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

Güncü 2008.

Methods Trial design: randomised, split‐mouth group trial
Location: Ankara Turkey
Number of centres: one (Faculty of Dentistry, Hecettepe University, Ankara, Turkey)
Recruitment period: November 2004 to August 2005
Funding source: not reported
Participants Inclusion criteria: patients missing both mandibular first molars allowing the placement of 11.5 mm long and 4 mm large single implants with an implant to crown length ratio 1/1
Exclusion criteria: smoking, osteoporosis, severe parafunctional habits, post‐extractive implants, untreated periodontal disease, poor oral hygiene, drug or alcohol abuse, need of augmentation procedures at the implanted sites, and any systemic diseases likely to compromise implant surgery
Age at baseline: 41.09 years (± 8.46) range 30‐55
Gender: M4/F8
Number randomised: 12
Number evaluated: 12
Interventions Comparison: Immediate versus conventional loading
Gp A (n = 12) Immediate loading: Single implants restored the same day with acrylic crown and after 1 week with occluding cemented metal‐ceramic crowns
Gp B (n = 12) Conventional loading: Single implants restored after 3 months with occluding cemented metal‐ceramic crowns
Brånemark® (Nobel Biocare AB, Göteborg, Sweden) non‐submerged TiUnite Mark III type titanium screws were used
Duration of follow‐up: 1 year
Outcomes Prosthesis/implant failures, Osstell, marginal bone level changes on intraoral radiographs, plaque index, gingival index, probing depths, bleeding time index
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: "Randomization for IL and CL selection was performed by coin toss"
Allocation concealment (selection bias) High risk Nothing reported in the article
Author replied that: "Coin toss was performed before implant placement during surgery for each patient. Group allocation was concealed to the investigators"
Reviewers comment: if the coin was tossed before implant placement obviously allocation could not be concealed
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Nothing reported in the article 
 Author replied that "the outcome assessor was blinded"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All data presented after clarification by the author
Selective reporting (reporting bias) Low risk All outcomes appear to be presented
Other bias Low risk None detected