Immediate Versus Delayed Loading of Implant for Replacement of Missing Mandibular First Molar: A Randomized Prospective Six Years Clinical Study
Identifieur interne : 000216 ( Main/Exploration ); précédent : 000215; suivant : 000217Immediate Versus Delayed Loading of Implant for Replacement of Missing Mandibular First Molar: A Randomized Prospective Six Years Clinical Study
Auteurs : Prudhvi Raj Lakshmi Venkata Chidagam ; Vijaya Chandra Gande ; Sravanthi Yadlapalli ; Ramani Yarlagadda Venkata ; Sudheer Kondaka ; Sravya ChedalawadaSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2017.
Abstract
Emergence of dental implants made the replacement of missing tooth easy. During the early days of introduction, implants were loaded three to six months after implant insertion, but understanding of healing cascade and improved production technology has changed the phase of restoration from delayed to immediate loading.
To evaluate and compare the clinical outcome of immediate and delayed loaded implant supported prosthesis for missing mandibular first molar. The objectives were bleeding on probing, probing depth, implant mobility, marginal bone level and peri-implant radiolucency were evaluated during follow up period.
Twenty patients were included in this study who were in the need of fixed implant supported prosthesis for missing mandibular first molar. Single tooth implant with immediate loading done within two days of implant insertion in one group and another group were loaded after three months of implant insertion. These groups were evaluated clinically and radiographically over a period of 72 months after loading using Wilcoxon matched pairs test and Mann-Whitney U test.
The study consists of 14 male and six female patients with the age range of 19 to 31 years. There was no bleeding on probing and probing depth remained well within the normal range even after 72 months of loading among both the groups. Minimal marginal bone loss observed with no mobility and peri-implant radiolucency.
Implant supported prosthesis for missing mandibular first molar with immediate loading can be used as a successful treatment modality. It reduces treatment time, provides early function and prevents undue migration of adjacent tooth. Immediate loading showed similar clinical and radiographic results as that of delayed loading, indicating it as an equally efficient technique for implant supported prosthesis.
Url:
DOI: 10.7860/JCDR/2017/26362.9663
PubMed: 28571258
PubMed Central: 5449914
Affiliations:
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Mandibular First Molar: A Randomized Prospective Six Years Clinical Study</title><author><name sortKey="Chidagam, Prudhvi Raj Lakshmi Venkata" sort="Chidagam, Prudhvi Raj Lakshmi Venkata" uniqKey="Chidagam P" first="Prudhvi Raj Lakshmi Venkata" last="Chidagam">Prudhvi Raj Lakshmi Venkata Chidagam</name><affiliation><nlm:aff id="aff1"> Reader, Department of Oral and Maxillofacial Surgery,<institution>Sibar Institute of Dental Sciences</institution>,<addr-line>Guntur, Andhra Pradesh, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Gande, Vijaya Chandra" sort="Gande, Vijaya Chandra" uniqKey="Gande V" first="Vijaya Chandra" last="Gande">Vijaya Chandra Gande</name><affiliation><nlm:aff id="aff2"> Consultant, Department of Public Health Dentistry,<institution>Dr. Prudhvi’s Advanced Dental Care</institution>,<addr-line>Vijayawada, Andhra Pradesh, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Yadlapalli, Sravanthi" sort="Yadlapalli, Sravanthi" uniqKey="Yadlapalli S" first="Sravanthi" last="Yadlapalli">Sravanthi Yadlapalli</name><affiliation><nlm:aff id="aff3"> Reader, Department of Prosthodontics and Crown and Bridge,<institution>Lenora Institute of Dental Sciences</institution>,<addr-line>Rajahmundry, Andhra Pradesh, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Venkata, Ramani Yarlagadda" sort="Venkata, Ramani Yarlagadda" uniqKey="Venkata R" first="Ramani Yarlagadda" last="Venkata">Ramani Yarlagadda Venkata</name><affiliation><nlm:aff id="aff4"> Reader, Department of Prosthodontics and Crown and Bridge,<institution>Lenora Institute of Dental Sciences</institution>,<addr-line>Rajahmundry, Andhra Pradesh, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Kondaka, Sudheer" sort="Kondaka, Sudheer" uniqKey="Kondaka S" first="Sudheer" last="Kondaka">Sudheer Kondaka</name><affiliation><nlm:aff id="aff5"> Reader, Department of Prosthodontics and Implantology,<institution>Vishnu Dental College</institution>,<addr-line>Vishnupur, Bhimavarma, West Godavari, Andhra Pradesh, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Chedalawada, Sravya" sort="Chedalawada, Sravya" uniqKey="Chedalawada S" first="Sravya" last="Chedalawada">Sravya Chedalawada</name><affiliation><nlm:aff id="aff6"> Consultant, Department of Periodontics and Implantology,<institution>Dr. Prudhvi’s Advanced Dental Care</institution>,<addr-line>Vijayawada, Andhra Pradesh, India</addr-line>.</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title><idno type="ISSN">2249-782X</idno><idno type="eISSN">0973-709X</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Emergence of dental implants made the replacement of missing tooth easy. During the early days of introduction, implants were loaded three to six months after implant insertion, but understanding of healing cascade and improved production technology has changed the phase of restoration from delayed to immediate loading.</p></sec><sec><title>Aim</title><p>To evaluate and compare the clinical outcome of immediate and delayed loaded implant supported prosthesis for missing mandibular first molar. The objectives were bleeding on probing, probing depth, implant mobility, marginal bone level and peri-implant radiolucency were evaluated during follow up period.</p></sec><sec><title>Materials and Methods</title><p>Twenty patients were included in this study who were in the need of fixed implant supported prosthesis for missing mandibular first molar. Single tooth implant with immediate loading done within two days of implant insertion in one group and another group were loaded after three months of implant insertion. These groups were evaluated clinically and radiographically over a period of 72 months after loading using Wilcoxon matched pairs test and Mann-Whitney U test.</p></sec><sec><title>Results</title><p>The study consists of 14 male and six female patients with the age range of 19 to 31 years. There was no bleeding on probing and probing depth remained well within the normal range even after 72 months of loading among both the groups. Minimal marginal bone loss observed with no mobility and peri-implant radiolucency.</p></sec><sec><title>Conclusion</title><p>Implant supported prosthesis for missing mandibular first molar with immediate loading can be used as a successful treatment modality. It reduces treatment time, provides early function and prevents undue migration of adjacent tooth. Immediate loading showed similar clinical and radiographic results as that of delayed loading, indicating it as an equally efficient technique for implant supported prosthesis.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chedalawada, Sravya" sort="Chedalawada, Sravya" uniqKey="Chedalawada S" first="Sravya" last="Chedalawada">Sravya Chedalawada</name><name sortKey="Chidagam, Prudhvi Raj Lakshmi Venkata" sort="Chidagam, Prudhvi Raj Lakshmi Venkata" uniqKey="Chidagam P" first="Prudhvi Raj Lakshmi Venkata" last="Chidagam">Prudhvi Raj Lakshmi Venkata Chidagam</name><name sortKey="Gande, Vijaya Chandra" sort="Gande, Vijaya Chandra" uniqKey="Gande V" first="Vijaya Chandra" last="Gande">Vijaya Chandra Gande</name><name sortKey="Kondaka, Sudheer" sort="Kondaka, Sudheer" uniqKey="Kondaka S" first="Sudheer" last="Kondaka">Sudheer Kondaka</name><name sortKey="Venkata, Ramani Yarlagadda" sort="Venkata, Ramani Yarlagadda" uniqKey="Venkata R" first="Ramani Yarlagadda" last="Venkata">Ramani Yarlagadda Venkata</name><name sortKey="Yadlapalli, Sravanthi" sort="Yadlapalli, Sravanthi" uniqKey="Yadlapalli S" first="Sravanthi" last="Yadlapalli">Sravanthi Yadlapalli</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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