Clinical efficacy of early loading versus conventional loading of dental implants
Identifieur interne : 001343 ( Main/Merge ); précédent : 001342; suivant : 001344Clinical efficacy of early loading versus conventional loading of dental implants
Auteurs : Yanfei Zhu [République populaire de Chine] ; Xinyi Zheng [République populaire de Chine] ; Guanqi Zeng [République populaire de Chine] ; Yi Xu [République populaire de Chine] ; Xinhua Qu [République populaire de Chine] ; Min Zhu [République populaire de Chine] ; Eryi Lu [République populaire de Chine]Source :
- Scientific Reports [ 2045-2322 ] ; 2015.
Abstract
The aim of this study was to determine the clinical differences between early and conventional loading protocols for dental implants. A comprehensive search of the Medline, Embase, and OVID databases for studies published through January 10, 2015 was conducted. Fourteen studies were included in our analysis. We found that early loading imposed a significantly higher risk of implant failure than did conventional loading (risk ratio = 2.09, 95% confidence interval [CI] [1.18, 3.69], P = 0.01), while no significant differences between the methods were found with regards to the marginal bone loss (weighted mean differences [WMD] = 0.11, 95% CI [−0.07, 0.28], P = 0.23), periotest value (WMD = 0.02, 95% CI [−0.83, 0.87], P = 0.96), or implant stability quotient (WMD = 0.79, 95% CI [−0.03, 1.62], P = 0.06). As for the health status of the peri-implant tissue, conventionally loaded implants demonstrated better performance than did early loaded implants. Subgroup analyses demonstrated that the sample size, time of publication, loading definition, implant position, extent, and restoration type influenced the results. Although early implant loading is convenient and comfortable for patients, this method still cannot achieve the same clinical outcomes as the conventional loading method.
Url:
DOI: 10.1038/srep15995
PubMed: 26542097
PubMed Central: 4635353
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical efficacy of early loading versus conventional loading of dental implants</title><author><name sortKey="Zhu, Yanfei" sort="Zhu, Yanfei" uniqKey="Zhu Y" first="Yanfei" last="Zhu">Yanfei Zhu</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zheng, Xinyi" sort="Zheng, Xinyi" uniqKey="Zheng X" first="Xinyi" last="Zheng">Xinyi Zheng</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zeng, Guanqi" sort="Zeng, Guanqi" uniqKey="Zeng G" first="Guanqi" last="Zeng">Guanqi Zeng</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Xu, Yi" sort="Xu, Yi" uniqKey="Xu Y" first="Yi" last="Xu">Yi Xu</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Qu, Xinhua" sort="Qu, Xinhua" uniqKey="Qu X" first="Xinhua" last="Qu">Xinhua Qu</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Orthopaedics, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orthopaedic Implant</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhu, Min" sort="Zhu, Min" uniqKey="Zhu M" first="Min" last="Zhu">Min Zhu</name><affiliation wicri:level="1"><nlm:aff id="a3"><institution>Department of Oral and Cranio-Maxillofacial Science, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lu, Eryi" sort="Lu, Eryi" uniqKey="Lu E" first="Eryi" last="Lu">Eryi Lu</name><affiliation wicri:level="1"><nlm:aff id="a4"><institution>Department of Prosthodontics, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26542097</idno><idno type="pmc">4635353</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635353</idno><idno type="RBID">PMC:4635353</idno><idno type="doi">10.1038/srep15995</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000826</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" 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xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zheng, Xinyi" sort="Zheng, Xinyi" uniqKey="Zheng X" first="Xinyi" last="Zheng">Xinyi Zheng</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zeng, Guanqi" sort="Zeng, Guanqi" uniqKey="Zeng G" first="Guanqi" last="Zeng">Guanqi Zeng</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Xu, Yi" sort="Xu, Yi" uniqKey="Xu Y" first="Yi" last="Xu">Yi Xu</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Qu, Xinhua" sort="Qu, Xinhua" uniqKey="Qu X" first="Xinhua" last="Qu">Xinhua Qu</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Orthopaedics, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orthopaedic Implant</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhu, Min" sort="Zhu, Min" uniqKey="Zhu M" first="Min" last="Zhu">Min Zhu</name><affiliation wicri:level="1"><nlm:aff id="a3"><institution>Department of Oral and Cranio-Maxillofacial Science, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lu, Eryi" sort="Lu, Eryi" uniqKey="Lu E" first="Eryi" last="Lu">Eryi Lu</name><affiliation wicri:level="1"><nlm:aff id="a4"><institution>Department of Prosthodontics, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai JiaoTong University School of Medicine</institution>, Shanghai,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Scientific Reports</title><idno type="eISSN">2045-2322</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this study was to determine the clinical differences between early and conventional loading protocols for dental implants. A comprehensive search of the Medline, Embase, and OVID databases for studies published through January 10, 2015 was conducted. Fourteen studies were included in our analysis. We found that early loading imposed a significantly higher risk of implant failure than did conventional loading (risk ratio = 2.09, 95% confidence interval [CI] [1.18, 3.69], P = 0.01), while no significant differences between the methods were found with regards to the marginal bone loss (weighted mean differences [WMD] = 0.11, 95% CI [−0.07, 0.28], P = 0.23), periotest value (WMD = 0.02, 95% CI [−0.83, 0.87], P = 0.96), or implant stability quotient (WMD = 0.79, 95% CI [−0.03, 1.62], P = 0.06). As for the health status of the peri-implant tissue, conventionally loaded implants demonstrated better performance than did early loaded implants. Subgroup analyses demonstrated that the sample size, time of publication, loading definition, implant position, extent, and restoration type influenced the results. Although early implant loading is convenient and comfortable for patients, this method still cannot achieve the same clinical outcomes as the conventional loading method.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Branemark, P I" uniqKey="Branemark P">P. I. Branemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Branemark, P I" uniqKey="Branemark P">P. I. Branemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schatzker, J" uniqKey="Schatzker J">J. Schatzker</name></author><author><name sortKey="Horne, J G" uniqKey="Horne J">J. G. Horne</name></author><author><name sortKey="Sumner Smith, G" uniqKey="Sumner Smith G">G. Sumner-Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roberts, W E" uniqKey="Roberts W">W. E. Roberts</name></author><author><name sortKey="Smith, R K" uniqKey="Smith R">R. K. 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Friberg</name></author><author><name sortKey="Jemt, T" uniqKey="Jemt T">T. Jemt</name></author><author><name sortKey="Sennerby, L" uniqKey="Sennerby L">L. Sennerby</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stafford, G L" uniqKey="Stafford G">G. L. Stafford</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alsabeeha, N" uniqKey="Alsabeeha N">N. Alsabeeha</name></author><author><name sortKey="Atieh, M" uniqKey="Atieh M">M. Atieh</name></author><author><name sortKey="Payne, A G" uniqKey="Payne A">A. G. Payne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Su, M" uniqKey="Su M">M. Su</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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