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Brizuela‐Velasco A, Chávarri‐Prado D. The functional loading of implants increases their stability: A retrospective clinical study. Clinical Implant Dentistry and Related Research. 2018. doi:10.1111/cid.12702
AutoresAritza Brizuela‐Velasco, David Chávarri‐Prado
Este estudio retrospectivo evalúa cómo el momento de la carga funcional de los implantes dentales influye en su estabilidad, medida mediante análisis de frecuencia de resonancia (RFA). Se compararon dos grupos: carga inmediata (menos de 48 horas) y carga diferida (más de 10 semanas). Los resultados indican que la carga funcional, independientemente del protocolo, incrementa la estabilidad del implante, observándose los mayores aumentos en los meses posteriores a la carga. Esto sugiere que los protocolos de carga inmediata o temprana no solo son viables, sino que pueden ser beneficiosos, ya que la estabilización del implante parece acelerarse o mejorar significativamente durante este periodo. Comprender esta relación es crucial para optimizar los tiempos de tratamiento y la previsibilidad de los resultados en la práctica clínica diaria con implantes dentales.
PURPOSE: To assess the difference in the evolution of implant stability values, determined by resonance frequency analysis (RFA), between two groups of implants subjected to two different loading protocols: immediate and delayed. MATERIALS AND METHODS: A retrospective clinical study was conducted, including a total of 93 implants placed in 38 patients. All implants corresponded to one of two models of the Klockner Implant System (Essential Cone and Vega) and were divided into two groups according to the loading protocol adopted: delayed loading in group A (>10 weeks) and immediate loading in group B (<48 hours). Implant stability was measured four times throughout the study period with a Penguin RFA device: implant placement (T0), definitive loading (T1), 6 months after loading (T2), and 12 months after loading (T3). RESULTS: Implant stability quotient (ISQ) values showed a statistically significant increase in both groups after loading. In group A, the greatest increase in stability occurred between T1 and T2, whereas in group B, the greatest increase occurred between T0 and T1, coinciding in both cases with the period in which the implants were subjected to prosthetic loading. CONCLUSIONS: The functional loading of implants increases their stability, as measured in ISQ values by RFA. Increases in ISQ values are greater during the months immediately following loading, which shows that immediate or early loading protocols are not only possible but can also be beneficial.
Brizuela‐Velasco A, Chávarri‐Prado D. The functional loading of implants increases their stability: A retrospective clinical study. Clinical Implant Dentistry and Related Research. 2018. doi:10.1111/cid.12702
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