Crooke Dental Clinic tells us about immediate loading: implants and same day teeth

CROOKE Dental Clinic is characterized by always being at the head of its game in dentistry.

They periodically inform us of the treatment possibilities to repair our mouths. Nowadays, with implants being the chosen treatment to replace teeth, they go a step further and put the teeth in place the same day as the implants. This technique, which has been carried out for years has advanced and provides additional comfort in this type of treatment. Dr Eduardo Crooke explains the subject a little more.

Dr. Crooke, what does the concept ‘Immediate loading’ mean?

Immediate loading entails placing implants and permanent teeth fixed to the implants on the same day or within 48 hours. This is an added comfort for the patient because it avoids them having removable dentures during the bone integration period.

Can this be carried out in all cases?

Not all, but in many. For example, the most extended and documented indication at a scientific level are cases in which all the bottom set of teeth has to be replaced. This bone tends to be harder, and if we put in place at least four implants, it‘s a very safe treatment. On the upper maxilla, although the bone is softer, if we have enough implants and they are the right size, the permanent teeth can also be screwed onto the implants the same day. The aesthetic area for single teeth also favours this technique, and in some cases, obviously following a careful study of the area, we can also do it in further back areas if we join several implants and leave them with less closure or less bite.

And are the teeth which are put in place permanent?

No, the teeth are provisional, and then, when the bone integration period of two to five months is up, they will be replaced with the permanent teeth which are of a more durable material and the necessary touches will be added to give the patient the smile they want.

Are there contraindications?

Well, everything has to be studied carefully, the bone density, length and distribution of the implants has to be evaluated. In some cases when there are prior infections the treatment should not be carried out as it is an added risk, or if it is an area where the bone or soft tissue has to be regenerated, sometimes it’s better not to screw in a tooth on the same day so that more surgery can be ‘carried out to increase tissue. A single molar is not the best case in which to carry out immediate loading, as molars are the teeth on which we chew the most, but all other cases can be studied.

Is this the same technique as the one known as ‘teeth in an hour’?

‘Teeth in an hour’ is an immediate loading technique in which the denture is prepared before the implants are put in place thanks to a virtual 3D study and the placement of the implants thanks to a surgical splint guided by computer. As we already know, thanks to this splint, the position and inclination of the implants, we can prepare the denture beforehand. The end result is the same, but the consultation time for the patient on the day of surgery is not as long.