A systematic review of marginal soft tissue at implants subjected to immediate loading or immediate restoration

Abstract

Within the limits of the evaluated data it can be cautiously concluded that once immediately loaded or restored implants integrate successfully, they appear to show a soft-tissue reaction with regard to periodontal as well as morphologic aspects comparable with those of conventionally loaded implants. However, follow-up periods are generally short, number of patients and/or implants per study are few, and most studies present only limited data on peri-implant soft-tissue evaluation. More accurate long-term studies with a stronger study design (i.e., RCT) reporting more detailed on treatment and follow-up protocols are required to allow for proper comparisons and conclusions.

Prosthodontic considerations designed to optimize outcomes for single‐tooth implants. A review of the literature

“…Glauser et al 38 conducted a systematic review of the literature looking at the marginal soft tissue response to immediately-loaded or immediately-restored implant restorations. Seventeen clinical studies were included in the review but a meta-analysis could not be performed due to data heterogeneity.…”

Immediate loading of dental implants

“…The implant placement should be performed to achieve a high level of stability. Most agree that an insertion torque of at least 32 Ncm is required 6,9,11,19 and a resonance frequency analysis of at least 60 ISQ where this test was employed. 24 The overall evidence base is weak and relatively empirical and consequently signifies the need for more high quality controlled clinical studies to investigate these variables.…”

“…For this reason as opposed to any biological basis, ''immediate'' is most often defined as ''within 48 hours''. 7,9,11,13 The amount of occlusal loading the provisional restoration supports is also the subject of debate with respect to definition. The terms ''immediate loading'' is reserved for full occlusal loading in at least centric occlusion and ''immediate restorations'' or ''non-occlusal loading'' for restorations with no centric or eccentric contacts.…”

“…A systematic review of marginal soft tissue at implants subjected to immediate loading or immediate restoration reported that within the limits of the evaluated data, it can be cautiously concluded that once immediately loaded or restored implants integrate successfully, they appear to show a soft-tissue reaction with regard to peri-implant area as well as morphologic aspects comparable with those of conventionally loaded implants. 11 However, follow-up periods are generally short, number of implants per study are few, and most studies present only limited data on peri-implant softtissue evaluation. More accurate long-term studies with a stronger study design (i.e., RCT) reporting more detailed treatment and follow-up protocols are required to allow proper comparisons and conclusions.…”

“…More accurate long-term studies with a stronger study design (i.e., RCT) reporting more detailed treatment and follow-up protocols are required to allow proper comparisons and conclusions. 11 Because of the lack of long-term data, questions regarding whether peri-implant health, prosthesis stability, degree of bone loss, and aesthetic outcome of immediate implants are comparable with implants placed in healed sites remain unanswered. 23 …”