Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trial

Objective: This clinical study was conducted to evaluate the effect of loading protocol using hybrid ceramic resinous material on marginal bone loss. Material and Methods: This study was conducted in the fixed prosthodontics department, at Ain Shams University on 30 titanium endosseous tapered thre...

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Main Authors: Yasser Sobhy Abdul-Raouf, Amina Mohamed Hamdy, Maged Mohamed Zohdy, Soha Osama Nabih
Format: Article
Language:English
Published: Universidade Estadual Paulista 2024-09-01
Series:Brazilian Dental Science
Online Access:https://ojs.ict.unesp.br/index.php/cob/article/view/4186
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author Yasser Sobhy Abdul-Raouf
Amina Mohamed Hamdy
Maged Mohamed Zohdy
Soha Osama Nabih
author_facet Yasser Sobhy Abdul-Raouf
Amina Mohamed Hamdy
Maged Mohamed Zohdy
Soha Osama Nabih
author_sort Yasser Sobhy Abdul-Raouf
collection DOAJ
description Objective: This clinical study was conducted to evaluate the effect of loading protocol using hybrid ceramic resinous material on marginal bone loss. Material and Methods: This study was conducted in the fixed prosthodontics department, at Ain Shams University on 30 titanium endosseous tapered threaded implants which were placed in 30 patients in the upper premolar area. Patients were divided randomly according to the loading protocol into 3 groups (10 patients each): Group I (IFLV): patients received CAD/CAM polymer infiltrated ceramic (VITA-ENAMIC) crowns (immediate functional loading), Group II (IFLP): patients received CAD/CAM PMMA crowns (in occlusion for 3 months) followed by CAD/CAM polymer infiltrated ceramic (VITA-ENAMIC) crowns (functional loading), and Group III (INFLP): patients received CAD/CAM PMMA crowns (out of occlusion for 3 months) followed by CAD/CAM VITA-ENAMIC crowns (functional loading). Results: After three months; the highest value of marginal bone loss (mm) was found in IFLV, followed by IFLP, while the lowest value was found in INFLP. After six months, the highest value was found in IFLP, followed by IFLV, while the lowest value was found in INFLP. Also, after twelve months, the highest value was found in IFLV, followed by IFLP, while the lowest value was found in INFLP. Marginal bone loss values were within the accepted values for clinical success for all the tested groups. Conclusion: Immediate non-functional loading provided more acceptable outcomes than immediate functional loading. Also, immediately functional and non-functional implant loading using hybrid ceramic as permanent material has shown promising results with proper patient selection. KEYWORDS Bone loss; CAD/CAM; Ceramic; Hybrid; Loading.
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spelling doaj-art-1e5ba44436194faeb5df7191aca0be372025-08-22T13:49:29ZengUniversidade Estadual PaulistaBrazilian Dental Science2178-60112024-09-0127210.4322/bds.2024.e4186Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trialYasser Sobhy Abdul-Raouf0https://orcid.org/0009-0003-2236-8041Amina Mohamed Hamdy1https://orcid.org/0009-0006-2045-6410Maged Mohamed Zohdy 2https://orcid.org/0000-0002-2504-6203Soha Osama Nabih 3https://orcid.org/0000-0002-8296-3403Ain Shams University, Faculty of Dentistry, Fixed Prosthodontics. Cairo, Egypt.Ain Shams University, Faculty of Dentistry, Fixed Prosthodontics. Cairo, Egypt.Ain Shams University, Faculty of Dentistry, Fixed Prosthodontics. Cairo, Egypt.Ain Shams University, Faculty of Dentistry, Fixed Prosthodontics. Cairo, Egypt. Objective: This clinical study was conducted to evaluate the effect of loading protocol using hybrid ceramic resinous material on marginal bone loss. Material and Methods: This study was conducted in the fixed prosthodontics department, at Ain Shams University on 30 titanium endosseous tapered threaded implants which were placed in 30 patients in the upper premolar area. Patients were divided randomly according to the loading protocol into 3 groups (10 patients each): Group I (IFLV): patients received CAD/CAM polymer infiltrated ceramic (VITA-ENAMIC) crowns (immediate functional loading), Group II (IFLP): patients received CAD/CAM PMMA crowns (in occlusion for 3 months) followed by CAD/CAM polymer infiltrated ceramic (VITA-ENAMIC) crowns (functional loading), and Group III (INFLP): patients received CAD/CAM PMMA crowns (out of occlusion for 3 months) followed by CAD/CAM VITA-ENAMIC crowns (functional loading). Results: After three months; the highest value of marginal bone loss (mm) was found in IFLV, followed by IFLP, while the lowest value was found in INFLP. After six months, the highest value was found in IFLP, followed by IFLV, while the lowest value was found in INFLP. Also, after twelve months, the highest value was found in IFLV, followed by IFLP, while the lowest value was found in INFLP. Marginal bone loss values were within the accepted values for clinical success for all the tested groups. Conclusion: Immediate non-functional loading provided more acceptable outcomes than immediate functional loading. Also, immediately functional and non-functional implant loading using hybrid ceramic as permanent material has shown promising results with proper patient selection. KEYWORDS Bone loss; CAD/CAM; Ceramic; Hybrid; Loading. https://ojs.ict.unesp.br/index.php/cob/article/view/4186
spellingShingle Yasser Sobhy Abdul-Raouf
Amina Mohamed Hamdy
Maged Mohamed Zohdy
Soha Osama Nabih
Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trial
Brazilian Dental Science
title Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trial
title_full Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trial
title_fullStr Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trial
title_full_unstemmed Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trial
title_short Effect of loading protocol on peri-implant marginal bone loss: randomized clinical trial
title_sort effect of loading protocol on peri implant marginal bone loss randomized clinical trial
url https://ojs.ict.unesp.br/index.php/cob/article/view/4186
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