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Immediate Implants with Immediate Loading vs. Conventional Loading: 1‐Year Randomized Clinical Trial

Identifieur interne : 005259 ( Istex/Corpus ); précédent : 005258; suivant : 005260

Immediate Implants with Immediate Loading vs. Conventional Loading: 1‐Year Randomized Clinical Trial

Auteurs : Othman Shibly ; Ahmad Kutkut ; Nishith Patel ; Jasim M. Albandar

Source :

RBID : ISTEX:A4E9662631ECD812552204087608C4A251547675

English descriptors

Abstract

Purpose: This 1‐year randomized clinical trial compared the bone regeneration and success rates between immediate and conventional loading of dental implants placed immediately after extraction in patients with a past history of periodontal disease.

Url:
DOI: 10.1111/j.1708-8208.2010.00310.x

Links to Exploration step

ISTEX:A4E9662631ECD812552204087608C4A251547675

Le document en format XML

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<hi rend="bold">Purpose:</hi>
This 1‐year randomized clinical trial compared the bone regeneration and success rates between immediate and conventional loading of dental implants placed immediately after extraction in patients with a past history of periodontal disease.</p>
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<hi rend="bold">Methods:</hi>
Sixty patients who chose an immediate implant treatment option to replace a hopeless tooth were included in this study.</p>
<p>
<hi rend="bold">Patients:</hi>
Patients were randomly assigned to receive immediate implants with either immediate loading (group A) or conventional loading after 3 months (group B). At baseline, both groups received a mucoperiosteal flap, extraction, implant placement, allograft bone, and a membrane. Group A received a provisional crown. In group B, a cover screw was placed and primary closure was achieved. The patients were evaluated at 3, 6, and 12 months postoperatively.</p>
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<hi rend="bold">Results:</hi>
The 1‐year implant survival rate was 95% for the whole study group: 96.6% for group A, and 93.3% for group B. The bone level increased significantly in both groups (group A: 0.99 ± 0.22 mm; group B: 0.75 ± 0.17 mm), and the difference was not statistically significant (
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<hi rend="bold">Conclusions:</hi>
Both the immediate and delayed loading of immediately placed implants showed similar outcome with regards to treatment success rates and stability of radiographic bone level. Submerging an immediately placed implant and primary soft tissue closure did not show significant outcome advantages over the transmucosal approach.</p>
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<p>
<b>Methods:</b>
Sixty patients who chose an immediate implant treatment option to replace a hopeless tooth were included in this study.</p>
<p>
<b>Patients:</b>
Patients were randomly assigned to receive immediate implants with either immediate loading (group A) or conventional loading after 3 months (group B). At baseline, both groups received a mucoperiosteal flap, extraction, implant placement, allograft bone, and a membrane. Group A received a provisional crown. In group B, a cover screw was placed and primary closure was achieved. The patients were evaluated at 3, 6, and 12 months postoperatively.</p>
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The 1‐year implant survival rate was 95% for the whole study group: 96.6% for group A, and 93.3% for group B. The bone level increased significantly in both groups (group A: 0.99 ± 0.22 mm; group B: 0.75 ± 0.17 mm), and the difference was not statistically significant (
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Both the immediate and delayed loading of immediately placed implants showed similar outcome with regards to treatment success rates and stability of radiographic bone level. Submerging an immediately placed implant and primary soft tissue closure did not show significant outcome advantages over the transmucosal approach.</p>
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