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Immediate versus conventional loading in short and ultra-short implants: a protocol design.
Fulvia Galletti1, Cosimo Galletti2, Rodrigo Gonzalez Terrats3
1Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy - fulviagalletti@gmail.com.
Minerva Dental and Oral Science
|September 11, 2024
Summary
Short implants with immediate loading offer comparable survival rates to conventional implants, with less bone loss and increased patient satisfaction. This approach avoids bone augmentation, simplifying dental rehabilitation.
Area of Science:
- Dental Implantology
- Oral Surgery
- Biomaterials
Background:
- Tooth extraction leads to inevitable alveolar bone resorption.
- Immediate implants and preservation techniques do not fully prevent bone loss.
- Residual bone atrophy often necessitates bone augmentation for implant rehabilitation.
Purpose of the Study:
- To propose immediate loading of short implants as an alternative to bone augmentation.
- To compare immediate versus conventional loading protocols.
- To evaluate peri-implant bone loss, complications, survival rates, and patient satisfaction after one year.
Main Methods:
- Randomized controlled clinical trial.
- Implant planning using periapical radiographs and Cone Beam Computed Tomography.
- Use of Straumann Group titanium-zirconia implants (4.1mm/4.8mm diameter, 4mm/6mm length).
Main Results:
- Expected similar or minor bone loss compared to conventional methods.
- Comparable or improved survival rates for short implants with immediate loading.
- Increased patient satisfaction with immediate loading protocols.
Conclusions:
- Short implants exhibit survival rates similar to conventional implants.
- Immediate loading provides satisfactory outcomes comparable to conventional loading.
- Reduced bone loss and enhanced patient satisfaction are observed with immediate loading, contingent on hygiene.
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