ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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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) 17509065Kawai/2007Prospective comparative studiesSystematic Review
Key resultsAfter 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) 18708737Rutkunas/20088 articlesSystematic Review; Meta-analysis
Key resultsImmediate 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: 04/14/2010spacer Revised: 01/23/2012
E-mail shuman@uthscsa.edu
Author Richard Shuman
Co-author(s)
Co-author(s) e-mail
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?)
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None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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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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