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Immediate, Early (6 Weeks) and Delayed Loading (3 Months) of Single, Partial and Full Fixed Implant- Supported Prostheses: Three-year Post- Loading Data From a Multicentre Randomised Controlled Trial

Pistilli, R; Mitsias, M; Siormpas, K; Sbricoli, L; Esposito, M; Buti, J; Maghaireh, H; (2020) Immediate, Early (6 Weeks) and Delayed Loading (3 Months) of Single, Partial and Full Fixed Implant- Supported Prostheses: Three-year Post- Loading Data From a Multicentre Randomised Controlled Trial. Clinical Trials in Dentistry , 01 (01) , Article 37. 10.36130/ctd.01.2019.04. Green open access

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Abstract

PURPOSE. To compare the clinical outcomes of single, partial and complete fixed im-plant-supported prostheses immediately loaded (within 48 hours), early loaded at 6 we-eks, and conventionally loaded at 3 months (delayed loading). MATERIALS AND METHODS. Fifty-four patients (18 requiring single implants, 18 partial fixed prostheses, and 18 total fixed cross-arch prostheses) were randomised in equal numbers in two private practices to immediate loading (18 patients), early loading (18 patients), and conventional loading (18 patients) according to a parallel group design with three arms. To be immediately or early loaded, implants had to be inserted with a torque superior to 40 Ncm. Implants were initially loaded with provisional prostheses, replaced after 4 months by definitive ones. Outcome measures were prosthesis and implant failu-res, complications and peri-implant marginal bone levels. RESULTS. Two conventionally loaded patients rehabilitated with cross-arch fixed total prostheses dropped-out before 3-year post-loading follow-up. No implant failed. One early-loaded partial prosthesis had to be remade (P = 1.0). Three complications occurred in the immediately loaded group, two in the early-loaded and one in the conventionally loaded group with no statistically significant differences across groups (P = 0.861). Pe-ri-implant marginal bone loss was-0.04 ± 0.85 mm at immediately loaded implants,-0.01 ± 0.55 mm at early-loaded implants and 0.33 ± 0.36 mm at conventional loaded implants with no statistically significant differences between the three loading strategies (P=0.191). CONCLUSIONS. All loading strategies were highly successful, and no differences were observed in terms of implant survival and complications when implants were loaded immediately, early or conventionally.

Type: Article
Title: Immediate, Early (6 Weeks) and Delayed Loading (3 Months) of Single, Partial and Full Fixed Implant- Supported Prostheses: Three-year Post- Loading Data From a Multicentre Randomised Controlled Trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.36130/ctd.01.2019.04
Publisher version: http://dx.doi.org/10.36130/CTD.01.2019.04
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: dental implants, immediate loading, early loading, conventional loading, delayed loading
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > Restorative Dental Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10157501
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