The Comparison of Axial and Tilted Implants for Immediate Loading

Abstract

Background: The success and sustainability of osseointegration in implant treatment is considered an important factor and therefore the value of Marginal Bone Loss (MBL) is an important consideration.

Method: Thirty eight patients (17 females and 21 males) were included in the study. Immediately loaded fixed prosthesis supported by two axial and two tilted implants were performed for each patient. 36 axial implants and 36 tilted implants were placed in maxilla, and 40 axial and 40 tilted implants were placed in mandible. Loading was performed 24 hours after the operation and final prosthesis was performed after 6 months. Patients were followed up at 6, 12, 24 and 36 months.

Results: According the results of the MBL measurements, there was a statistically significant difference between all results (p = 0.000 <0.05). The value of MBL increased with time and MBL measurements ​​are similar in both tilted and axial implants in maxilla and mandible. In this method, there is no graft cost and augmentation is not required.

Discussion: In our study, it is seen that routine control of the patients and early detection of the problem are important in order to prevent problems related to the implant and prosthesis.