Evaluation of Efficacy of Immediate and Delayed Loading of Dental Implants: A Prospective study

Harushi, A (2022) Evaluation of Efficacy of Immediate and Delayed Loading of Dental Implants: A Prospective study. Masters thesis, Chettinad Dental College and Research Institute, Kanchipuram.

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Abstract

INTRODUCTION: The ability of implants to osseointegrate made them better replacement option for missing tooth. After understanding the healing cascade around implants, loading was done immediately following implant placement and was termed as Immediate loading. Immediate loading of implants have better aesthetic outcome, reduced treatment time and overall cost of the treatment, immediate restoration of function. This study aims to evaluate the clinical outcome and success of immediate loading o f implants versus the delayed loading of implants. MATERIALS AND METHOD: Patients of 18 to 70 years of age reporting to department of Oral and Maxillofacial surgery, Chettinad dental college and research institute to replace single or multiple missing teeth with dental implants were included in the study. All the implants were loaded individually with a single definite crown ( unsplinted crown). There are two groups in this study group 1, and group 2. The insertion torque at the time of implant placement w as the determinant factor. Insertion torque values greater than 30 Ncm belonged to group 1 and insertion torque values lesser than 30 Ncm were included in group 2. In Group 1 or test group, immediate loading of dental implants was done. In group 2 or control group, delayed loading of implants was done. RESULTS: There was no statistically significant difference in the survival rate and mean marginal bone loss in the mesial and distal aspect of implants in both the groups. CONCLUSION: The conventional protocol of implant placement remains the gold standard. In our study statistical data suggests that immediate loading of implants is a possible treatment adjunct in partially edentulous patients and patients requiring single tooth replacement. If the inserti on torque value is greater than 30Ncm at the time of implant insertion in a D2 density healed site, we can consider immediate loading as a treatment option. With immediate loading we can reduce the psychological trauma of the patients, provide better aesthetic outcome and function.

Item Type: Thesis (Masters)
Additional Information: 241915551
Uncontrolled Keywords: Immediate loading, Implants, Delayed loading, Osseointegration.
Subjects: DENTAL > Oral and Maxillofacial Surgery
Depositing User: Subramani R
Date Deposited: 08 May 2022 13:57
Last Modified: 13 May 2022 13:56
URI: http://repository-tnmgrmu.ac.in/id/eprint/19897

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