A clinico radiographic study of immediate loading implants in rehabilitation of mandibular ridges

Abstract

Methods: A total of 30 completely edentulous patients male or female, in the age group of 54e78 years (mean age 65 years), wearing conventional complete dentures were selected and randomly divided in to two groups. A total of 60 implants were placed in the interforaminal area of the mental symphysis (two implants per patients) in 30 patients. Two types of attachment systems namely Ball for group-A and Bar for group-B were used and immediate loading done.Implants were evaluated clinically and radiographically at baseline, 1 month, 3 months, 6 months and 9 months. All clinical and radiographic parameters were subjected to statistical analysis.Result: The implant survival rate for group-A (ball attachment) was 93.3% and implant survival rate for group-B (bar attachment) was 93.3%. The overall implant survival rate was not dependent on the attachment system. There was no significant difference in the crestal bone loss in mesial, and distal side in implants with respect to ball and bar attachment for different period of observation (F ¼ 0.25; P ¼ 0.910; F ¼ 0.07; P ¼ 0.992 respectively). m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 7 1 ( 2 0 1 5 ) S 3 4 6 eS 3 5 4

Splinted and unsplinted overdenture attachment systems: A systematic review and meta‐analysis

“…Based on Newcastle‐Ottawa, none of the studies selected showed a high risk of bias (below 6 stars). One study scored seven stars), one study scored eight stars and one study scored nine stars, indicating a low risk of bias. Mostly, the absence of stars was related to lack of additional factors of comparability, and sufficient follow‐up, considered as 5 years (Table ).…”

“…Nine studies evaluated marginal bone loss . Despite the slight increase in bone loss associated with use of unsplinted attachment systems, seven studies found no statistically significant difference between the splinted and unsplinted groups.…”

“…The use of implants has enabled an increase in the number and versatility of treatments for completely edentulous individuals. Fixed or removable complete dentures on implants provide greater satisfaction and chewing efficiency compared to conventional dentures . Overdentures are considered a favourable option for oral rehabilitation by enabling a smaller number of implants, which reduces the treatment cost while providing greater satisfaction due to the stability of the dentures .…”

“…Several clinical studies comparing the splinted and unsplinted overdenture attachment systems have been published . Choice of the best attachment systems is sometimes based on opinions and clinical experience rather than scientific evidence .…”

Three-year Prospective Evaluation of Immediately Loaded Mandibular Implant Overdentures retained with Locator Attachments

“…An implant length of at least 13 mm was placed, as a minimum acceptable implant length of 10 mm was considered viable by some authors when immediate loading protocol is to be attempted. 52,53 Care was also taken to ensure primary stability of implants before being immediately loaded. The primary stability is a crucial factor that determines the long-term success of dental implants.…”