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Delayed and Immediately Loaded Implants Placed in Fresh Extraction Socket - A Clinical and Radiological Study.
Sankaranarayanan Padmasree1, Balakrishnan Liji1, Chengalvarayan Sasikala1
1Department of Prosthodontics, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Affliated to Tamil Nadu Dr. M.G.R Medical University, Guindy, Chennai, Tamil Nadu, India.
Immediate loading of single dental implants in the anterior region showed comparable success and radiographic outcomes to delayed loading. This approach offers a viable alternative for anterior tooth replacement, with similar bone loss and reduced pain over nine months.
Area of Science:
- Dentistry
- Oral Implantology
- Prosthodontics
Background:
- Immediate loading protocols for dental implants are increasingly explored.
- Conventional delayed loading has long been the standard for single anterior implants.
- Assessing immediate loading outcomes in anterior regions is crucial for patient care.
Purpose of the Study:
- To compare the outcomes of immediately loaded single implants versus conventional delayed loading in the anterior region.
- To evaluate the efficacy and safety of immediate implant loading in anterior esthetic zones.
Main Methods:
- A randomized controlled trial involving 10 patients requiring single anterior tooth extraction.
- Patients were assigned to either immediate or delayed implant loading groups.
- Outcomes assessed over 9 months included probing depth, pain scores, and marginal bone loss.
Main Results:
- Both immediate and delayed loading groups exhibited comparable marginal bone loss at 3, 6, and 9 months.
- Immediate loading showed 1.72 ± 0.13 mm bone loss after 9 months, versus 1.80 ± 0.07 mm for delayed loading.
- Pain scores and probing depths gradually decreased in both groups throughout the study.
Conclusions:
- Immediate loading of single implants in the anterior region yields success rates comparable to delayed loading.
- Radiographic results support the predictability of immediate loading in anterior implantology.
- This protocol provides a potentially beneficial alternative for anterior tooth replacement.
