Immediate Implant Placement With Loading more beneficial in midfacial mucosal level in maxillary esthetic area

Results:

Out of 5,553 records, 8 RCTs were involved, providing data for 324 immediately placed implants (immediate implants subjected to immediate loading [IPIL]: 163; immediate implants subjected to delayed loading [IPDL]: 161) that had been in function within 12 to 60 months. Meta-analyses revealed significantly lower midfacial mucosal level changes for IPIL compared with IPDL, pointing to 0.48 mm (95% CI: –0.84 to –0.12; P = .01), as well as more significant papillary recession after IPDL (SMD –0.16; 95% CI: –0.31 to 0.00; P = .04). The differences regarding implant survival and marginal bone loss between the two loading groups showed no statistical significance. The result of meta-analyses revealed similar plaque score (SMD 0.03; 95% CI: –0.22 to 0.29; P = .79) and probing depth (SMD –0.09; 95% CI: –0.23 to 0.05; P = .21) for IPIL and IPDL. On the other hand, IPIL induced a trend toward more bleeding on probing (SMD 0.22; 95% CI: 0.01 to 0.42; P = .04) and less change in facial ridge dimension (SMD 0.94; 95% CI: –1.49 to –0.39; P < .01).

After a follow-up ranging from 12 to 60 months, midfacial mucosa level change was 0.48 mm lower following IPIL compared with IPDL. Immediate implant placement and loading is conducive to the preservation of physiologic soft and hard tissue architecture, appearing to offer considerable benefits in the anterior zone. In summary, IPIL should be considered in the esthetic zone if the primary implant stability permits.

Reference:

Rao Qin, MS/Yue Chen, MS/Chong Han, MS/Dongchao Wu, MS/Feiyan Yu, PhD/Dongning He. Immediate Implant Placement With or Without Immediate provisionalization in the Maxillary Esthetic Zone: A Systematic Review and Meta-analysis. The International Journal of Oral and Maxillofacial implants. DOI: 10.11607/jomi.10112

Keywords:

Immediate, Implant, Placement, Immediate, Loading, Offers, Greater, Benefits, midfacial, mucosal level, maxillary esthetic area, Rao Qin, MS/Yue Chen, MS/Chong Han, MS/Dongchao Wu, MS/Feiyan Yu, PhD/Dongning He,The International Journal of Oral and Maxillofacial implants.