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. 2013 Mar 28;2013(3):CD003878. doi: 10.1002/14651858.CD003878.pub5

Turkyilmaz 2007.

Methods Trial Design: randomised, parallel group trial
Location: Ankara, Turkey
Number of centres: one (Faculty of Dentistry, Hecettepe University, Ankara, Turkey)
Recruitment period: not stated
Funding source: not stated
Participants Inclusion criteria: patients with edentulous mandibles allowing the placement of 2 x 15 mm long implants
Exclusion criteria: patients with previously bone‐grafted or irradiated jaws, and any systemic diseases likely to compromise implant surgery
Age at baseline: immediate 62.4 ± 8.6 years); delayed 62.3 ± 7.1 years
Gender: M8/F12
Number randomised: 20
Number evaluated: 20 (no withdrawals at 1 year)
Interventions Comparison: Early versus conventional loading
Gp A (n = 5) Immediate loading: 2 unsplinted implants with ball attachments supporting an overdenture immediately loaded at 1 week
Gp B (n = 5) Conventional loading: 2 unsplinted implants with ball attachments conventionally loaded at 3 months
Brånemark® (Nobel Biocare AB, Göteborg, Sweden) non‐submerged TiUnite Mark III type titanium screws were used
Duration of follow‐up: 2 years
Outcomes Prosthesis/implant failures, Osstell, marginal bone level changes on standardised intraoral radiographs, complications
1‐year data used
Notes Sample size calculation: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Reported in the article: "The patients randomly allocated into two groups pre‐operatively"
Author replied that "We actually toss a coin (heads or tails) and created groups randomly"
Reviewer comment: "it is possible but highly unlikely to create 2 groups with identical number of patients by tossing a coin"
Allocation concealment (selection bias) High risk Nothing reported in the article
Author replied that "The surgeon did not know the groups before implant placement"
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Nothing reported in the article
Author replied that "the outcome assessor was not blinded"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All data presented
Selective reporting (reporting bias) Low risk All outcomes appear to be presented
Other bias Low risk None detected