Immediate Versus Delayed Loading of Implant for Replacement of Missing Mandibular First Molar: A Randomized Prospective Six Years Clinical StudyCorrespondence Address :
Dr. Prudhvi Raj Chidagam Lakshmi Venkata,
Reader, Department of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences,
Guntur-522509, Andhra Pradesh, India.
Introduction: Emergence of dental implants made the replacement of missing tooth easy. During the early days of introduction, implants were loaded three to six months after implant insertion, but understanding of healing cascade and improved production technology has changed the phase of restoration from delayed to immediate loading.
Aim: To evaluate and compare the clinical outcome of immediate and delayed loaded implant supported prosthesis for missing mandibular first molar. The objectives were bleeding on probing, probing depth, implant mobility, marginal bone level and peri-implant radiolucency were evaluated during follow up period.
Materials and Methods: Twenty patients were included in this study who were in the need of fixed implant supported prosthesis for missing mandibular first molar. Single tooth implant with immediate loading done within two days of implant insertion in one group and another group were loaded after three months of implant insertion. These groups were evaluated clinically and radiographically over a period of 72 months after loading using Wilcoxon matched pairs test and Mann-Whitney U test.
Results: The study consists of 14 male and six female patients with the age range of 19 to 31 years. There was no bleeding on probing and probing depth remained well within the normal range even after 72 months of loading among both the groups. Minimal marginal bone loss observed with no mobility and peri-implant radiolucency.
Conclusion: Implant supported prosthesis for missing mandibular first molar with immediate loading can be used as a successful treatment modality. It reduces treatment time, provides early function and prevents undue migration of adjacent tooth. Immediate loading showed similar clinical and radiographic results as that of delayed loading, indicating it as an equally efficient technique for implant supported prosthesis.
Bridge, Crown, Missing tooth, Prosthesis
Prudhvi Raj Lakshmi Venkata Chidagam, Vijaya Chandra Gande, Sravanthi Yadlapalli, Ramani Yarlagadda Venkata, Sudheer Kondaka, Sravya Chedalawada. IMMEDIATE VERSUS DELAYED LOADING OF IMPLANT FOR REPLACEMENT OF MISSING MANDIBULAR FIRST MOLAR: A RANDOMIZED PROSPECTIVE SIX YEARS CLINICAL STUDY. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 Jun 27 ]; 11:ZC35-ZC39. Available from
Date of Submission: Dec 28, 2016
Date of Peer Review: Jan 09, 2017
Date of Acceptance: Feb 14, 2017
Date of Publishing: Apr 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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