Journal of Research and Advancement in Dentistry
Official publication of Magadh University and Kolhan University, Government of Bihar and Jharkhand, India
Official publication of Magadh University and Kolhan University, Government of Bihar and Jharkhand, India
Year : 2021
Volume : Volume 12
Issue : Issue 3
Address for correspondence :
Dr. Gorrela Harsha
drgharshaomfs@gmail.com
Background: The aim of this study was to compare the clinical outcome of immediately loaded implants to that of conventionally (delayed) loaded implants for the restoration of mandibular first molar with stability as the primary objective and bleeding on probing, probing depth, implant mobility, marginal bone loss, and peri-implant radiolucency as the secondary objectives. Materials and Methods: The study included twenty patients who were in need of replacement of missing mandibular first molar. Ten patients received single tooth implants, immediately loaded (test group) within 2 days of placement, and the remaining ten patients received single tooth implants which were loaded conventionally (control group) after 3 months of placement. Clinical and radiographical evaluation was done for all the implants until 6 months after loading. Results: The post-surgical healing was uneventful for all patients. Primary stability of implants loaded through either way was not significantly different either at three (71.60 ± 2.16 vs. 72.35 ± 2.40, P = 0.47) or 6 months (73.80 ± 2.91 vs. 74.15 ± 2.72, P = 0.78) after loading. There was no bleeding on probing and the probing depths remained well within the normal range after 6 months of loading in both groups (1.20 ± 0.44 vs. 1.80 ± 0.42, t = –2.26, P = 0.02) implant mobility was absent in all cases with minimal marginal bone loss (for mesial side – 0.10 ± 0.21 vs. 0.15 ± 0.24, t = –0.37, P = 0.70 and for distal side – 0.15 ± 0.24 vs. 0.15 ± 0.33, t = –0.26, P = 0.79) and without peri-implant radiolucency. Conclusion: The single tooth restoration of mandibular first molars with immediate loading can be used as a successful alternative to the conventional loading technique. However, as these results were obtained with a small sample size and shorter follow-up time, long-term studies with larger samples are recommended for a good predictability and external validity.
Keywords: ISQ, Dental implant, Immediate loading, Delayed loading.
