D'Albis Giuseppe, Forte Marta, Alrashadah Abdulrahman Omar, Marini Lorenzo, Corsalini Massimo, Pilloni Andrea, Capodiferro Saverio
Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.
Department of Dentistry, King Faisal University, P.O. Box 380, Al Hofuf 31982, Saudi Arabia.
Dent J (Basel). 2025 May 15;13(5):213. doi: 10.3390/dj13050213.
: Modern dentistry strives to achieve increasingly less invasive procedures as the ultimate therapeutic goal. The careful selection of suitable candidates for immediate dental implants can offer an opportunity to reduce treatment time, lower the relative costs and improve overall patient satisfaction. : A systematic search was conducted in March 2025, without any time restrictions, in Medline, Pubmed and Web of Science databases. To identify other related references, further research was performed. Articles related to current knowledge about the immediate loading of dental implants supporting fixed partial prosthesis in the posterior region were included. Articles not available in abstract form and articles not published in the English language were excluded. : A total of ten studies were eligible for inclusion in the current study. The search strategy resulted in a survival rate ranging from 86% to 100%, and a failure rate of less than 21.6%, with a mean follow-up of 55.6 months. Statistical analysis revealed no significant differences in survival rates between implants placed in the maxilla and mandible (χ = 0.42, = 0.81, df = 2). Follow-up varied from one to ten years, reflecting variability both in study design and duration. : The selected studies highlight the heterogeneity in immediate loading protocols for implant-supported fixed partial prosthesis in the posterior regions, emphasizing the variability in prosthetic materials and implant types, suggesting that immediate loading is a reliable, patient-centered therapeutic option with favorable long-term outcomes.
现代牙科致力于将越来越微创的手术作为最终治疗目标。仔细挑选适合即刻种植牙的患者，可为缩短治疗时间、降低相对成本并提高患者总体满意度提供契机。2025年3月，在没有任何时间限制的情况下，对Medline、Pubmed和科学网数据库进行了系统检索。为识别其他相关参考文献，还开展了进一步研究。纳入了与后牙区支持固定局部义齿的种植牙即刻加载的现有知识相关的文章。排除了无摘要形式的文章以及非英文发表的文章。本研究共纳入十项符合条件的研究。检索策略得出的生存率在86%至100%之间，失败率低于21.6%，平均随访时间为55.6个月。统计分析显示，上颌和下颌种植体的生存率无显著差异（χ = 0.42， = 0.81，自由度 = 2）。随访时间从1年到10年不等，反映出研究设计和持续时间的差异。所选研究突出了后牙区种植体支持固定局部义齿即刻加载方案的异质性，强调了修复材料和种植体类型的变异性，表明即刻加载是一种可靠的、以患者为中心的治疗选择，具有良好的长期效果。
