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The feasibility of immediately loading dental implants in edentulous jaws

  • Henningsen, Anders (Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf) ;
  • Smeets, Ralf (Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf) ;
  • Wahidi, Aria (Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf) ;
  • Kluwe, Lan (Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf) ;
  • Kornmann, Frank (Private Practice for Dentistry and Oral Surgery) ;
  • Heiland, Max (Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf) ;
  • Gerlach, Till (Private Practice for Dentistry and Oral Surgery)
  • Received : 2016.05.11
  • Accepted : 2016.07.01
  • Published : 2016.08.30

Abstract

Purpose: Immediate loading of dental implants has been proved to be feasible in partially edentulous jaws. The purpose of this retrospective investigation was to assess the feasibility of immediately loading dental implants in fully edentulous jaws. Methods: A total of 24 patients aged between 53 and 89 years received a total of 154 implants in their edentulous maxillae or mandibles. Among the implants, 45 were set in fresh extracted sockets and 109 in consolidated alveolar bones. The implants were provisionally managed with chair-side made provisional resin bridges and exposed to immediate loading. Implants were followed up for 1-8 years, including radiographic imaging. Marginal bone levels were evaluated based on radiographic imaging. Results: A total of 148 out of the 154 implants survived over the follow-up period of 1 to 8 years, giving a survival rate of 96%. The time or region of the implantation, the pre-implant augmentation, and the length and diameter of the implants had no statistically significant influence on the survival or the success rate. The marginal bone level remained stable with only minimal loss of 0.3 mm after 60 months of loading. Conclusions: Within the limitations of this study, immediate loading is feasible for dental implants in edentulous jaws.

Keywords

References

  1. Branemark PI. Osseointegration and its experimental background. J Prosthet Dent 1983;50:399-410. https://doi.org/10.1016/S0022-3913(83)80101-2
  2. Esposito M, Grusovin MG, Maghaireh H, Worthington HV. Interventions for replacing missing teeth: different times for loading dental implants. Cochrane Database Syst Rev 2013:CD003878.
  3. Chiapasco M, Gatti C, Rossi E, Haefliger W, Markwalder TH. Implant-retained mandibular overdentures with immediate loading. A retrospective multicenter study on 226 consecutive cases. Clin Oral Implants Res 1997;8:48-57. https://doi.org/10.1111/j.1600-0501.1997.tb00007.x
  4. Degidi M, Nardi D, Piattelli A. 10-year prospective cohort follow-up of immediately restored XiVE implants. Clin Oral Implants Res 2016;27:694-700. https://doi.org/10.1111/clr.12642
  5. Ganeles J, Wismeijer D. Early and immediately restored and loaded dental implants for single-tooth and partial-arch applications. Int J Oral Maxillofac Implants 2004;19 Suppl:92-102.
  6. Mozzati M, Arata V, Gallesio G, Mussano F, Carossa S. Immediate postextractive dental implant placement with immediate loading on four implants for mandibular-full-arch rehabilitation: a retrospective analysis. Clin Implant Dent Relat Res 2013;15:332-40. https://doi.org/10.1111/j.1708-8208.2011.00412.x
  7. Penarrocha M, Boronat A, Garcia B. Immediate loading of immediate mandibular implants with a full-arch fixed prosthesis: a preliminary study. J Oral Maxillofac Surg 2009;67:1286-93. https://doi.org/10.1016/j.joms.2008.12.024
  8. Romanos GE. Present status of immediate loading of oral implants. J Oral Implantol 2004;30:189-97. https://doi.org/10.1563/1548-1336(2004)30<189:PSOILO>2.0.CO;2
  9. Romanos GE, Aydin E, Locher K, Nentwig GH. Immediate vs. delayed loading in the posterior mandible: a split-mouth study with up to 15 years of follow-up. Clin Oral Implants Res 2016;27:e74-9. https://doi.org/10.1111/clr.12542
  10. Horiuchi K, Uchida H, Yamamoto K, Sugimura M. Immediate loading of Branemark system implants following placement in edentulous patients: a clinical report. Int J Oral Maxillofac Implants 2000;15:824-30.
  11. Paolantonio M, Dolci M, Scarano A, d'Archivio D, di Placido G, Tumini V, et al. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol 2001;72:1560-71. https://doi.org/10.1902/jop.2001.72.11.1560
  12. Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants 2003;18:189-99.
  13. 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. https://doi.org/10.1111/j.1600-051X.2008.01235.x
  14. Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Tissue modeling following implant placement in fresh extraction sockets. Clin Oral Implants Res 2006;17:615-24. https://doi.org/10.1111/j.1600-0501.2006.01317.x
  15. Araujo MG, Wennstrom JL, Lindhe J. Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clin Oral Implants Res 2006;17:606-14. https://doi.org/10.1111/j.1600-0501.2006.01315.x
  16. Kawahara H, Kawahara D, Hayakawa M, Tamai Y, Kuremoto T, Matsuda S. Osseointegration under immediate loading: biomechanical stress-strain and bone formation--resorption. Implant Dent 2003;12:61-8. https://doi.org/10.1097/01.ID.0000034394.75768.E3
  17. Testori T, Meltzer A, Del Fabbro M, Zuffetti F, Troiano M, Francetti L, et al. Immediate occlusal loading of Osseotite implants in the lower edentulous jaw. A multicenter prospective study. Clin Oral Implants Res 2004;15:278-84. https://doi.org/10.1111/j.1600-0501.2004.01013.x
  18. Branemark PI, Engstrand P, Ohrnell LO, Grondahl K, Nilsson P, Hagberg K, et al. Branemark Novum: a new treatment concept for rehabilitation of the edentulous mandible. Preliminary results from a prospective clinical follow-up study. Clin Implant Dent Relat Res 1999;1:2-16. https://doi.org/10.1111/j.1708-8208.1999.tb00086.x
  19. Gross JS. Bone grafting materials for dental applications: a practical guide. Compend Contin Educ Dent 1997;18:1013-8, 1020-2.
  20. Kornmann F. Sofortige provisorische Versorgung bzw. Belastung nach Sofort- und/oder Spatimplantation. Quintessenz 2010;61:699-707.
  21. Buser D, von Arx T, ten Bruggenkate C, Weingart D. Basic surgical principles with ITI implants. Clin Oral Implants Res 2000;11 Suppl 1:59-68.
  22. Lazzara RJ. Immediate implant placement into extraction sites: surgical and restorative advantages. Int J Periodontics Restorative Dent 1989;9:332-43.
  23. Lazzara RJ. Effect of implant position on implant restoration design. J Esthet Dent 1993;5:265-9. https://doi.org/10.1111/j.1708-8240.1993.tb00791.x
  24. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent 2008;17:5-15. https://doi.org/10.1097/ID.0b013e3181676059
  25. Buser D, Weber HP, Lang NP. Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Implants Res 1990;1:33-40. https://doi.org/10.1034/j.1600-0501.1990.010105.x
  26. Kim HY. Statistical notes for clinical researchers: Evaluation of measurement error 1: using intraclass correlation coefficients. Restor Dent Endod 2013;38:98-102. https://doi.org/10.5395/rde.2013.38.2.98
  27. Canullo L, Fedele GR, Iannello G, Jepsen S. Platform switching and marginal bone-level alterations: the results of a randomized-controlled trial. Clin Oral Implants Res 2010;21:115-21. https://doi.org/10.1111/j.1600-0501.2009.01867.x
  28. Canullo L, Goglia G, Iurlaro G, Iannello G. Short-term bone level observations associated with platform switching in immediately placed and restored single maxillary implants: a preliminary report. Int J Prosthodont 2009;22:277-82.
  29. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res 2012;23 Suppl 5:39-66.
  30. Kacer CM, Dyer JD, Kraut RA. Immediate loading of dental implants in the anterior and posterior mandible: a retrospective study of 120 cases. J Oral Maxillofac Surg 2010;68:2861-7. https://doi.org/10.1016/j.joms.2010.05.086
  31. Busenlechner D, Furhauser R, Haas R, Watzek G, Mailath G, Pommer B. Long-term implant success at the Academy for Oral Implantology: 8-year follow-up and risk factor analysis. J Periodontal Implant Sci 2014;44:102-8. https://doi.org/10.5051/jpis.2014.44.3.102
  32. Schindjalova R. Immediate implantation in retrospect - a study regarding success and failure of implantations. Z Zahnarztl Implantol 2015;31:132-9.
  33. Imburgia M, Del Fabbro M. Long-term retrospective clinical and radiographic follow-up of 205 Branemark System Mk III TiUnite implants submitted to either immediate or delayed loading. Implant Dent 2015;24:533-40. https://doi.org/10.1097/ID.0000000000000265
  34. Moraschini V, Porto Barboza E. Immediate versus conventional loaded single implants in the posterior mandible: a meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg 2016;45:85-92. https://doi.org/10.1016/j.ijom.2015.07.014
  35. Francetti L, Rodolfi A, Barbaro B, Taschieri S, Cavalli N, Corbella S. Implant success rates in full-arch rehabilitations supported by upright and tilted implants: a retrospective investigation with up to five years of follow-up. J Periodontal Implant Sci 2015;45:210-5. https://doi.org/10.5051/jpis.2015.45.6.210

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