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At Crooke & Laguna Dental Clinics, we use the immediate loading technique. Often in the field of dentistry, we use this term with our patients, and they immediately respond; “what’s that? It is one of the many questions people have about this innovative technique.

In this post, we will try to answer them all!

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What is immediate loading and how is it done?

The traditional way of placing implants is first the placement of the implant and after a period of 2 to 4 months, the tooth is placed. This period of time is called osseointegration.

Immediate loading consist of placing the implant and screwing a provisional dental piece onto it (always fixed, not removable) as soon as the surgery is finished or within 24 hours.

In some cases, we also do the immediate implant, where everything is done at the same time: extraction of the damaged teeth and placement of the implant. If the implant is in an aesthetic area or if it’s a full oral rehabilitation, we also place the crowns or temporary piece.

With this technique, we “skip” this waiting time, which for many people is a reason for going for implant treatment.

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The patient leaves the clinic with their best smile, without having to wait months to be able to show it off. After three months, the dentist will fit the definitive fixed teeth, which have a higher material quality, resistance, and aesthetics than the temporary ones.

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If we work well with immediate loading, we can obtain much better results in our definitive teeth, as it helps us to preserve and shape correct gum profiles.

The immediate loading technique is possible thanks to scanners and software that allow 3D planning of the procedure. When the patient’s mouth can be virtually recreated from digital images, the dentist works with maximum reliability and safety. The final result of the surgery is completely predictable. In other words, the computer simulation of the operation allows maximum precision when placing the implant.

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Am I suitable for immediate loading and how do I know?

Although immediate loading is a technique endorsed and used by the vast majority of dentists, sometimes a prior study is needed in patients who meet some of these characteristics;

  • Patients with a disease (e.g. diabetes) that affects their immune system or the body’s ability to heal itself.
  • Patients with periodontal problems.
  • Patients who do not have enough bone mass to place the implant (although they may choose to do so after a fully healed graft if their dentist considers it feasible).
  • Patients who smoke.

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To ensure the success of immediate loading, there are several factors to take into account. The first is to have a good professional judgment to get a good diagnosis.

As in any specialty, the experience of the dentist and the number of interventions carried out will be influential factors in the success of the treatment. The longer the professional experience, the higher the success rate tends to be.

We know that the osseointegration process depends on having good primary stability (implant placement) and secondary stability (once the implant has osseointegrated and how it is maintained over time). These depend on:

  • The quality and quantity of bone
  • Bone preparation technique
  • Design, shape, and surface of the implant
  • The patient’s oral health and dental maintenance (good hygiene at home and regular appointments with the hygienist are fundamental).

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All of the above are very important because they condition the possibility of immediate loading of implants. In order to determine whether a patient meets the requirements for immediate loading, primary stability measurement systems such as the Perio-Test or the Ostell have been developed.

What are the advantages of immediate loading?

Numerous studies have positively evaluated the immediate loading technique, concluding that it is predictable in terms of osseointegration and marginal bone maintenance. Among the advantages we can highlight some of them:

  • Immediate loading allows restoring the functionality of the dentition; recovering normal chewing and phonation in the first 24 hours after tooth extraction. Obviously, it is not possible to chew normally until the definitive crowns are in place, as the diet during the osseointegration period must avoid very hard foods and bending forces.
  • In less than 24 hours you are already wearing a provisional fixed prosthesis, without the need to wear a removable prosthesis. Therefore, the patient does not have to suffer the discomfort of wearing a removable prosthesis (mobility, sores, speech difficulties, loss of taste in food, etc). This facilitates the progressive adaptation to the subsequent definitive fixed prosthesis and means that the patient does not lose self-esteem and confidence during the process.
  • It makes it possible to shorten or even eliminate the waiting time to have new fixed teeth in the mouth, which leads to a notable increase in the patient’s quality of life
  • It can reduce the number of sessions and surgical interventions (avoiding second-stage surgery) which increases patient acceptance.
  • In the case of Full oral rehabilitations, it provides great comfort. The prosthesis has no movement capacity, is not unstable, and does not wobble, so it usually gives great security to the patient.
  • From the first minute, when the provisional crown is placed, the gum takes shape from this temporary piece. When the definitive prosthesis is placed, the gum takes it without any problems. Moreover, from an aesthetic point of view, the result is optimal.

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In the last 30 years, several long-term studies have been carried out, with patients being followed up for 5 and 10 years. All of them have established survival rates (implant success) of between 97% and 100%. In other words, the new teeth are not rejected in the patient’s mouth.

In short, our patients will be able to benefit from increasingly less invasive and shorter implant treatments. But let us not forget that immediate aesthetics is not always synonymous with immediate loading.

Immediate loading should not be done always, but rather with a logical reason, with patients who meet the requirements and are appropriate for this technique. When this is not possible, we will try to look for fixed alternatives whenever possible to avoid the rubbing of the removable prosthesis on the implant that is being osseointegrated

At Crooke & Laguna Dental Clinic we are prepared to offer you the best treatment with the greatest safety. Our 100% Digital Workflow, our 3 Step Smiles system, and the protocols developed with the BQDC group, give us the security and confidence to face any challenge.

Would you like more information about dental implants and immediate loading?

Fill in the form and make an appointment!

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