Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study
Abstract Purpose To evaluate early versus conventional loading in immediate implants for molars. This study aims to answer the following PICO (Patient, Intervention, Comparison, and Outcome) question: In patients over 18 years of age, does early loading of immediately placed implants in molar areas...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-05-01
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| Series: | International Journal of Implant Dentistry |
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| Online Access: | https://doi.org/10.1186/s40729-025-00624-8 |
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| author | Kirollos H. Botros Doaa Adel-Khattab Abdelrahman K. Eldabe Hala A. Abuel Ela |
| author_facet | Kirollos H. Botros Doaa Adel-Khattab Abdelrahman K. Eldabe Hala A. Abuel Ela |
| author_sort | Kirollos H. Botros |
| collection | DOAJ |
| description | Abstract Purpose To evaluate early versus conventional loading in immediate implants for molars. This study aims to answer the following PICO (Patient, Intervention, Comparison, and Outcome) question: In patients over 18 years of age, does early loading of immediately placed implants in molar areas result in a similar implant survival rate and marginal bone loss as conventional loading? Methods Twenty-seven patients (15 women and 12 men) received a total of 30 implants immediately after molar extraction. The surgical treatment protocol entailed atraumatic tooth extraction without flap elevation. Non-invasive quantitative analyses were used to assess implant stability. After an uneventful healing period, the 30 implants were restored with screw-retained monolithic zirconia prosthesis, half of which after 6 weeks (G1) and the other half after 3 months (G2). Results Regarding the survival rate, the Kaplan–Meier and log-rank test showed that there was no statistically significant difference between both groups (p = 1). Implant stability quotient at the prosthetic phase of both groups (6 weeks in G1 and 3 months in G2) revealed no statistically significant difference (G1 RFA74.4 (SD 5.54) − DCA 79.07 (SD 5.75))/G2 RFA 73.67 (SD 5.7), − DCA78.93 (SD 4.48). Conclusions Early loading of immediately placed implants in molar sites is considered a predictable treatment modality provided that ideal implant position and adequate insertion torque are achieved. |
| format | Article |
| id | doaj-art-210a29622fbb4b11baa3beb3841fd25a |
| institution | OA Journals |
| issn | 2198-4034 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | International Journal of Implant Dentistry |
| spelling | doaj-art-210a29622fbb4b11baa3beb3841fd25a2025-08-20T02:34:14ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342025-05-0111111310.1186/s40729-025-00624-8Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical studyKirollos H. Botros0Doaa Adel-Khattab1Abdelrahman K. Eldabe2Hala A. Abuel Ela3Oral Medicine, Periodontology and Diagnosis, Faculty of Dentistry, Assiut UniversityOral Medicine, Periodontology and Diagnosis Department, Faculty of Dentistry, Ain Shams UniversityOral Medicine, Periodontology and Diagnosis, Faculty of Dentistry, Assiut UniversityOral Medicine, Periodontology and Diagnosis Department, Faculty of Dentistry, Ain Shams UniversityAbstract Purpose To evaluate early versus conventional loading in immediate implants for molars. This study aims to answer the following PICO (Patient, Intervention, Comparison, and Outcome) question: In patients over 18 years of age, does early loading of immediately placed implants in molar areas result in a similar implant survival rate and marginal bone loss as conventional loading? Methods Twenty-seven patients (15 women and 12 men) received a total of 30 implants immediately after molar extraction. The surgical treatment protocol entailed atraumatic tooth extraction without flap elevation. Non-invasive quantitative analyses were used to assess implant stability. After an uneventful healing period, the 30 implants were restored with screw-retained monolithic zirconia prosthesis, half of which after 6 weeks (G1) and the other half after 3 months (G2). Results Regarding the survival rate, the Kaplan–Meier and log-rank test showed that there was no statistically significant difference between both groups (p = 1). Implant stability quotient at the prosthetic phase of both groups (6 weeks in G1 and 3 months in G2) revealed no statistically significant difference (G1 RFA74.4 (SD 5.54) − DCA 79.07 (SD 5.75))/G2 RFA 73.67 (SD 5.7), − DCA78.93 (SD 4.48). Conclusions Early loading of immediately placed implants in molar sites is considered a predictable treatment modality provided that ideal implant position and adequate insertion torque are achieved.https://doi.org/10.1186/s40729-025-00624-8Immediate implantsFully guidedEarly loadingMolar areaResonance frequency analysisDamping capacity analysis |
| spellingShingle | Kirollos H. Botros Doaa Adel-Khattab Abdelrahman K. Eldabe Hala A. Abuel Ela Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study International Journal of Implant Dentistry Immediate implants Fully guided Early loading Molar area Resonance frequency analysis Damping capacity analysis |
| title | Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study |
| title_full | Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study |
| title_fullStr | Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study |
| title_full_unstemmed | Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study |
| title_short | Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study |
| title_sort | early versus conventional loading for fully guided immediate implant placement in molar sites a randomized controlled clinical study |
| topic | Immediate implants Fully guided Early loading Molar area Resonance frequency analysis Damping capacity analysis |
| url | https://doi.org/10.1186/s40729-025-00624-8 |
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