Are Immediate Load Dental Implants Beneficial for You?

What are immediate functional loading dental implants?

The ITI Consensus Conference defines immediate loading as a restoration placed in occlusion with the opposing dentition within 48 hours of implant placement. Dr. Adatrow defines immediate loading as “placing an implant and immediately putting it into full occlusion or function with the opposing occlusion.” The distinction from conventional implants is that immediately loaded implants can be achieved with single or multiple implants. However, he believes that immediate function should only be performed when joining implants around a curve with a rigid connector (for example, lower denture on four implants)

What are the Benefits of Immediate Load Dental Implants?

• A more effective method for developing the soft-tissue site of a single-tooth restoration.
• Allows for the accurate fabrication of the final restoration.
• Will save time until the prosthesis is ready.
• Patients find it more acceptable (than the removable substitute).
• Immediate functional and esthetic benefits (sculpting of the soft tissues) the patient’s rehabilitation.
• The second phase of surgery is omitted.
• Adjacent papillae are adequately conserved, which contributes to the final esthetic results.
• The implant is countersunk below the crestal bone, which reduces early crestal bone loss.

Can Immediate Loading Dental Implants be Provided for Anyone?

If the implant sites have bone defects that necessitate bone and soft tissue regrowth, immediate loading is inappropriate for all cases. As a result, in those cases, staged implant placement rather than immediate loading may be preferable.

What is the procedure for Immediate Load Dental Implants?

A customized socket wall is used in immediate implants to achieve excellent initial balance. Implants with length ( more than 2mm) greater than the socket length  are chosen to fulfill good initial stability/primary stability. Preparation excessive of 2 mm beyond the socket is performed, with initial drilling followed by sequential drilling. As a result, the initial strength achieved is primarily due to contact of the dental implant-bone interface, which occurs only in the apical one-third.

The implant body shape must be carefully selected for achieving excellent initial stability. The best way to use cylindrical or straight screw dental implants is because the socket wall is tapered toward the apex. Use drills with perfect angulation; if the root is slightly curly, the drill will continually go toward the path of least resistance. As a result, a firm grip is required to prepare an apical 2-mm implant site. Implants are placed in extraction sockets with the implant shoulder margin at or below the crestal bone level.

Vertical resorption can be limited by securing the implant shoulder beneath the crestal bone. Standardized digital periapical radiographs with the long-cone paralleling technique can be used to assess the crestal bone level.

Do Immediately Loaded Dental Implants Fail Often?

This is not correct; once an implant integrates, it makes no difference how it was loaded. However, many implants placed before Bränemark’s seminal publications had success rates in the 50% range, he claims, and many of those were immediately loaded. As a result, early implant procedures generally avoided immediately loading anything.

The main criteria for a successful immediate loading implant procedure include the initial stability of the implant after insertion. Ideally, the use of multiple, splinted implants around the arch curve and provisional prosthetics are not disrupted during the recovery period.

Before implant placement, the shape, macro-structure and microstructure, surface texture of the implant, and surface texture should all be considered for the success of dental implants.