To evaluate the clinical outcome of non-occlusal immediate loading versus conventional delayed loading of dental implants in mandibular molar region

Abstract

Background: Missing teeth have traditionally been replaced with dentures or bridges to restore the ability of patients to eat, speak, and improve appearance. Dental implants are now commonly used for replacing missing teeth in various clinical situations. The present study was conducted to compare the outcome of immediate non-occlusal loading and delayed implant loading in the bilateral replacement of single mandibular molars. Material and methods: A total of 50 patients were enrolled and randomly divided into two groups. In each eligible patient, the mandibular right or left molar was randomly selected to receive either an immediate or delayed provisional crown. The outcome measures i.e. implant survival, Complications, Marginal bone levels; Peri-implant mucosal response was noted. A statistical analysis was performed. Results: In the present study Mean marginal bone levels after 6 months were 0.67± 0.12 mm for immediately loaded implants and 0.70 ± 0.15 mm for delayed loaded implants, and no statistically significant differences were observed between the two groups. After 12 months, the mean marginal bone levels were 0.81 ± 0.15 mm for immediately loaded implants and 0.84 ± 0.14 mm for delayed loaded implants, and there was no statistically significant difference between the two groups. The mean PPD values were 2.73 ± 0.58 for immediate loaded implants and 2.71 ± 0.53 mm for delayed loaded implants, and there was no significant difference found between groups. Conclusion: The present study concluded that the outcome of immediately loaded mandibular molar implants was comparable to delayed loading.