonfunctional loading of dental implants results in better preservation of peri-implant bone density compared to immediate functional loading.
  • The findings suggest that the timing and type of loading significantly influence bone response around dental implants.
  • This research provides valuable insights for clinical decision-making regarding dental implant loading strategies.