Immediate versus early loading protocols of titanium-zirconium narrow-diameter implants for mandibular overdentures in edentulous patients: 1-year results from a randomized controlled trial

Clin Oral Implants Res. 2019 Oct;30(10):953-961. doi: 10.1111/clr.13502. Epub 2019 Jul 21.

Abstract

Objectives: The purpose of this randomized clinical trial was to compare immediate and early loading protocols for mandibular overdentures with two-splinted narrow-diameter implants in thin, non-augmented residual ridge situations.

Material and methods: Each edentulous patient received two implants in the interforaminal region. If primary stability after implant placement was achieved, patients were randomized either to the immediate (48 hr post-surgery) or the early (2 weeks after surgery) loading group. In prosthetic rehabilitation, a bar prosthetic system with a titanium bar was used. Implant survival, success rates, and radiographic changes at the crestal bone level were evaluated after 1 year, and patient satisfaction was recorded at 1 and 6 months post-surgery.

Results: Twenty-four patients with a mean age of 67 ± 9 years were included. One patient passed away after 11 months due to treatment-independent reasons. In the 24 implants of the immediate loading group, the mean bone level change from surgery/loading to the first-year evaluation was 0.32 ± 0.80 mm (p = .066). Regarding the early group (22 implants), the mean bone level change from loading to 1 year was 0.34 ± 0.69 mm (p = .048). After 1 year, no differences could be detected between groups (p = .91) with a mean difference of 0.02 mm (95% CI: [-0.42, 0.47]). The mean implant survival and success rates were 100% for both groups. Patient satisfaction was high; however, at 6 months, there was a difference between groups regarding the ability to chew.

Conclusions: Both loading protocols for mandibular overdentures supported by two-splinted narrow-diameter implants were successful at the 1-year follow-up.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Dental Implantation, Endosseous
  • Dental Implants*
  • Dental Prosthesis, Implant-Supported
  • Denture, Overlay*
  • Follow-Up Studies
  • Humans
  • Mandible
  • Middle Aged
  • Titanium
  • Treatment Outcome
  • Zirconium

Substances

  • Dental Implants
  • Zirconium
  • Titanium