Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial
The purpose of this randomized controlled trial was to compare the immediate-loading protocol, in single restorations in the esthetic zone, by comparing the digital workflow in a test group (TG) vs. the analogical workflow in a control group (CG). A total of 50 patients were enrolled, requiring sing...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Biology |
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| Online Access: | https://www.mdpi.com/2079-7737/10/12/1281 |
| _version_ | 1797506529522352128 |
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| author | Paolo Capparé Francesco Ferrini Corrado Ruscica Giuseppe Pantaleo Giulia Tetè Enrico Felice Gherlone |
| author_facet | Paolo Capparé Francesco Ferrini Corrado Ruscica Giuseppe Pantaleo Giulia Tetè Enrico Felice Gherlone |
| author_sort | Paolo Capparé |
| collection | DOAJ |
| description | The purpose of this randomized controlled trial was to compare the immediate-loading protocol, in single restorations in the esthetic zone, by comparing the digital workflow in a test group (TG) vs. the analogical workflow in a control group (CG). A total of 50 patients were enrolled, requiring single hopeless tooth extraction. Twenty-five patients (TG) were randomly assigned to the immediate-loading protocol using the digital workflow, and twenty-five patients (CG) were assigned to the conventional workflow. Clinical and radiographic parameters were evaluated at the time of implant insertion (baseline) and after 3, 6 and 12 months, respectively. A clinician blind to conditions measured the Pink Esthetic Score (PES), as well as patient satisfaction. At 12-month follow-up, a cumulative survival rate of 100% was reported for all implants. No failures or biological complications were observed. No statistically significant differences were detected in the mean values of marginal bone loss and PES between the TG (0.12 ± 0.66 mm for MBL, 7.75 ± 0.89 for PES) and the CG (0.15 ± 0.54 mm for MBL, 7.50 ± 0.89 for PES). In 11 cases of TG, and 10 cases of CG, a one-year follow-up period showed an increased marginal bone level. No statistically significant differences were found in the mean total PES between test (7.75 ± 0.89) and control (7.5 ± 0.81) conditions. Furthermore, a customer satisfaction survey showed that patients preferred the digital workflow over the conventional workflow procedure (97.6 ± 4.3 vs. 69.2 ± 13.8). Digital workflow was more time-efficient than conventional workflow (97.2 ± 7.3 vs. 81.2 ± 11.3). Within the limitations of this study, no statistically significant differences were found between digital and traditional workflow. |
| first_indexed | 2024-03-10T04:34:56Z |
| format | Article |
| id | doaj.art-a2d46c4ff3c746219c03c4eb680cb8c4 |
| institution | Directory Open Access Journal |
| issn | 2079-7737 |
| language | English |
| last_indexed | 2024-03-10T04:34:56Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biology |
| spelling | doaj.art-a2d46c4ff3c746219c03c4eb680cb8c42023-11-23T03:53:39ZengMDPI AGBiology2079-77372021-12-011012128110.3390/biology10121281Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical TrialPaolo Capparé0Francesco Ferrini1Corrado Ruscica2Giuseppe Pantaleo3Giulia Tetè4Enrico Felice Gherlone5Dental School, Vita-Salute San Raffaele University, IRCCS San Raffaele, 20132 Milan, ItalyDental School, Vita-Salute San Raffaele University, IRCCS San Raffaele, 20132 Milan, ItalyDental School, Vita-Salute San Raffaele University, IRCCS San Raffaele, 20132 Milan, ItalyUniSR-Social.Lab, Faculty of Psychology, Vita-Salute San Raffaele University, 20123 Milan, ItalyDepartment of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita-Salute San Raffaele University, 20123 Milan, ItalyDental School, Vita-Salute San Raffaele University, IRCCS San Raffaele, 20132 Milan, ItalyThe purpose of this randomized controlled trial was to compare the immediate-loading protocol, in single restorations in the esthetic zone, by comparing the digital workflow in a test group (TG) vs. the analogical workflow in a control group (CG). A total of 50 patients were enrolled, requiring single hopeless tooth extraction. Twenty-five patients (TG) were randomly assigned to the immediate-loading protocol using the digital workflow, and twenty-five patients (CG) were assigned to the conventional workflow. Clinical and radiographic parameters were evaluated at the time of implant insertion (baseline) and after 3, 6 and 12 months, respectively. A clinician blind to conditions measured the Pink Esthetic Score (PES), as well as patient satisfaction. At 12-month follow-up, a cumulative survival rate of 100% was reported for all implants. No failures or biological complications were observed. No statistically significant differences were detected in the mean values of marginal bone loss and PES between the TG (0.12 ± 0.66 mm for MBL, 7.75 ± 0.89 for PES) and the CG (0.15 ± 0.54 mm for MBL, 7.50 ± 0.89 for PES). In 11 cases of TG, and 10 cases of CG, a one-year follow-up period showed an increased marginal bone level. No statistically significant differences were found in the mean total PES between test (7.75 ± 0.89) and control (7.5 ± 0.81) conditions. Furthermore, a customer satisfaction survey showed that patients preferred the digital workflow over the conventional workflow procedure (97.6 ± 4.3 vs. 69.2 ± 13.8). Digital workflow was more time-efficient than conventional workflow (97.2 ± 7.3 vs. 81.2 ± 11.3). Within the limitations of this study, no statistically significant differences were found between digital and traditional workflow.https://www.mdpi.com/2079-7737/10/12/1281digital dentistrysingle implantdental implantimmediate loading |
| spellingShingle | Paolo Capparé Francesco Ferrini Corrado Ruscica Giuseppe Pantaleo Giulia Tetè Enrico Felice Gherlone Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial Biology digital dentistry single implant dental implant immediate loading |
| title | Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial |
| title_full | Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial |
| title_fullStr | Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial |
| title_full_unstemmed | Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial |
| title_short | Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial |
| title_sort | digital versus traditional workflow for immediate loading in single implant restoration a randomized clinical trial |
| topic | digital dentistry single implant dental implant immediate loading |
| url | https://www.mdpi.com/2079-7737/10/12/1281 |
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