J Periodontal Implant Sci.  2016 Aug;46(4):234-243. 10.5051/jpis.2016.46.4.234.

The feasibility of immediately loading dental implants in edentulous jaws

• Henningsen A
• Smeets R
• Wahidi A
• Kluwe L
• Kornmann F
• Heiland M
• Gerlach T

• KMID: 2350024
• DOI: http://doi.org/10.5051/jpis.2016.46.4.234

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.

Keyword

Dental implants; Immediate dental implant loading; Jaw, edentulous

MeSH Terms

Dental Implants*
Follow-Up Studies
Humans
Immediate Dental Implant Loading
Jaw, Edentulous*
Mandible
Maxilla
Retrospective Studies
Survival Rate
Dental Implants

Figure

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  Figure 1 The change in bone level. Defining crestal bone level (CBL), implant shoulder (IS) and the distance between both (DIB).

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  Figure 2 The original data of bone level change (against post-implant placement baseline) for each implant at each follow-up examination. Note that most measurements were during the period up to 48 months.

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