Publication

Immediate non-occlusal loading of single implants in the aesthetic zone: A randomized clinical trial

den Hartog, L., Raghoebar, G. M., Stellingsma, K., Vissink, A. & Meijer, H. J. A., Feb-2011, In : Journal of Clinical Periodontology. 38, 2, p. 186-194 9 p.

Research output: Contribution to journalArticleAcademicpeer-review

P>Aim

This study compared the outcome of immediate non-occlusal loading with conventional loading for single implants in the maxillary aesthetic zone. It was hypothesized that immediate non-occlusal loading is not inferior to conventional loading.

Materials and Methods

Sixty-two patients with a missing maxillary anterior tooth were randomly assigned to be treated with an implant that was either restored with a non-occluding temporary crown within 24 h after implant placement (the "immediate group") or was restored according to a two-stage procedure after 3 months (the "conventional group"). All implants were installed in healed sites. Follow-up visits were conducted after 6 and 18 months post-implant placement. Outcome measures were radiographic marginal bone-level changes, survival, soft tissue aspects (probing depth, plaque, bleeding, soft tissue level), aesthetics and patient satisfaction.

Results

No significant differences were found between both study groups regarding marginal bone loss (immediate group 0.91 +/- 0.61 mm, conventional group 0.90 +/- 0.57 mm), survival (immediate group 96.8%: one implant lost, conventional group 100%), soft tissue aspects, aesthetic outcome and patient satisfaction.

Conclusion

Within the limitations of this study (sample size, follow-up duration), it was demonstrated that, for single implants in the anterior maxilla, the outcome of immediate non-occlusal loading was not less favourable than conventional loading.

Original languageEnglish
Pages (from-to)186-194
Number of pages9
JournalJournal of Clinical Periodontology
Volume38
Issue number2
Publication statusPublished - Feb-2011

    Keywords

  • aesthetics, bone level, dental implant, immediate loading, single tooth, soft tissue, SOFT-TISSUE, TOOTH IMPLANTS, DENTAL IMPLANTS, TITANIUM IMPLANTS, PRIMARY STABILITY, BONE, RESTORATION, PATIENT, SATISFACTION, REPLACEMENT

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