Immediate Versus Delayed Loading of Postextraction Implants: A Long-Term Retrospective Cohort Study
Implant Dentistry: December 2017 - Volume 26 - Issue 6 - p 853–859
doi: 10.1097/ID.0000000000000635
Basic and Clinical Research
Purpose: To compare the long-term clinical and
radiographic outcomes between immediate loading (IL) and conventional
loading of implants placed immediately in fresh extraction sockets.
Materials and Methods: Demographic data, implant
details, and periapical radiographs of patients were collected. The
long-term marginal bone level remodeling and implant survival rate were
calculated.
Results: Twenty-one patients (mean age 52.55 ± 14.61
years) with 35 implants immediately inserted into postextraction sites
(22 immediate loaded and 13 delayed loaded) were analyzed. The mean
follow-up duration was 6 years (range 2–11 years). The implant
cumulative survival rate was 96.5%. At the longest follow-up, the mean
crestal bone level averaged 0.144 ± 0.705 for IL and 0.161 ± 0.877 for
delayed loading, respectively. The mean implant aesthetic score was 7.
Conclusions: IL does not negatively influence the long-term prognosis of implants inserted into fresh extraction sockets.
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