Immediate and early implant loading protocols: a literature review of clinical studies.
Identifieur interne : 002945 ( PubMed/Corpus ); précédent : 002944; suivant : 002946Immediate and early implant loading protocols: a literature review of clinical studies.
Auteurs : Nikolai J. Attard ; George A. ZarbSource :
- The Journal of prosthetic dentistry [ 0022-3913 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- Dental Implants, Single-Tooth, Dental Prosthesis, Implant-Supported, Dental Stress Analysis, Denture, Overlay, Denture, Partial, Fixed, Denture, Partial, Immediate, Humans, Tooth Socket.
Abstract
The purpose of this literature review is to present the outcomes of clinical studies on immediate and early loading protocols, identify shortcomings, and suggest a number of questions that still require exploration. English language clinical studies, limited to peer-reviewed journals between 1975 and 2004, were reviewed to identify treatment outcomes with these loading protocols. The data were tabulated from studies reporting on patients treated with fixed and overdenture prostheses. The former included partially edentulous patients treated with single or multi-unit prostheses. Within the limitations of this review, it can be concluded that these treatment protocols are predictable in the anterior mandible, irrespective of implant type, surface topography, and prosthesis design (success rates 90%-100%). Limited evidence for the edentulous maxilla (success rates 90%-100%) and the partially edentulous patient (success rates 93%-100%) are available, underscoring the need for further research. Studies suggest that to achieve predictable results in extraction sites, implant placement should be restricted to sites without a history of periodontal involvement (success rates 61%-100%). A number of questions require further exploration. There is a need to thoroughly investigate clinical outcomes to measure the economic benefit of these protocols and the impact of treatment on a patient's quality of life. Furthermore, more accurate long-term studies reporting on treatment protocols for separate clinical situations are required to allow meaningful comparisons.
DOI: 10.1016/j.prosdent.2005.04.015
PubMed: 16126077
Links to Exploration step
pubmed:16126077Le document en format XML
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<author><name sortKey="Attard, Nikolai J" sort="Attard, Nikolai J" uniqKey="Attard N" first="Nikolai J" last="Attard">Nikolai J. Attard</name>
<affiliation><nlm:affiliation>Department of Restorative Dentistry, Faculty of Dental Surgery, University of Malta, The Medical School, G'Mangia, MSD 08 Malta. njattard@maltanet.net</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zarb, George A" sort="Zarb, George A" uniqKey="Zarb G" first="George A" last="Zarb">George A. Zarb</name>
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<author><name sortKey="Zarb, George A" sort="Zarb, George A" uniqKey="Zarb G" first="George A" last="Zarb">George A. Zarb</name>
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<series><title level="j">The Journal of prosthetic dentistry</title>
<idno type="ISSN">0022-3913</idno>
<imprint><date when="2005" type="published">2005</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Overlay</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Immediate</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Tooth Socket</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Overlay</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Immediate</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">The purpose of this literature review is to present the outcomes of clinical studies on immediate and early loading protocols, identify shortcomings, and suggest a number of questions that still require exploration. English language clinical studies, limited to peer-reviewed journals between 1975 and 2004, were reviewed to identify treatment outcomes with these loading protocols. The data were tabulated from studies reporting on patients treated with fixed and overdenture prostheses. The former included partially edentulous patients treated with single or multi-unit prostheses. Within the limitations of this review, it can be concluded that these treatment protocols are predictable in the anterior mandible, irrespective of implant type, surface topography, and prosthesis design (success rates 90%-100%). Limited evidence for the edentulous maxilla (success rates 90%-100%) and the partially edentulous patient (success rates 93%-100%) are available, underscoring the need for further research. Studies suggest that to achieve predictable results in extraction sites, implant placement should be restricted to sites without a history of periodontal involvement (success rates 61%-100%). A number of questions require further exploration. There is a need to thoroughly investigate clinical outcomes to measure the economic benefit of these protocols and the impact of treatment on a patient's quality of life. Furthermore, more accurate long-term studies reporting on treatment protocols for separate clinical situations are required to allow meaningful comparisons.</div>
</front>
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<DateRevised><Year>2005</Year>
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<JournalIssue CitedMedium="Print"><Volume>94</Volume>
<Issue>3</Issue>
<PubDate><Year>2005</Year>
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<Title>The Journal of prosthetic dentistry</Title>
<ISOAbbreviation>J Prosthet Dent</ISOAbbreviation>
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<ArticleTitle>Immediate and early implant loading protocols: a literature review of clinical studies.</ArticleTitle>
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<Abstract><AbstractText>The purpose of this literature review is to present the outcomes of clinical studies on immediate and early loading protocols, identify shortcomings, and suggest a number of questions that still require exploration. English language clinical studies, limited to peer-reviewed journals between 1975 and 2004, were reviewed to identify treatment outcomes with these loading protocols. The data were tabulated from studies reporting on patients treated with fixed and overdenture prostheses. The former included partially edentulous patients treated with single or multi-unit prostheses. Within the limitations of this review, it can be concluded that these treatment protocols are predictable in the anterior mandible, irrespective of implant type, surface topography, and prosthesis design (success rates 90%-100%). Limited evidence for the edentulous maxilla (success rates 90%-100%) and the partially edentulous patient (success rates 93%-100%) are available, underscoring the need for further research. Studies suggest that to achieve predictable results in extraction sites, implant placement should be restricted to sites without a history of periodontal involvement (success rates 61%-100%). A number of questions require further exploration. There is a need to thoroughly investigate clinical outcomes to measure the economic benefit of these protocols and the impact of treatment on a patient's quality of life. Furthermore, more accurate long-term studies reporting on treatment protocols for separate clinical situations are required to allow meaningful comparisons.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Attard</LastName>
<ForeName>Nikolai J</ForeName>
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</AffiliationInfo>
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<MedlineJournalInfo><Country>United States</Country>
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<MeshHeading><DescriptorName UI="D019250" MajorTopicYN="N">Dental Implants, Single-Tooth</DescriptorName>
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<MeshHeading><DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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<MeshHeading><DescriptorName UI="D003799" MajorTopicYN="N">Dental Stress Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003828" MajorTopicYN="N">Denture, Overlay</DescriptorName>
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<MeshHeading><DescriptorName UI="D003830" MajorTopicYN="N">Denture, Partial, Fixed</DescriptorName>
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<MeshHeading><DescriptorName UI="D003831" MajorTopicYN="Y">Denture, Partial, Immediate</DescriptorName>
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