Comparison Of Peri-implant Bone Level Changes In Immediate Implant With Functional Versus Non- Functional Loading In Mandibular Posterior Region

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Authors

  • Gajendra Bagri
     Medical Officer (Dental), CHC Bhinai, Ajmer – 305622, Rajasthan ,IN
  • Sankalp Mittal
     Associate Professor, Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, Rajasthan ,IN
  • Anjali D. Tiwari
     Professor and HOD (Retired), Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, Rajasthan ,IN
  • Vinay Kumar
     Professor and HOD, Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, Rajasthan ,IN
  • Saurabh Jain
     Medical Officer (Dental), CHC Nawa, Nagaur – 341509, Rajasthan ,IN
  • Vineet Nair
     Associate Professor, Department of Periodontology, Burdwan Dental College and Hospital, Burdwan – 713101, West Bengal ,IN

DOI:

https://doi.org/10.18311/jpfa/2022/29864

Keywords:

Denture, Edentulousness, Implant, Occlusion, Osseo-Integration
ORAL AND MAXILLOFACIAL SURGERY

Abstract

Introduction: Traditionally, teeth that are absent are substituted by partial dentures or by complete dentures. Many prefer a dental implant as it tries to imitate the natural tooth. Though the notion of immediate loading reduced the time of prosthetic treatment, debate arose whether the loading should be functional or non-functional. The objective of this study was to compare the Peri-implant Bone Level (PIBL) deviations in immediate implant placement with instantaneous functional versus non-functional loading in the mandibular posterior region. Material and Methods: Fifty patients were incorporated in the study and distributed by random sampling into two groups of equal members each. Group A had patients in whom implant was placed followed by immediate functional loading. Group B were those who had non-functional loading. After bone implant integration, temporary crowns were replaced with metal ceramic prosthesis. PIBL change (in mm) of each implant was assessed by periapical radiograph which were taken at immediate post op, after one month and then on three and six months follow up. Statistical analysis was done using software SPSS v 21.0. Comparison between the groups (Mann Whitney U test), intragroup (Friedman’s) and Wilcoxon Signed rank test for pairwise comparison were done. Results: There was PIBL gain mesially and distally of the implants in both the groups in all time intervals of one, three and six months follow up. Conclusions: To conclude immediate implants restored instantly yielded affirmative result as far as survival of the implants, bone level changes and aesthetics of the soft tissues are concerned irrespective of the type of loading.

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Published

2022-07-26

How to Cite

Bagri, G., Mittal, S., Tiwari, A. D., Kumar, V., Jain, S., & Nair, V. (2022). Comparison Of Peri-implant Bone Level Changes In Immediate Implant With Functional Versus Non- Functional Loading In Mandibular Posterior Region. Journal of Pierre Fauchard Academy (India Section), 36(1), 1–8. https://doi.org/10.18311/jpfa/2022/29864

Issue

Volume 36, Issue 1, March 2022

Section

Original Research Article

License

All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).

 

References

Raes F, Eccellente T, Lenzi C, Ortolani M, Luongo G, Mangano C. Immediate functional loading of single implants: A multicentre study with 4 years of follow up. J Dent Res Dent Clin Dent Prospect. 2018; 12(1):26–37. PMid: 29732018 PMCid: PMC5928471. https://doi.org/10.15171/joddd.2018.005

Refaie A, Zohdy M, Aboelfadl A, Wahsh M. Effect of different immediate implant loading protocols on peri-implant soft tissue health. Braz Dent Sci. 2020; 23(4):1–7. https://doi.org/10.14295/bds.2020.v23i4.1998

Ragucci GM, Elnayef B, Criado-Camara E, Suarez-Lopez Del Amo F, Hernandez-Alfaro F. Immediate implant placement in molar extraction sockets: A systematic review and meta-analysis. International Journal of Implant Dentistry. 2020; 6:40–51. PMid: 32770283 PMCid: PMC7413966. https://doi.org/10.1186/s40729-020-00235-5

Rishi R, Monika M, Harish Y, Manu R, Reshu M, Charu R. Immediate placement and immediate loading of dental implant in mandibular posterior region through precise implant size parameters selection: A case report. Annals of Dental Specialty. 2017; 5(4):193–7.

George J, Paulose A, Devassy JP, George J. Immediate loading in implant Dentistry: A review. The Journal of Prosthetic and Implant Dentistry. 2021; 4(3):118–22.

Lang NP, Lui P, Lau KY, Li KY, Wong MCM. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Impl Res. 2012; 23(Suppl. 5):39–66. PMid: 22211305. https://doi.org/10.1111/j.16000501.2011.02372.x

Anand SG, Mohammed M, Kumar MN, Vaaka HDP, Palla S. Effectiveness of immediate loading protocol over conventional loading protocol in mandibular posterior region - A comparative prospective clinical study. Journal of Advanced Clinical and Research Insights. 2021; 7:48–52. https://doi. org/10.15713/ins.jcri.298

Mantena SR, Sivagami G, Sruthima NVS Gottumukkala. Evaluation of crestal bone loss and stability of immediate functional loading versus immediate non-functional loading of single-mandibular posterior implants: A pilot randomized controlled clinical trial. Dental Res J. 2014; 11(5):585–91.

Nair V, Bandyopadhyay P, Kundu D, Das S. Estimation of interleukin-18 in the gingival crevicular fluid and serum of Bengali population with periodontal health and disease. J Indian Soc Periodontol. 2016; 20(3):260–4. PMid: 27563198 PMCid: PMC4976545. https://doi.org/10.4103/0972-124X.183098

Moraschini V, Porto E. Immediate versus conventional loaded single implants in the posterior mandible: a meta-analysis of randomized controlled trials, Int J Oral Maxillofac Surg. 201545(1):85–92. PMid: 26259980. https:// doi.org/10.1016/j.ijom.2015.07.014

Sawail Al-Aziz A, Hussein L. Success of immediate loading implants compared to conventionally-loaded implants: A literature review. Journal of Investigative and Clinical Dentistry. 2016; 7:217–24. PMid: 25976172. https://doi. org/10.1111/jicd.12152

Penarrocha-Oltra D, Soto-Penaloza D, Penarrocha-Diago M. Immediate loading in implantology. Clinical Dentistry Reviewed. 2020; 4:15. https://doi.org/10.1007/s41894-02000079-7

Chen J, Cai M, Yang J, Aldhohrah T, Wang Y. Immediate versus early or conventional loading dental implants with fixed prostheses: A systemic review and meta-analysis of randomized controlled clinical trials. The Journal of Prosthetic Dentistry. 2019; 122(6):516-36. PMid: 31421892. https://doi.org/10.1016/j.prosdent.2019.05.013

Guncu MB, Aslan Y, Tumer C, Guncu GN, Uysal S. In-patient comparison of immediate and conventional loaded implants in mandibular molar sites within 12 months. Clin Oral Impl Res. 2008; 19:335–41. PMid: 18294232. https://doi.org/10.1111/j.1600-0501.2007.01471.x

De Bruyn H, Raes F, Cooper LF, Reside G, Garriga JS, Tarrida LG, et al. 3-years clinical outcome of immediate provisionalization of single Osseospeed TM implants in extraction sockets and healed ridges. Clin Oral Implants Res. 201324:217–23. PMid: 22469026. https://doi.org/10.1111/j.1600-0501.2012.02449.x

Ferrus J, Cecchinato D, Pjetursson EB, Lang NP, Sanz M, Lindhe J. Factors influencing ridge alterations following immediate implant placement into extraction sockets. Clin Oral Impl Res. 2010; 21:22–9. PMid: 19912273. https://doi.org/10.1111/j.1600-0501.2009.01825.x

Botticelli D, Renzi A, Lindhe J, Berglundh T. Implants in fresh extraction sockets: A prospective 5-year followup clinical study. Clin Oral Impl Res. 2008; 19:1226–32. PMid: 19040437. https://doi.org/10.1111/ j.1600-0501.2008.01620.x

Barone A, Rispoli L, Vozza I, Quaranta A, Covani U. Immediate restoration of single implants placed immediately after tooth extraction. J Periodontol. 2006; 77:1914–20. PMid: 17076619. https://doi.org/10.1902/jop.2006.060072

Singh JP, Col Gupta AK, Col Dhiman RK, Col Roy Chowdhury SK. Comparative study of immediate functional loading and immediate non-functional loading of monocortical implants. Medical Journal Armed Forces India. 2015; 71:S333–9. PMid: 26843748 PMCid: PMC4705149. https://doi.org/10.1016/j.mjafi.2013.11.009

Shibly O, Kutkut A, Patel A, Albandar JM. Immediate implants with immediate loading vs. conventional loading: 1-year randomized clinical trial. Clin Implant Dent Relat Res. 2012; 14(5):663–71. PMid: 20977611. https://doi.org/10.1111/j.1708-8208.2010.00310.x

Prosper L, Crespi R, Valenti E, Cappare P, Gherlone E. Fiveyear follow-up of wide-diameter implants placed in fresh molar extraction sockets in the mandible: Immediate versus delayed loading. Int J Oral Maxillofac Implants. 2010; 25:607–12.

Kumar S, Singh K, Shill M. A solution to regain bone loss around immediately loaded short implant: A clinical report. Journal of Orofacial Rehabilitation. 2021; 1(2):140–4.

Wang J, Lerman G, Bittner N, Fan W, Lalla E, Papapanou PN. Immediate versus delayed temporization at posterior single implant sites: A randomized controlled trial. J Clin Periodontol. 2020; 47:1281–91. PMid: 32757387. https://doi.org/10.1111/jcpe.13354

Vogl S, Stopper M, Hof M, Theisen K, Wegscheider WA, Lorenzoni M. Immediate occlusal vs. nonocclusal loading of implants: A randomized prospective clinical pilot study and patient centered outcome after 36 months. Clin Implant Dent Relat Res. 2019; 21(4):766–74. PMid: 31062517 PMCid: PMC6767417. https://doi.org/10.1111/cid.12770