Bone Regeneration Around Implants in Periodontally Compromised Patients: A Randomized Clinical Trial of the Effect of Immediate Implant With Immediate Loading

Abstract

Immediate loading of a single implant placed in a fresh extraction site in periodontally compromised patients resulted in similar bone gain and soft tissue esthetic outcomes compared to delayed loading. Primary closure and delayed loading to ensure bone regeneration around implants were not critical in this study.

Radiographic Bone Changes Around Immediately Placed Immediately Restored Dental Implants In Periodontally Compromised Sites

“…Similar to previous studies of immediately restored dental implants in periodontally treated patients [15,16] , the survival rate of dental implants was higher than 90%. These results can be compared to other studies of patients with and without a history of periodontal disease [15,17,18]. For example, the results of the present study were comparable to results of immediately restored dental implants in periodontally treated patients obtained by Horwitz et al [15] with survival rate greater than 90%.…”

“…In a literature review [16], implant survival rates of immediately loaded implants with immediate or delayed implant placement ranged from 95·8% to 100%. Also, in a previous study Shibly et al [17] compared bone regeneration and esthetic outcomes between immediate and conventional loading of dental implants placed immediately after extraction in patients with a history of periodontal disease, the implant survival rate at 2 years was 96.7% and 93.3% in the immediate loading and conventional loading group respectively. De Boever et al [18] evaluated the implant survival rate in periodontally non-susceptible patients and in patients with chronic adult periodontitis or with generalized aggressive periodontitis, implant survival in the periodontally non-susceptible patients and chronic adult periodontitis group was 98% and 96% after 140 months (showing no difference), but only 80% after 100 months in the generalized aggressive periodontitis group .…”

Crestal Bone Level Changes Around Immediately Placed Implants: A Systematic Review and Meta‐Analyses With at Least 12 Months’ Follow‐Up After Functional Loading

“…Five studies 23,39,40,44,51 compared CBL changes in one‐ versus two‐stage IIP from 12 to 60 months. Two studies 39,40 evaluated CBL at 12 months, two up to 24 months, 23,44 and one up to 60 months 51 .…”

“…Five studies 23,39,40,44,51 compared CBL changes in one‐ versus two‐stage IIP from 12 to 60 months. Two studies 39,40 evaluated CBL at 12 months, two up to 24 months, 23,44 and one up to 60 months 51 . Four studies reported CBL at 12 months and included 126 and 128 implants in the one‐ and two‐stage groups, respectively 23,39,40,51 .…”

“…Two studies 39,40 evaluated CBL at 12 months, two up to 24 months, 23,44 and one up to 60 months 51 . Four studies reported CBL at 12 months and included 126 and 128 implants in the one‐ and two‐stage groups, respectively 23,39,40,51 . Mean difference in CBL change (−0.024 mm; 95% CI, −0.278 to 0.229; P >0.852) favored one‐stage IIP but was not significant.…”