A Radiographic and Clinical Comparison of Immediate vs. Early Loading (4 Weeks) of Implants with a New Thermo-Chemically Treated Surface: A Randomized Clinical Trial
Matteo Albertini,
Federico Herrero-Climent,
Carmen María Díaz-Castro,
Jose Nart,
Ana Fernández-Palacín,
José Vicente Ríos-Santos and
Mariano Herrero-Climent
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Matteo Albertini: Department of Periodontology, Universitat International de Catalunya, 08017 Barcelona, Spain
Federico Herrero-Climent: Clinica Dental Herrero Climent, Calle del Dr. Fleming 54, 28036 Madrid, Spain
Carmen María Díaz-Castro: Department of Preventive Medicine and Public Health, Faculty of Medicine, Universidad de Sevilla, Avda Sanchez Pizjuán S/N, 41009 Sevilla, Spain
Jose Nart: Department of Periodontology, Universitat International de Catalunya, 08017 Barcelona, Spain
Ana Fernández-Palacín: Department of Preventive Medicine and Public Health, Faculty of Medicine, Universidad de Sevilla, Avda Sanchez Pizjuán S/N, 41009 Sevilla, Spain
José Vicente Ríos-Santos: Department of Periodontics and Dental Implants, School of Dentistry, University of Seville, C/Avicena S/N, 41009 Sevilla, Spain
Mariano Herrero-Climent: Porto Dental Institute, 4150-518 Porto, Portugal
IJERPH, 2021, vol. 18, issue 3, 1-19
Abstract:
Background: Implant dentistry has evolved over time, resulting in better treatment outcomes for both patients and clinicians. The aim of this trial was to test whether the immediate loading of implants with a platform-switching design influences the marginal bone level, compared to four-week loading, after one year of follow-up. Moreover, a comparison of clinical data regarding implant survival, implant stability, and patient-reported outcome measures (PROMs) was conducted. Methods: Klockner ® VEGA ® implants with a ContacTi ® surface were placed in partially edentulous patients in the posterior areas. Group A received an immediately loaded prosthesis (one week) and Group B received an early-loaded prosthesis (four weeks). All abutments were placed at the time of surgery. Radiographic and clinical data were recorded. Results: Twenty-one patients were treated (35 implants). No implants were lost during the study. The final marginal bone level did not show differences between groups. The bone loss at 12 months at the implant level was 0.00 mm for both groups (median). The final implant quotient stability (ISQ) values did not differ between groups (median 73 and 70.25), nor did the other clinical parameters or PROMs. Conclusions : The results suggest that neither of the loading protocols with the implants used influenced the marginal bone level—not the osseointegration rate, clinical conditions, or PROMs.
Keywords: immediate loading; early loading; dental implants; bone–implant interface; osseointegration (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:3:p:1223-:d:489615
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