A randomized controlled trial comparing interim acrylic prostheses with and without cast metal base for immediate loading of dental implants in the edentulous mandible

Clin Oral Implants Res. 2015 Dec;26(12):1414-20. doi: 10.1111/clr.12470. Epub 2014 Sep 19.

Abstract

Objectives: This randomized controlled trial used resonance frequency analysis (RFA) to assess the effects of the presence or absence of a cast rigid bar splinting multiple implants in the stability of immediately loaded implants.

Material and methods: Twenty-nine edentulous patients were randomly divided into two groups: G1 with full-arch implant-fixed prostheses and G2 with multiple implant splinting via acrylic resin denture bases. All implants were immediately loaded. RFA measurements assessed implant stability at three different times (T0--at baseline, T1--4 months, and T2--8 months. Wilcoxon and Friedman tests and a multivariate model with repeated measures for longitudinal data were used for statistical comparison (α = 0.05).

Results: Twenty-nine patients were assessed (G1 = 15 and G2 = 14). Implant and prostheses survival rates were 100% for both groups after the 8-month observation period and no significant differences in the mean ISQ values were found at the different implant stability assessment times (P > 0.05).

Conclusions: The different splinting protocols did not appear to affect implant stability during the 8-month observation period.

Keywords: edentulous mandible; immediate dental implant loading; implant stability; implant-supported dental prosthesis; osseointegration.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Dental Alloys
  • Dental Implants*
  • Dental Prosthesis Design
  • Dental Restoration Failure
  • Denture Bases
  • Denture Design
  • Denture Retention
  • Denture, Complete, Lower
  • Female
  • Humans
  • Immediate Dental Implant Loading*
  • Jaw, Edentulous / rehabilitation*
  • Longitudinal Studies
  • Male
  • Mandible / surgery*
  • Middle Aged
  • Survival Rate
  • Treatment Outcome

Substances

  • Dental Alloys
  • Dental Implants