Effect of Different Immediate Implant Loading Protocols on Peri-implant Soft Tissue Health
DOI:
https://doi.org/10.14295/bds.2020.v23i4.1998Abstract
Objective:This clinical study was conducted to evaluate the effect of immediate loading on peri-implant soft tissue health using three protocols: i) Immediate functional loading using polymer infiltrated ceramic (PIC) material (IFLV). ii)Immediate functional loading using polymethyl methacrylate (PMMA) followed by delayed functional loading using PIC material (IFLP). iii) Immediate non-functional loading using PMMA followed by delayed functional loading using PIC material (INFLP). Material & Methods: 30 Implants were placed in the upper premolar area and divided randomly according to the immediate loading protocol. In the control group (INFLP), CAD/CAM PMMA crowns were placed out of occlusion for 3 months, and then replaced by CAD/CAM VITA ENAMIC crowns in functional occlusion. For (IFLV) group, CAD/CAM VITA ENAMIC crowns were immediately loaded in functional occlusion; while in (IFLP) group, CAD/CAM PMMA crowns were placed in functional occlusion for 3 months, and then replaced by CAD/CAM VITA ENAMIC crowns. Modified pink esthetic score (MPES) and probing depth were used for evaluation of peri-implant soft tissue at base line and follow up periods. Results: INFLP showed higher MPES results compared to IFLV and IFLP. Moreover, the INFLP probing depth at 3 months showed higher results compared to the other groups. Conclusions: Immediate non-functional loading showed the best outcomes. However, peri-implant soft tissue health of the immediate functional loading using the PIC crown material was clinically acceptable.
Key Words
Polymer infiltrated ceramics, immediate dental implant loading, peri-implant soft tissue health.
References
Cooper KG. Rapid prototyping technology: selection and application. New York: Marcel Dekker; 2001.
Nociti FH Jr, Cesco De Toledo R, Machado MA, Stefani CM, Line SR, Gonçalves RB. Clinical and microbiological evaluation of ligature-induced peri-implantitis and periodontitis in dogs. Clin Oral Implants Res. 2001;12(4):295-300. doi:10.1034/j.1600-0501.2001.012004295.x
Szmukler-Moncler S, Piattelli A, Favero GA, Dubruille JH. Considerations preliminary to the application of early and immediate loading protocols in dental implantology. Clin Oral Implants Res. 2000;11(1):12-25. doi:10.1034/j.1600-0501.2000.011001012.x
Misch CE. Nonfunctional immediate teeth. Dent Today. 1998;17(6):88-91.
Degidi M, Piattelli A. Immediate functional and non-functional loading of dental implants: a 2- to 60-month follow-up study of 646 titanium implants. J Periodontol. 2003;74(2):225-41. doi:10.1902/jop.2003.74.2.225
Chrcanovic BR, Albrektsson T, Wennerberg A. Immediate nonfunctional versus immediate functional loading and dental implant failure rates: a systematic review and meta-analysis. J Dent. 2014;42(9):1052-9. doi:10.1016/j.jdent.2014.06.010
Chung S, McCullagh A, Irinakis T. Immediate loading in the maxillary arch: evidence-based guidelines to improve success rates: a review. J Oral Implantol. 2011;37(5):610-21. doi:10.1563/AAID-D-JOI-10-00058.1
Magne P, Silva M, Oderich E, Boff LL, Enciso R. Damping behavior of implant-supported restorations. Clin Oral Implants Res. 2013;24(2):143-8. doi:10.1111/j.1600-0501.2011.02311.x
Ciftçi Y, Canay S. The effect of veneering materials on stress distribution in implant-supported fixed prosthetic restorations. Int J Oral Maxillofac Implants. 2000;15(4):571-82.
Carlson B, Carlsson GE. Prosthodontic complications in osseointegrated dental implant treatment. Int J Oral Maxillofac Implants. 1994;9(1):90-94.
Coldea A, Swain MV, Thiel N. Mechanical properties of polymer-infiltrated-ceramic-network materials. Dent Mater. 2013;29(4):419-26. doi:10.1016/j.dental.2013.01.002
Glauser R, Zembic A, Hämmerle CH. A systematic review of marginal soft tissue at implants subjected to immediate loading or immediate restoration. Clin Oral Implants Res. 2006;17 Suppl 2:82-92. doi:10.1111/j.1600-0501.2006.01355.x
Belser UC, Grütter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol. 2009;80(1):140-51. doi:10.1902/jop.2009.080435
Patil R, Gresnigt MMM, Mahesh K, Dilbaghi A, Cune MS. Esthetic evaluation of anterior single-tooth implants with different abutment designs-patients' satisfaction compared to dentists' observations. J Prosthodont. 2017;26(5):395-8. doi:10.1111/jopr.12423
Bahammam MA, Fareed WM. Effect of immediate versus delayed loadings of dental implants on the oral health-related quality of life in Saudi population. Experimental clinical trial. Saudi Med J. 2019;40(1):79-86. doi:10.15537/smj.2019.1.23370
Ramachandran A, Singh K, Rao J, Mishra N, Jurel SK, Agrawal K. Changes in alveolar bone density around immediate functionally and non functionally loaded implants. J Prosthet Dent 2016 Jun;115(6):712-7. doi: 10.1016/j.prosdent.2015.11
Edward J, George JM, Prakash DG. Evaluation of peri-implant soft tissues and hard tissues in titanium implants in immediate and delayed cases: a comparative study. J Dent Implants.2017;7(1)3-10. doi: 10.4103/jdi.jdi_1_17
Lang NP, Berglundh T, Heitz-Mayfield LJ, Pjetursson BE, Salvi GE, Sanz M. Consensus statements and recommended clinical procedures regarding implant survival and complications. Int J Oral Maxillofac Implants. 2004;19 Suppl:150-4
Degidi M, Nardi D, Piattelli A. A comparison between immediate loading and immediate restoration in cases of partial posterior mandibular edentulism: a 3-year randomized clinical trial. Clin Oral Implants Res. 2010;21(7):682-7. doi:10.1111/j.1600-0501.2009.01910.x
Kim KH, Loch C, Waddell JN, Tompkins G, Schwass D. Surface characteristics and biofilm development on selected dental ceramic materials. Int J Dent. 2017;2017:7627945. doi:10.1155/2017/7627945
Guidetti LG, Monnazzi MS, Piveta AC, Gabrielli MA, Gabrielli MF, Pereira Filho VA. Evaluation of single implants placed in the posterior mandibular area under immediate loading: a prospective study. Int J Oral Maxillofac Surg. 2015;44(11):1411-5. doi:10.1016/j.ijom.2015.06.021
Nemli SK, Güngör MB, Aydın C, Yılmaz H, Bal BT, Arıcı YK. Clinical and radiographic evaluation of new dental implant system: Results of a 3-year prospective study. J Dent Sci. 2016;11(1):29-34. doi:10.1016/j.jds.2014.11.003
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