J Korean Acad Prosthodont.  2001 Aug;39(4):376-390.

A STUDY OF MARGINAL BONE RESORTION AROUND IMPLANTS AFTER IMMEDIATE LOADING

• Kim SH
• Han CH

Abstract

Alveolar bone changes after immediate loading on implants up to one year were observed by means of standard intraoral X-ray measurement which were taken at 3 month intervals. At the same time, bone density changes were observed according to digital subtraction method which is a becoming a more and more promising diagnostic tool for implants. Following results were obtained; 1.There was no significant difference in the amount of alveolar bone loss implant type, sex and implant diameter, but there was difference according to case selection: In fully bone anchored prostheses cases, bone loss was 1.16+/-0.15m whereas, in partial edentulous cases, it was 1.84+/-0.08mm. 2.Alveolar bone loss after immediate loading showed a higher degree of bone loss than after submerged loading in the initial three months. But there were no significant difference at the 12th month. 3.According to the one year bone density change observation at the alveolar bone surrounding the implant, significant change was observed vertically, whereas no significant change could observed horizontally. According to the above mentioned results, we can conclude that immediate loading of implants results in a higher degree of alveolar bone loss in one year than submerged loading. But since alveolar bone loss rate decreases to reasonable rate after the initial 3 months of rapid bone loss, immediate loading of implants seems to be an acceptable treatment modality for patients with good bone conditions. Fully bone anchored cases showed an favorable outcome, but partial edentulous cases showed more bony resorption. So this case considered in case selections. Bone density changes observation in the study was performed for only one year therefore a more longitudinal observation may be studied.

MeSH Terms

Alveolar Bone Loss
Bone Density
Health Resorts*
Humans
Prostheses and Implants
Suture Anchors