Journal of Oral Science Research ›› 2023, Vol. 39 ›› Issue (4): 336-340.DOI: 10.13701/j.cnki.kqyxyj.2023.04.010

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Effect of Immediate Loading on Edentulous Space Maintenance of Non-free End Single Tooth in Mandibular Posterior Area

WANG Yuzhuo1, LI Gan2, LI Xiaofei2, WEI Luming2, WANG Jing1, WANG Penglai1,2*   

  1. 1. School of Stomatology, Xuzhou Medical University, Xuzhou 221004, China;
    2. Affiliated Stomatological Hospital of Xuzhou Medical University, Xuzhou 221002, China
  • Received:2022-10-18 Online:2023-04-28 Published:2023-04-19

Abstract: Objective: To investigate the effect of immediate loading on the three-dimensional space after the loss of non-free end of single tooth in mandibular posterior area. Methods: Forty patients who received single dental implant at the non-free end of the mandibular posterior region were included in the study. The experimental group (n=20) received immediate loading therapy with routine implantation, and the control group (n=20) received conventional loading therapy with routine implantation. The intraoral optical scanning data were collected on the same day and 3 months after surgery, and then the three-dimensional position changes of adjacent teeth and jaw teeth were analyzed by three-dimensional registration and deviation analysis algorithm, and their mean deviation (AVG) and root mean square (RMS) were recorded. Results: The AVG and RMS of mesial and distal changes of the mesial adjacent teeth in the experimental group were (20.83±9.07) μm and 25.66±10.82, respectively, which were smaller than those in the control group. AVG=(106.38±38.41) μm, RMS=118.74±42.18. The AVG and RMS of mesial and distal changes of the distal adjacent teeth in the experimental group were (12.03±8.01) μm and 14.59±8.95, respectively, which were smaller than those in the control group. AVG=(113.63±42.79) μm, RMS=127.39±45.93, and the difference was statistically significant. The AVG and RMS of vertical change of the antagonist teeth in the experimental group were (19.66±8.59) μm and 23.97±9.93, respectively, which were lower than those in the control group. AVG=(61.38±18.29) μm, RMS=70.54±21.42, and the difference was statistically significant. Conclusion: The edentulous space can be effectively maintained by the conventional planning with immediate loading treatment after the loss of the non-free end of the single tooth in the mandibular posterior area.

Key words: immediate loading, tooth movement, digital, deviation analysis, posterior mandibular region