Immediate loading of short implants: A systematic review.

Mahdi Hadilou,Leila Gholami,Pooya Ebrahimi,Ashkan Ghaffary,Behnaz Karimzadeh,Zahra Fathifar

doi:10.34172/japid.2021.002

Abstract

Background This systematic review aimed to determine the effectiveness and outcomes of immediate loading methods for short dental implants. Methods The authors independently conducted an electronic search in the PubMed, Embase, EBSCO, ProQuest, and Cochrane databases for relevant articles published until November 15, 2020. The references of the included studies were assessed, and a manual search was conducted in Google Scholar and PubMed to find additional relevant studies. Results Finally, three studies were selected and included in this systematic review. Significant heterogeneity existed in the design of the included studies, and due to the low number of the included studies, the authors could not perform a meta-analysis. The studies showed that the survival rate of immediate-loaded short implants is comparable to conventional loading Methods. However, more marginal bone loss is expected. Overall, the immediate loading of short dental implants might be clinically successful.Conclusion Based on the results, immediate loading protocols might be safely used for short implants. However, caution should be exercised in interpreting these results.Future welldesigned randomized clinical trials with more participants and study power are necessary to support the findings of this systematic review.

Highlights

Tooth loss has been associated with physiological and psychological problems for patients, such as alterations in diet,[1,2] tooth drifting and tipping,[3] emotional effects,[4,5] and opposite tooth overeruptions.[6]
This study examined the prognosis of the immediate loading of short implants by conducting a systematic review of previous studies on the immediate loading of short implants simultaneously to help clinicians offer the best options to their patients by assessing the durability, survival rate, and patient satisfaction
In the present report, we exclusively analyzed clinical trials regarding the immediate loading of short dental implants regardless of the follow-up time

Summary

Introduction

Tooth loss has been associated with physiological and psychological problems for patients, such as alterations in diet,[1,2] tooth drifting and tipping,[3] emotional effects,[4,5] and opposite tooth overeruptions.[6]. Other procedures might be necessary, like bone grafting or sinus lifting, resulting in an increased chance of surgical complications, including infections, inferior alveolar nerve damage, and sinus perforations.[12] The application of shorter implants in areas with special conditions, such as regions with markedly low bone levels, can help reduce the number of interventions needed to place an implant in the resorbed alveolar bone.[12] Like the implant size, their loading schedule has to be altered to shorten patients’ treatment period to increase patient satisfaction.[13] As expected, these changes to conventional procedures of implant placements entail more caution to achieve satisfactory outcomes.[10]. This systematic review aimed to determine the effectiveness and outcomes of immediate loading methods for short dental implants. The studies showed that the survival rate of immediate-loaded short implants is comparable to conventional loading methods. Immediate loading protocols might be safely used for short implants. Future welldesigned randomized clinical trials with more participants and study power are necessary to support the findings of this systematic review

Objectives

Methods

Results

Discussion

Conclusion