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Article: Critical review of immediate implant loading

TitleCritical review of immediate implant loading
Authors
Issue Date2003
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
Citation
Clinical Oral Implants Research, 2003, v. 14 n. 5, p. 515-527 How to Cite?
AbstractBackground: Implant dentistry has become successful with the discovery of the biological properties of titanium. In the original protocol, studies have advocated a 2-stage surgical protocol for load-free and submerged healing to ensure predictable osseointegration. However, the discomfort, inconvenience, and anxiety associated with waiting period remains a challenge to both patients and clinicians. Hence, loading implant right after placement was attempted and has gained popularity among clinicians. Issues/ questions related to this approach remain unanswered. Therefore, it is the purpose of this review article to (1) review and analyze critically the current available literature in the field of immediate implant loading and (2) discuss, based on scientific evidence, factors that may influence this treatment modality. Material and Methods: Literature published over the past 20 years was selected and reviewed. Findings from these studies were discussed and summarized in the tables. The advantages and disadvantages associated with immediate implant loading were analyzed. Factors that may influence the success of immediate implant loading, including patient selection, type of bone quality, required implant length, micro- and macrostructure of the implant, surgical skill, need for achieving primary stability/control of occlusal force, and prosthesis guidelines, were thoroughly reviewed and discussed. Results and Conclusion: Various studies have demonstrated the feasibility and predictability of this technique. However, most of these articles are based on retrospective data or uncontrolled cases. Randomized, prospective, parallel-armed longitudinal human trials are primarily based on short-term results and long-term follow-ups are still scarce in this field. Nonetheless, from available literature, it may be concluded that anatomic locations, implant designs, and restricted prosthetic guidelines are key to ensure successful outcomes. Future studies, preferably randomized, prospective longitudinal studies, are certainly needed before this approach can be widely used.
Persistent Identifierhttp://hdl.handle.net/10722/154256
ISSN
2015 Impact Factor: 3.464
2015 SCImago Journal Rankings: 1.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorGapski, Ren_US
dc.contributor.authorWang, HLen_US
dc.contributor.authorMascarenhas, Pen_US
dc.contributor.authorLang, NPen_US
dc.date.accessioned2012-08-08T08:24:14Z-
dc.date.available2012-08-08T08:24:14Z-
dc.date.issued2003en_US
dc.identifier.citationClinical Oral Implants Research, 2003, v. 14 n. 5, p. 515-527en_US
dc.identifier.issn0905-7161en_US
dc.identifier.urihttp://hdl.handle.net/10722/154256-
dc.description.abstractBackground: Implant dentistry has become successful with the discovery of the biological properties of titanium. In the original protocol, studies have advocated a 2-stage surgical protocol for load-free and submerged healing to ensure predictable osseointegration. However, the discomfort, inconvenience, and anxiety associated with waiting period remains a challenge to both patients and clinicians. Hence, loading implant right after placement was attempted and has gained popularity among clinicians. Issues/ questions related to this approach remain unanswered. Therefore, it is the purpose of this review article to (1) review and analyze critically the current available literature in the field of immediate implant loading and (2) discuss, based on scientific evidence, factors that may influence this treatment modality. Material and Methods: Literature published over the past 20 years was selected and reviewed. Findings from these studies were discussed and summarized in the tables. The advantages and disadvantages associated with immediate implant loading were analyzed. Factors that may influence the success of immediate implant loading, including patient selection, type of bone quality, required implant length, micro- and macrostructure of the implant, surgical skill, need for achieving primary stability/control of occlusal force, and prosthesis guidelines, were thoroughly reviewed and discussed. Results and Conclusion: Various studies have demonstrated the feasibility and predictability of this technique. However, most of these articles are based on retrospective data or uncontrolled cases. Randomized, prospective, parallel-armed longitudinal human trials are primarily based on short-term results and long-term follow-ups are still scarce in this field. Nonetheless, from available literature, it may be concluded that anatomic locations, implant designs, and restricted prosthetic guidelines are key to ensure successful outcomes. Future studies, preferably randomized, prospective longitudinal studies, are certainly needed before this approach can be widely used.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLRen_US
dc.relation.ispartofClinical Oral Implants Researchen_US
dc.subject.meshBite Forceen_US
dc.subject.meshDental Implantation, Endosseous - Methodsen_US
dc.subject.meshDental Implantsen_US
dc.subject.meshDental Prosthesis Designen_US
dc.subject.meshDental Prosthesis, Implant-Supporteden_US
dc.subject.meshDental Stress Analysisen_US
dc.subject.meshDenture, Complete, Immediateen_US
dc.subject.meshDenture, Partial, Immediateen_US
dc.subject.meshHumansen_US
dc.subject.meshSurface Propertiesen_US
dc.titleCritical review of immediate implant loadingen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1034/j.1600-0501.2003.00950.xen_US
dc.identifier.pmid12969355en_US
dc.identifier.scopuseid_2-s2.0-0345304965en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0345304965&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume14en_US
dc.identifier.issue5en_US
dc.identifier.spage515en_US
dc.identifier.epage527en_US
dc.identifier.isiWOS:000185691800001-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridGapski, R=8708331000en_US
dc.identifier.scopusauthoridWang, HL=7501733792en_US
dc.identifier.scopusauthoridMascarenhas, P=6506690173en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US

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