ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Dental Implants Safe For Immediate Loading When Used For Orthodontic Anchorage
Clinical Question Are intraoral titanium implants safe to be used as anchorage when immediately loaded in orthodontic patients?
Clinical Bottom Line It seems safe to immediately load titanium implants on patients for use in orthodontics without any adverse side effects. However, immediately loaded implants did seem to be less stable after use than implants which were not loaded at all. (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) 18533979Jackson/200820 patients were selected to receive palatal implants. The subjects were selected randomly and 10 implants were loaded immediately while 10 were not loaded at all.Randomized Clinical Trial
Key resultsThis study found that immediate loading of implants for orthodontic purposes in definitely useful and successful. The only questions that were raised were the results of the Implant Stability Quotient (ISQ) which was used to evaluate the stability of the implants at placement and after 8 weeks. The unloaded implants were more stable with a mean reading of 47.3 kHz after 8 weeks where the immediately loaded implants registered a mean reading of 38.4 kHz after 8 weeks. The unloaded implants had a mean ISQ of 38.7 kHz at the start and the loaded implant had a beginning mean of 42 kHz. However, these readings did not seem to be clinically relevant as the immediately loaded implants were used successfully.
Evidence Search PubMED: “Immediately loading implants” AND orthodontics.
Comments on
The Evidence
The study used only palatal implants placed in the midpalate. There are many other areas which can be used within the oral cavity.
Applicability This experiment is extremely applicable in any orthodontic office as intraoral titanium implants continue to be utilized for maximum anchorage purposes in orthodontics.
Specialty/Discipline (General Dentistry) (Oral Surgery) (Orthodontics) (Periodontics) (Prosthodontics)
Keywords Immediately load, Orthodontics, Implants
ID# 293
Date of submission: 11/11/2009spacer
E-mail
Author Ashley Smith, DMD
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Clarence C. Bryk, DDS, MS
Faculty mentor/Co-author e-mail BRYKC@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 on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
post a comment
by Jordan Felkner (San Antonio, TX) on 04/02/2012
A PubMed search was completed on this topic in April 2012 and a more recent publication was found: PubMed ID 20383544. This RCT of 41 patients further strengthens the conclusions of this CAT.
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