Delayed vs immediate implant loading: a comparative clinical and radiological study

Author: 
Milind Naphade., Vijay Sharma., Vimi Jain., Rajeshree Gondhalekar and Ujwala Naphade

Background: In dentistry and oromaxillofacial surgery, the use of dental implants is today a firmly established method of functional masticatory rehabilitation of edentulous segments of the jaws. From empirical considerations, it was estimated that a minimum period of three months in the mandible and six months in the maxilla was necessary for satisfactory implant healing.
However, the competing procedure of immediate loading of screw-retained implants soon developed in parallel with this.
Aim & objectives: Primary objectives of the study was to compare the clinical & radiological outcome of delayed and immediate implant loading.
Material and Method: This prospective study included 20 patients, 10 in each group. Group(A) delayed implant loading & Group(B) immediate implant loading. The criteria’s evaluated were radiological assessment of the bone loss(mesial and distal crestal bone), clinical assessment of pocket depth and clinical assessment of stability at 3, 6, 12 & 18 months.
Observation: The crestal bone loss was higher at 12 and 18 months on mesial side of implant and at 18 month on distal side of implant, statistically significant in the immediate loading group when compared to delayed loading group. No significant difference was observed in pocket depth & stability between both the groups.
Conclusion: The loading of the implants can be done immediately irrespective of the number and anatomical area, provided the torque of 40Ncm is achieved.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.14771.2689
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