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Title |
Use of Immediate or conventional loading of implants for implant retained overdentures produces Similar Clinical Results |
Clinical Question |
In an otherwise healthy edentulous patient receiving implant retained overdentures does either immediate loading or conventional loading of the implants provide a better outcome? |
Clinical Bottom Line |
Neither method is better than the other and both produce clinically similar outcomes. (See Comments on the CAT below) |
Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
#1) 17509065 | Kawai/2007 | Prospective comparative studies | Systematic Review | Key results | After two years, no harmful effects have been noted from immediate loading of implants. Immediate loading of implants and conventional loading methods are both an acceptable treatment for mandibular implant retained overdentures. | #2) 18708737 | Rutkunas/2008 | 8 articles | Systematic Review; Meta-analysis | Key results | Immediate implant loading methods produced equal outcomes to that of conventional implant loading methods. | |
Evidence Search |
"Dental Implants"[Mesh] AND "Denture, Overlay"[Mesh] AND (English[lang] AND systematic[sb]) ...view in PubMed |
Comments on
The Evidence |
Both of these systematic reviews clearly state that neither immediate or conventional loading of implants is better than the other. Both methods produced clinically acceptable outcomes. |
Applicability |
As implant retained mandibular overdentures become the standard of care, this will help students and clinicians present two clinically acceptable treatment options for implant retained mandibular overdentures. |
Specialty/Discipline |
(General Dentistry) (Prosthodontics) (Restorative Dentistry) |
Keywords |
dental implants, overdenture, implant retained overdenture, implant loading.
|
ID# |
556 |
Date of submission: |
04/14/2010 Revised: 01/23/2012 |
E-mail |
shuman@uthscsa.edu |
Author |
Richard Shuman |
Co-author(s) |
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Co-author(s) e-mail |
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Faculty mentor/Co-author |
Charles Hermesch, DMD |
Faculty mentor/Co-author e-mail |
HERMESCH@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
by Charles Hermesch (San Antonio, Texas) on 06/28/2011 An updated systematic review and meta-analysis came to the same conclusion. PUB: 19438962
Clin Implant Dent Relat Res. 2010 May;12 Suppl 1:e28-38.Loading protocols for mandibular implant overdentures: a systematic review with meta-analysis. Alsabeeha N, Atieh M, Payne AG. | |
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