Dental Implants placed in fresh sockets have poorer survival

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This review included 44 studies involving a total of 1170 patients and 1974 implants finding significant better outcome in favour of the implants placed in healed ridges (99.4% implant survival) compared with post-extraction implants (95.6% implant survival).

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Dental Implants: submerged implants have fewer failures than immediate loaded non-submerged implants suggests review

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While this new review has included 28 studies, only 6 were RCTs. They found that submerged dental implants had fewer failures than immediate loaded non-submerged implants. The relative risk of failure for immediately loaded compared to submerged implants = 1.78 (95% CI; 1.12 to 2.83).

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Dental implants: review finds no differences between immediate functional or nonfunctional loading

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This review looks at a specific aspect of the loading of dental implants following placement, whether they should have immediate functional or non-functional loading. including 6 randomised controlled trials and 5 controlled trials no significant difference was found between the two approaches

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Immediate loading may increase dental implant failure compared to conventional loading

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Dominic Hurst reports on a new systematic review comparing immediate implant loading protocols with conventional protocols that suggests greater risks of failure with immediate loading in contrast to a recent Cochrane review which found no difference.

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Review of dental implant loading within 24hours suggests no difference in annual failure rates compare to conventional loading

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While the use of dental implants has become more routine there is still discussion around the most appropriate time for loading implants. The aim of this review was to compare annual failure rates and marginal bone level changes of implants loaded within 24 hours compared with conventional loading. Searches were conducted in Medline and the [read the full story…]

Review suggests little difference in failure rates of immediate or early loaded implants placed using a flapless technique

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Yesterday we considered a review which compared flapless and flapped placement of implants. (Dental Elf 8th July 2014). Today we are looking at one of the other reviews mentioned. The am of this review to evaluate the effectiveness and safety of immediate loading (within 3 days) versus early loading (after 6 weeks to 2 months) [read the full story…]

Limited evidence suggests no difference in soft tissues aesthetics between immediate and conventional implant placement

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The aesthetic appearance of the soft tissues following dental implant placement is an important consideration  and potential more of an issue with immediate placement. The aim of this review was to compare the aesthetic  (soft tissue) outcomes of immediate (type 1) verses conventional (type 3) implant placement. Searches were conducted in PubMed, Embase, and the [read the full story…]

Same day loading for mandibular dental implants had comparable outcomes to delayed loading

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Osseointegrated dental implants have been available since the late 1970s,  initial placement protocols recommended an initial load free healing period. Improved understanding of osseointegration has lead to the use of immediate or early loading protocols.  The aim of this study was to compare the feasibility of loading four implants with a pre-existing denture converted to [read the full story…]

No convincing evidence of a clinically important difference with different loading times of implants

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Dental implants are increasingly being used to replace missing teeth in contrast to the more traditional use of bridges or dentures.  Implants have been used since the 1970s with the recommendation that they were kept load –free during the healing period (3-4months for the mandible, 6-8 months for the maxilla) . Since the 1990s studies [read the full story…]

Weak evidence found similar performance for upright and tilted implants in the maxilla

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This review by Menini et al aimed to evaluate the prognosis of immediately loaded full-arch prostheses supported by both upright and tilted implants in the maxillae, after at least 1 yr. of function. The authors searched the PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and EMBASE databases for human studies that included participants of [read the full story…]