Immediate nonfunctional versus immediate functional loading and dental implant failure rates: A systematic review and meta-analysis

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Chrcanovic, BrunoMalmö högskola,Odontologiska fakulteten (OD) (author)

Immediate nonfunctional versus immediate functional loading and dental implant failure rates: A systematic review and meta-analysis

Article/chapterEnglish2014

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Elsevier BV,2014

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LIBRIS-ID:oai:gup.ub.gu.se/203445
https://gup.ub.gu.se/publication/203445URI
https://doi.org/10.1016/j.jdent.2014.06.010DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-5961URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Objectives: The purpose of the present review was to test the null hypothesis of no difference in the implant failure rates, postoperative infection, and marginal bone loss for patients being rehabilitated using dental implants with immediate nonfunctional loading (INFL) compared to immediate functional loading (IFL), against the alternative hypothesis of a difference. Methods: An electronic search without time or language restrictions was undertaken in March 2014. Eligibility criteria included clinical human studies, either randomized or not. The estimates of relative effect were expressed in risk ratio (RR) and mean difference (MD) in millimeters. Results: 1059 studies were identified and 11 studies were included, of which 7 were of high risk of bias, whereas four studies were of low risk of bias. The results showed that the procedure used (nonfunctional vs. functional) did not significantly affect the implant failure rates (P = 0.70), with a RR of 0.87 (95% CI 0.44-1.75). The wide CI demonstrates uncertainty about the effect size. The analysis of postoperative infection was not possible due to lack of data. No apparent significant effects of non-occlusal loading on the marginal bone loss (MD 0.01 mm, 95% CI -0.04-0.06; P = 0.74) were observed. Conclusions: The results of this study suggest that the differences in occlusal loading between INFL and IFL might not affect the survival of these dental implants and that there is no apparent significant effect on the marginal bone loss. Clinical Significance: There has been a controversy concerning whether dental implants should be subjected to immediate functional or nonfunctional loading. As the philosophies of treatment may alter over time, a periodic review of the different concepts is necessary to refine techniques and eliminate unnecessary procedures. This would form a basis for optimum treatment. (C) 2014 Elsevier Ltd. All rights reserved.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Medicinsk bioteknologi Biomaterialvetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Medical Biotechnology Biomaterials Science hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
Dental implants
Immediate loading
Nonfunctional loading
Functional loading
Implant failure rate
TRADITIONAL HEALING PERIODS
RANDOMIZED CLINICAL-TRIAL
FOLLOW-UP
TITANIUM IMPLANTS
RESTORATION
INTERFACE
SURFACES
OCCLUSAL
Dentistry
Oral Surgery & Medicine
Dental implants

Added entries (persons, corporate bodies, meetings, titles ...)

Albrektsson, Tomas,1945Malmö högskola,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för biomaterialvetenskap,Institute of Clinical Sciences, Department of Biomaterials,Odontologiska fakulteten (OD)(Swepub:mau)ac2660 (author)
Wennerberg, Ann,1955Malmö högskola,Odontologiska fakulteten (OD)(Swepub:mau)odanwe (author)
Malmö högskolaOdontologiska fakulteten (OD) (creator_code:org_t)

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In:Journal of Dentistry: Elsevier BV42:9, s. 1052-10590300-57121879-176X

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