Sadilina Sofya, Park Seung-Hyun, Chantler Jennifer, Park Jin-Young, Thoma Daniel, Cha Jae-Kook, Strauss Franz J
Research Assistant, Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.
Research Fellow, Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Republic of Korea.
J Prosthet Dent. 2024 May 25. doi: 10.1016/j.prosdent.2024.04.013.
Interest is growing in immediately loading definitive implant-supported prostheses. However, it appears that implant protocols are evolving faster than their scientific validation.
The purpose of this scoping review was to identify the current trends, feasibility, and clinical outcomes of a specific clinical loading scenario (type A), where a single definitive implant-retained restoration is delivered within 3 days. The focus question was "In partially edentulous patients requiring an implant-retained prosthesis (population), is immediate loading with a definitive restoration (concept) a viable treatment option (context)?"
An electronic search was conducted in the PubMed, CENTRAL, Scopus, Embase, and Web of Science databases. Two authors independently reviewed the studies, screened titles and abstracts, and performed full-text analysis. Cross-reference checks within the bibliography of included studies, relevant reviews, and guideline were conducted. Bibliometric information and study details were extracted.
The search identified 2568 titles after removing duplicates. Four studies involving 91 participant and 100 implant-retained restorations were included in this scoping review. The selected articles were a randomized controlled trial (RCT), a prospective clinical study, and the remaining 2 were case series. The follow-up periods investigated ranged from 6 to 26 months. All studies evaluated marginal bone loss as a primary outcome, and only 1 implant failure was reported. Patient-reported outcome measures were favorable, and no major biological or technical complications were reported in any study.
Immediate loading with a definitive restoration within 3 days appears to be a suitable approach in specific clinical situations.
即刻加载确定性种植体支持的修复体的关注度正在不断提高。然而，种植方案的发展速度似乎比其科学验证的速度更快。
本综述的目的是确定一种特定临床加载方案（A型）的当前趋势、可行性和临床结果，即在3天内完成单个确定性种植体固位修复。重点问题是“在需要种植体固位修复体的部分牙列缺损患者（人群）中，即刻加载确定性修复体（概念）是否是一种可行的治疗选择（背景）？”
在PubMed、CENTRAL、Scopus、Embase和Web of Science数据库中进行了电子检索。两位作者独立审查研究、筛选标题和摘要，并进行全文分析。对纳入研究的参考文献、相关综述和指南进行了交叉引用检查。提取了文献计量信息和研究细节。
去除重复项后，检索到2568个标题。本综述纳入了4项研究，涉及91名参与者和100个种植体固位修复体。所选文章包括一项随机对照试验（RCT）、一项前瞻性临床研究，其余2项为病例系列。研究的随访期为6至26个月。所有研究均将边缘骨丢失作为主要结局进行评估，仅报告了1例种植体失败。患者报告的结局指标良好，所有研究均未报告重大生物学或技术并发症。
在特定临床情况下，3天内即刻加载确定性修复体似乎是一种合适的方法。
