Evaluation of immediate loading of single dental implants in the maxillary esthetic zone: Clinical and radio graphical comparative study
DOI:
https://doi.org/10.15218/zjms.2014.0025Keywords:
Denta, Implants, Maxilla, Esthetic zoneAbstract
Background and objective: Loading an implant right after placement has been attempted and has gained popularity among clinicians. The aim of this study was to evaluate the clinical and radiographical outcomes of immediate loading of single dental implant placed in healed and in fresh extraction sockets.
Methods: In a prospective, comparative, clinical study, 40 patients underwent single dental implant procedure in the maxillary esthetic zone. Twenty implants were placed into fresh extraction sockets (Group A), and the other 20 implants were placed into healed extraction sockets (Group B). Placement of the permanent crown was done within two weeks after implant placement.
Results: From a total of 40 implants only two failed to survive giving a cumulative survival rate of 95%. Both failures occurred in fresh extraction sockets resulting in a survival rate of 90%, while no implant failed in healed sites achieving 100% survival rate. The difference in marginal bone loss between two groups was statistically significant.
Conclusion: The immediate loading of single dental implant in maxillary esthetic zone is a viable clinical concept and lead to favorable treatment outcomes.
Metrics
References
Tarnow DP, Emtiaz S, Classi A. Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5- year data. Int J Oral Maxillofac Implants 1997; 12: 319–24.
Ericsson I, Nilson H, Lindh T, Nilner K, Randow K. Immediate functional loading of Branemark single tooth implants. An 18 months’ clinical pilot follow-up study. Clin Oral Implants Res 2000;11: 26–33.
Vanden-Bogaerde L, Rangert B, Eng M, Wendelhag I. Immediate/early function of Branemark system TiUnite implants in fresh extraction sockets in maxillae and posterior mandibles: an 18-month prospective clinical study. Clin Implants Dent Relat Res 2005; 7 (Suppl 1):121–30.
Chaushu G, Chaushu S, Tzohar A, Dayan D. Immediate loading of single-tooth implants: immediate versus nonimmediate implantation. A clinical report. Int J Oral Maxillofac Implants 2001; 16:267–72.
Kan JY, Rungcharassaeng K, Lozada J. Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study. Int J Oral Maxillofac Implants 2003; 18:31–9.
Misch CE, Wang HL, Misch CM, Sharawy M, Lemons J, Judy KW. Rationale for the application of immediate load in implant dentistry. J Implant Dent 2004; 13 (4): 310-21.
Hui E, Chow J, Li D, Liu J, Wat P, Law H. Immediate provisional for single-tooth implant replacement with Branemark system: preliminary report. Clin Implant Dent Relat Res 2001; 3:79–86.
Jemt T, Lekholm U. Implant treatment in edentulous maxilla: a five-year follow-up report on patients with different degrees of jaw resorption. Int J Oral Maxillofac Implants 1991; 10:303–11.
Den Hartog L, Raghoebar GM, Stellingsma K, Vissink A, Meijer HJA. Immediate non- occlusal loading of single implants in the aesthetic zone: a randomized clinical trial. J Clin Periodontol 2011; 38: 186-94.
Testori T, Bianchi F, Del Fabbro M, Capelli M, Zuffetti F, Berlucchi I, et al . Implant aesthetic score for evaluating the outcome: immediate loading in the aesthetic zone. Pract Proced Aesthet Dent. 2005; 17(2):123-30.
Barone A, Rispoli L, Vozza I, Quaranta A, Covani U. Immediate restoration of single implants placed immediately after tooth extraction. J Periodontol 2006; 77: 1914–20.
Cooper LF, Raes F, Reside GJ, Garriga JS, Tarrida LG, Wiltfang J, et al. Comparison of radiographic and clinical outcomes following immediate provisionalization of single-tooth dental implants placed in healed alveolar ridges and extraction sockets. Int J Oral Maxillofac Implants 2010; 25(6):1222-32.
Raes F, Cosyn J, De Bruyn H. Clinical, Aesthetic, and Patient Related Outcome of Immediately Loaded Single Implants in the Anterior Maxilla: A Prospective Study in Extraction Sockets, Healed Ridges, and Grafted Sites. Clin Implant Dent Res 2012; 17: 1708.
Atieh MA, Payne AG, Duncan WJ, Cullinan MP. Immediate restoration/loading of immediately placed single implants: is it an effective bimodal approach? Clin Oral Implants Res 2009; 20: 645–59.
Tsirlis AT . Clinical evaluation of immediate loaded upper anterior single implants. Implant Dent 2005; 14:94–103.
Ribeiro FS, Pontes AE, Marcantonio E, Piattelli A, Neto RJ, Marcantonio E. Success rate of immediate nonfunctional loaded single-tooth implants: immediate versus delayed implantation. Implant Dent 2008; 17:109–17.
De-Rouck T, Collys K, Wyn I, Cosyn J. Instant provisionalization of immediate single-tooth implants is essential to optimize esthetic treatment outcome. Clin Oral Implants Res 2009; 20: 566–70.
Block MS, Mercante DE, Lirette D, Mohamed W, Ryser M, Castellon P. Prospective evaluation of immediate and delayed provisional single tooth restorations. J Oral Maxillofac Surg 2009; 67 (11 Suppl):89-107.
Campelo LD, Camara JR. Flapless implant surgery: a 10-year clinical retrospective analysis. Int J Oral Maxillofac Implants 2002;17(2):271-6.
Covani U, Barone A, Cornelini R, Crespi R. Soft tissue healing around implants placed immediately after tooth extraction without incision: a clinical report. Int J oral Maxillofac Implants 2004; 19(4):549-53.
De Rouck T, Collys K, Cosyn J. Immediate single-tooth implants in the anterior maxilla: a 1-year case cohort study on hard and soft tissue response. J Clin Periodontol 2008; 35: 649–57.
Ten Cate AR, Bartold PM, Squier CA, Nanci A. Oral Histology: Development, Structure and Function. 6th ed. ST. Louis: Mosby Inc; 2003. P. 408.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2014 Serwan Saeb Al Naqshabandi, Othman Abubakir Omar (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Zanco J Med Sci is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).