Baireddy Radhika J, Cook Neil, Li Siwei, Barrak Fadi
School of Dentistry, University of Central Lancashire, Preston, England.
Visiting Specialist Services Academy Ltd, London, England.
BDJ Open. 2021 Aug 12;7(1):30. doi: 10.1038/s41405-021-00083-4.
Immediate loading is an attractive option for avoiding secondary surgery. However, it is unclear whether it provides a better aesthetic outcome compared to conventional loading with implants placed in healed ridges.
To compare the aesthetic outcomes of immediately and conventionally loaded single implants in healed anterior maxillary ridges.
A systematic review using PICO was conducted. EMBASE, MEDLINE and DoSS databases were searched. The Cochrane Risk of Bias tool for Randomised Controlled Trials and the Effective Public Health Practice Project tool for other study designs were used for quality appraisal. A narrative synthesis was undertaken.
A total of 622 articles were identified. After screening, a total of five papers were included. Results indicated no statistically significant difference in pink or white aesthetic scores between the immediate and conventional loading groups at 1- and 5-year review and the Papilla Index at the 1-year review.
Within the limitations of this review, immediate loading of single implants provides a comparable aesthetic outcome to conventional loading in healed ridges of the anterior maxillary.
即刻负重是避免二次手术的一个有吸引力的选择。然而，与在愈合牙槽嵴中植入种植体的传统负重相比，其美学效果是否更好尚不清楚。
比较即刻负重和传统负重的单个种植体在上颌前部愈合牙槽嵴中的美学效果。
采用PICO进行系统评价。检索了EMBASE、MEDLINE和DoSS数据库。使用Cochrane随机对照试验偏倚风险工具和其他研究设计的有效公共卫生实践项目工具进行质量评估。进行了叙述性综合分析。
共识别出622篇文章。筛选后，共纳入5篇论文。结果表明，在1年和5年复查时，即刻负重组和传统负重组之间的粉红色或白色美学评分以及1年复查时的乳头指数均无统计学显著差异。
在本综述的局限性范围内，单个种植体的即刻负重在上颌前部愈合牙槽嵴中的美学效果与传统负重相当。
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