Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial
| Autor: | Christoph H. F. Hämmerle, Vladimir S. Todorovic, Ronald E. Jung, Andreas Feloutzis, Vladimir Kokovic, Milan Jurisic |
|---|---|
| Přispěvatelé: | University of Zurich, Kokovic, Vladimir |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Immediate Dental Implant Loading Test group resonance frequency analysis Alveolar Bone Loss Dentistry 610 Medicine & health Mandible 02 engineering and technology 10068 Clinic of Reconstructive Dentistry 03 medical and health sciences 0302 clinical medicine Early loading Humans Medicine Dental Restoration Failure Dental Implants implant stability Posterior mandible Crestal bone 3504 Oral Surgery business.industry Jaw Edentulous Partially Dental Implantation Endosseous Dental Plaque Index 030206 dentistry Middle Aged 021001 nanoscience & nanotechnology Implant stability quotient peri-implant bone resorption Clinical trial immediate loading Resonance frequency analysis Treatment Outcome early loading Female Implant Periodontal Index Oral Surgery 0210 nano-technology business |
| Zdroj: | Clinical Oral Implants Research |
| Popis: | Objectives The aim of this study was to compare clinical results of immediate and early loading (EL) self-tapping implants placed in posterior mandibles. Material and methods Twelve patients with bilateral edentulous posterior mandibular were randomly assigned to treatment either with immediate (test) or early loaded implants (control). Seventy-two self-tapping implants with SLA surface (O 4, 1/4, 8 mm; length 8 and 10 mm) were analyzed in this study. Test implants (36) were loaded on the day of surgery and control implants 6 weeks later. The measuring of implant stability quotient (ISQ) was performed on 0, 6th, 12th, and 52nd week after implant insertion. The bone resorption, modified plaque, and bleeding index were notified at 1 and 5 years later. Results After 5 years, survival in the both groups was 100%. The mean value of primary implant stability was 76.92 ± 0.79 ISQ. In the first 6 weeks, ISQ values significantly increased in the test group (77.92 ± 1.16 vs. 79.61 ± 0.90) as well as in the control group (7.92 ± 1.05 vs. 77.55 ± 0.99). A significant longitudinal increase in ISQ value was recorded in test and control group. The differences between immediate and early loaded implants were statistically insignificant (P > 0.05). At the 5 years, no statistically significant differences were found between immediate and early loaded implants with respect to mean crestal bone loss measurements (0.4 ± 0.24 vs. 0.8 ± 0.15 mm), mean bleeding index (0.22 ± 0.11 vs. 0.25 ± 0.11), and mean plaque index (0.17 ± 0.15 vs. 0.19 ± 0.20). Conclusion Based on these results, the self-tapping implants inserted in posterior mandible can provide adequate primary stability value as the main factor for immediate and EL protocol. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|