Official Journal of The Academy of Osseointegration
Immediate Loading of Single Implants: A 2-Year Prospective Multicenter Study
Carlo Mangano, MD, DDS/Filiep Raes, MD, DDS/Carolina Lenzi, DDS/Tammaro Eccellente, MD, DDS/Michele Ortolani, MD, DDS/Giuseppe Luongo, MD, DDS/Francesco Mangano, DDS
PMID: 27977820
DOI: 10.11607/prd.2986
The aim of this prospective multicenter study was to evaluate the outcomes of single implants subjected to immediate functional loading. Inclusion criteria were single-tooth placement in postextraction sockets or fully healed sites, and sufficient bone height and width to place an implant of at least 3.5 × 10.0 mm. All implants were functionally loaded immediately after placement and followed for 2 years. Outcome measures were implant survival, complications, and periimplant marginal bone loss (MBL). A total of 57 implants (38 maxilla, 19 mandible) were placed in 46 patients (23 men, 23 women, aged 18–73 years). Of these, 10 implants were placed in postextraction sockets. One implant failed, in a healed site, giving a patient-based overall 2-year survival rate of 97.6%. The incidence of biologic complications was 1.8%; prosthetic complications amounted to 7.5%. The peri-implant MBL was 0.37 ± 0.22 mm (healed sites: 0.4 mm ± 0.22; postextraction sockets: 0.3 mm ± 0.22). The immediate functional loading of single implants seems to represent a safe and successful procedure. Long-term followup studies on a larger sample of patients are needed to confirm these results.
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