Marco Esposito: immediate vs conventional loading: the scientific evidence
- Systematic literature review of success rates with different loading protocols
- Comparison of various loading protocols
- Evaluation of prosthetic failure, implant failure and marginal bone loss
- No statistical differences of success rates between conventional and immediate loaded implants
- New York 2013 symposium presentation
Based on a systematic review, supported by the Cochrane library issue 3 2013, the lecture discusses if predictable success rates with immediately loaded implants can be achieved. Dr Esposito compares immediate, early and conventional loading, occlusal vs non-occlusal loading and progressive vs direct loading with the outcome measures: prosthetic failure, implant failure and marginal bone level change on periapical radiographs. Dr Esposito concludes and summarizes, that there are no statistical significant differences between immediate and conventional loading, with the exception of 0.1 mm more bone loss at conventionally loaded implants, and discusses if the data might suggest a trend to have less failures for conventionally loaded implants.
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