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

Enkling 2010.

Methods Trial design: randomised, parallel group trial
Location: not reported
Number of centres: not reported
Recruitment period: not reported
Funding source: not reported
Participants Inclusion criteria: patients with edentulous mandibles allowing the placement of 2 interforaminal implants 9.5 mm long and wit 4 mm in diameter with an insertion torque of at least 35 Ncm. Patients were dissatisfied with the retention of their dentures after having wore them for at least 2 months
Exclusion criteria: not reported
Age at baseline: not reported
Gender: not reported
Number randomised: 32
Number evaluated: 30 (due to missing data)
Interventions Comparison: Immediate versus conventional loading
Gp A (n = 16) Immediate loading: overdentures on 2 mandibular interforaminal implants using a prefabricated bar (SFI‐Bar®, C+M, Biel, Switzerland)
Gp B (n = 16) Conventional loading: (3 months) loading of overdentures on 2 mandibular interforaminal implants using a prefabricated bar (SFI‐Bar®, C+M, Biel, Switzerland)
SICace® (SIC invent AG, Basel, Switzerland) titanium screws were used
Duration of follow‐up: 1 year
Outcomes Prosthesis/implant failures, marginal bone levels, complications, oral‐health‐related‐quality‐of life (OHRQoL), plaque index, probing pocket depth, bleeding on probing, sounding depth
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 No information provided in the abstract
Author replied that: "We recruited pairs of patients regarding the parameters age and gender. In each pair the allocation to the immediate or delayed loading group was randomized by a computer generated list"
Allocation concealment (selection bias) Unclear risk No information provided in the abstract
No reply to this question
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk No information provided in the abstract
Author replied that: "The clinical assessors as well as the assessors for the x‐rays (post‐graduate students) were blinded and were independent of the surgical and prosthetic team"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No information provided in the abstract
Author replied that: "After the first year, we had two drop‐outs as two paired female patients died due to age reasons"
The problem is that the data at 1 year for one patient per group is missing
Selective reporting (reporting bias) Low risk All outcomes appear to be presented
Other bias Low risk None detected