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Review
Published: 16-12-2021

Immediate load implants: systematic review of the major technical and patient comfort approaches

University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
Immediate load implant Implants Implant dentistry Late loading Patient comfort

Abstract

Introduction: The first implant follow-up studies constituted the scientific foundation of modern implantology. Early loading was identified as a critical factor and, therefore, several waiting times were tried until the establishment of a period of at least three months for the mandible and five to six months for the maxilla. Therefore, implant with immediate load (ILI) was defined as “installation of a prosthetic element over an implant, without OI having occurred”. Objective: To demonstrate, through a systematic review, the clinical success rates of the immediate loading technique, present the indication criteria, and the follow-up of the procedures. Methods: This study followed the PRISMA model. Clinical studies were selected, involving retrospective, prospective and randomized studies. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. The bibliographic search was performed using online databases PubMed, Scopus, Web of Science, and Google Scholar. Results and Conclusion: A total of 135 articles were found involving immediate loading implants. A total of 78 articles were evaluated in full and 35 were included and evaluated in the present study. The analysis of the literature obtained showed that the success rates with the ILI technique are compatible with those of the late loading, as long as certain guidelines are followed, which were divided into factors related to the patient, surgical technique, implant, prosthesis, and to aesthetics. The high success rate is a consequence of correct surgical and prosthetic planning, harmony between the implant system, patient, and dentist.

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References

  1. Pardal-Peláez B, Flores-Fraile J, Pardal-Refoyo JL, Montero J. Implant loss and crestal bone loss in immediate versus delayed load in edentulous mandibles: A systematic review and meta-analysis. J Prosthet Dent. 2021 Mar;125(3):437-444. doi: 10.1016/j.prosdent.2020.01.032. Epub 2020 Apr 8. PMID: 32276823.
  2. Tobar-Reyes J, Andueza-Castro L, Jiménez-Silva A, Bustamante-Plaza R, Carvajal-Herrera J. Micromotion analysis of immediately loaded implants with Titanium and Cobalt-Chrome superstructures. 3D finite element analysis. Clin Exp Dent Res. 2021 Aug;7(4):581-590. doi: 10.1002/cre2.365. Epub 2021 May 27. PMID: 34042328; PMCID: PMC8404496.
  3. Flanagan D, Fisher A, Ciardiello C, Moreno V, Pierce D, Uvalic A, Winsor J, Rubano M, Howard E, Lykotrafitis G. A Theoretical Iteration for Predicting the Feasibility for Immediate Functional Dental Implant Loading. J Oral Implantol. 2021 Aug 1;47(4):310-317. doi: 10.1563/aaid-joi-D-20-00194.
  4. Cercadillo-Ibarguren I, Sánchez-Torres A, Figueiredo R, Schwarz F, Gay-Escoda C, Valmaseda-Castellón E. Immediately loaded implant-supported full-arches: Peri-implant status after 1-9years in a private practice. J Dent. 2017 Sep 28. pii: S0300-5712(17)30240-3. doi: 10.1016/j.jdent.2017.09.014.
  5. Tuminelli FJ, Walter LR, Neugarten J, Bedrossian E. Immediate loading of zygomatic implants: A systematic review of implant survival, prosthesis survival and potential complications. Eur J Oral Implantol. 2017;10 Suppl 1:79-87.
  6. Giordano F, Esposito M. Immediate loading of fixed prostheses in fully edentulous jaws-1-year follow-up from a single-cohort retrospective study. Eur J Oral Implantol. 2017;10(3):339-348.
  7. Alfadda SA, Furzer JE. Cost minimization analysis of a long-term randomized clinical trial of patients treated with immediately loaded implant-supported fixed prosthesis. Clin Implant Dent Relat Res. 2017 Sep 21. doi: 10.1111/cid.12542.
  8. Henningsen A, Smeets R, Köppen K, Sehner S, Kornmann F, Gröbe A, Heiland M, Gerlach T. Immediate loading of subcrestally placed dental implants in anterior and premolar sites. J Craniomaxillofac Surg. 2017 Aug 23. pii: S1010-5182(17)30277-9. doi: 10.1016/j.jcms.2017.08.017.
  9. Sugiura T, Yamamoto K, Horita S, Murakami K, Tsutsumi S, Kirita T. Effects of implant tilting and the loading direction on the displacement and micromotion of immediately loaded implants: an in vitro experiment and finite element analysis. J Periodontal Implant Sci. 2017 Aug;47(4):251-262. doi: 10.5051/jpis.2017.47.4.251. Epub 2017 Aug 28.
  10. Anitua E. Immediate Loading of Short Implants in Posterior Maxillae: Case Series. Acta Stomatol Croat. 2017 Jun;51(2):157-162. doi: 10.15644/asc51/2/10.
  11. Balshi TJ, Wolfinger GJ. Immediate loading of Brånemark implants in edentulous mandibles: a preliminary report. Implant Dent.; 1997, 6(2): 83-8.
  12. Balshi SF, Wolfinger GJ, Balshi TJ. A prospective study of immediate functional loading, following the Teeth in a Day protocol: a case series of 55 consecutive edentulous maxillas. Clin Implant Dent Relat Res; 2005, 7(1):24-31.
  13. Balshi SF, Wolfinger GJ, Balshi TJ. A retrospective analysis of 44 implants with no rotational primary stability used for fixed prosthesis anchorage. Int J Oral Maxillofac Implants; 2007, 22(3): 467-71.
  14. Becker W; Becker BE; Huffstetlert S. Early functional loading at 5 days for Brånemark implants placed into edentulous mandibles: a prospective, open-ended, longitudinal study. J Periodontol; 2003, 74(5): 695-702.
  15. Branemark PI, Breine U, Adell R, Hanson BO, Lindström J & Ohlsson A. Intraosseous anchorage of dental prosthesis. I. Experimental studies. Scandinavian Journal of plastic Reconstructive Surgery; 1969, 3(2): 81-100.
  16. Branemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallen O & Ohman H. Osseointegrated implants in the treatment of the edentulous jaws. Experience from a 10 years period. Scandinavian Journal of Plastic Reconstructive Surgery; 1977, 16: 1-132.
  17. Calandriello R; Tomatis M; Vallone R., et al. Immediate occlusal loading of single lower molars using Brånemark System Wide-Platform TiUnite implants: an interim report of a prospective open-ended clinical multicenter study. Clin Implant Dent Relat Res; 2003, 5 (1): 74-80.
  18. Chiapasco M, Gatti C, Rossi E., et al. Implant retained mandible overdentures with immediate loading. A retrospective multicenter study on 226 consecutives cases. Clin Oral Implants Res; 1997, 8: 48-57.
  19. Cochran DL, Morton D, Weber HP. Consensus Statements and Recommended Clinical Procedures Regarding loading Protocols for Endosseous Dental Implants. J Oral & Maxillofacial Implants; 2004, 19: 109-113.
  20. Degidi M, Piatelli 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: 225-241.
  21. Jiang, X., Lin, Y., Cui, H.Y., Di, P. Immediate loading of multiple splinted implants via complete digital workflow: A pilot clinical study with 1-year follow-up. Clin Implant Dent Relat Res. 2019 Apr 26 [doi: 10.1111/cid.12781].
  22. Kern, M., Att, W., Fritzer, E., Kappel, S., Luthardt, R.G., Mundt, T., Reissmann, DR, Rädel M, Stiesch M, Wolfart S, Passia N. Survival and Complications of Single Dental Implants in the Edentulous Mandible Following Immediate or Delayed Loading: A Randomized Controlled Clinical Trial. J Dent Res. 2018 Feb;97(2):163-170 [doi: 10.1177/0022034517736063. Epub 2017 Oct 18].
  23. Liu H, Liu R, Wang M, Yang J. Immediate implant placement combined with maxillary sinus floor elevation utilizing the transalveolar approach and nonsubmerged healing for failing teeth in the maxillary molar area: A randomized controlled trial clinical study with one-year follow-up. Clin Implant Dent Relat Res. 2019 May 1 [doi: 10.1111/cid.12783].
  24. Misch CE, Wang HL, Misch CM. Rationale for the application of Immediate Load in Implant Dentistry: Part 1. Implant Dentistry; 13(3): 201-216, 2004a.
  25. Ohyama H, Hamilton A, Forman MS, Weber HP. Comparative observation of immediate and late placement of dental implants with immediateloading: A 14-year follow up case report. J Oral Implantol. 2019 Apr 22 [doi: 10.1563/aaid-joi-D-18-00290].
  26. Randow K, Ericsson I, Nilner K, Petersson A, Glantz PO. Immediate functional loading of Brånemark dental implants. An 18-month clinical follow-up study. Clin Oral Implants Res.; 1999, 10(1): 8-15.
  27. Schnitman PA, Wohrle OS, Rubenstein JE. Immediate fixed interim prostheses supported by two-stage threaded implants: methodology and result J Oral Implantol., 1990, 16(2):96-105.
  28. Schnitman PA, Wohrle PS, Rubenstein JE., et al. Branemark implants immediately loaded with fixed prostheses at implant placement. Ten year results. Int J Oral Maxillofac Implants; 1997, 12:495-503.
  29. Schroeder A, Van Der Zyper E, Stich H et al. The reaction of bone, connective tissue and epithelium to endosteal implants with titanium-sprayed surfaces. J Maxillofac. Surg., 1981, 1:15-25.
  30. Spiekermann H, Jansen VK, Richter EJ. A 10-year follow-up study of IMZ and TPS implants in the edentulous mandible using bar-retained overdentures. Int J Oral Maxillofac Implants; 1995, 10(2): 231-43.
  31. SZmukler- Moncler S, Salama H, Reingewirtz Y. et al. Timing of loadind of micromotion on bone-dental implants interface: review of experimental literature. J Biomed mater Res.; 1998, 43(2):192-203.
  32. Szmukler-Moncler S, Piatelli A, Favero GA. et al. Considerations preliminary to the application of early and immediate loading protocols in dental implantology. Clin Oral Impl Res.; 2000, 11(1): 12-25.
  33. Tarnow DP, Emtiaz S, Classi A. Immediate loading of threaded implants at stage 1 surgery in edentulous arches: Tem consecutive case reports with 1- to 5- years date. International of Oral and maxillofacial Implants; 1997, 12: 319-324.
  34. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J periodontol.; 1992, 63(12): 995-6.
  35. 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 May 7 [doi: 10.1111/cid.12770].

How to Cite

Pitondo, R. J., Silva, A. S. F. da, & Kassis, E. N. (2021). Immediate load implants: systematic review of the major technical and patient comfort approaches. MedNEXT Journal of Medical and Health Sciences, 2(5). https://doi.org/10.54448/mdnt21515