Survival and complications of narrow-diameter implants supporting fixed restorations under immediate versus early or delayed loading: A systematic review and meta-analysis
MedicinaResumo original em inglês
O que aconteceu
To evaluate implant survival and complication rates of narrow-diameter implants (NDIs) supporting fixed restorations under immediate versus early/delayed loading protocols.
Randomized controlled trials and non-randomized clinical studies reporting implant survival, marginal bone loss (MBL), biological, or prosthetic complications for immediately and early/delayed loaded NDIs were considered.
Electronic searches of PubMed/MEDLINE, Embase, and Scopus were conducted up to January 2026. The study was conducted according to the PRISMA 2020 statement and registered prospectively in PROSPERO (CRD420250654797).
O que encontraram
Two reviewers independently performed study selection, data extraction, and risk-of-bias assessment. Nine studies met the inclusion criteria for qualitative synthesis, of which seven provided sufficient data for meta-analysis. Random-effects meta-analyses were conducted when methodologically appropriate, and the certainty of evidence was assessed using the GRADE approach.
Por que isso importa
Immediate loading of NDIs supporting fixed restorations may achieve implant survival outcomes comparable to early/delayed loading protocols. Short-term biological, prosthetic, and MBL outcomes appeared similar between loading strategies; however, the certainty of evidence was limited. A higher risk of long-term biological complications with immediate loading was observed, although this finding is based on limited evidence with very low certainty.
Immediate loading of NDIs may represent a viable and time-efficient treatment option for fixed restorations in appropriately selected cases. Given the limited certainty of long-term biological outcomes, careful case selection and long-term monitoring remain essential.
Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.
O estudo original
Survival and complications of narrow-diameter implants supporting fixed restorations under immediate versus early or delayed loading: A systematic review and meta-analysis
Aspasia Pachiou, Franz J Strauss, Margherita Giorgia Liguori, Ronald E Jung, Daniel S Thoma, Nadja Naenni
Descritores MeSH
- Dental Implantation, Endosseous
- Dental Implants
- Dental Prosthesis, Implant-Supported
- Immediate Dental Implant Loading
- Dental Prosthesis Design
- Humans
- Time Factors
- Dental Restoration Failure
Estudos relacionados
- Um estudo clínico prospectivo randomizado para avaliar os resultados do tratamento com implantes mandibulares Overdentures apoiados por um implante dentário de titânio paralelo ou típer colocado de acordo com o protocolo de carregamento imediato: Um relatório de acompanhamento de 12 meses
- All-on-4 and All-on-6 implant-supported fixed prostheses for the edentulous jaw: a systematic review and meta-analysis
- Estado atual de evidência para implantação e carregamento em pacientes parcialmente edêntulos: Uma revisão sistemática
- Clinical performance of immediately loaded zirconia implants: A systematic review with meta-analysis