Immediate loading of dental implants

Written by: Tomás Portaceli Roig
Edited by: Top Doctors®

What is the immediate loading of the dental implants and how is it done?

The immediate loading of dental implants is a technique that allows us to place a fixed dental prosthesis on the installed implants within a period no longer than 48-72 hours after the intervention.


Once studied and agreed on the number of implants that will be placed and their corresponding location in the maxilla , the intervention is performed under local anesthesia.. Immediately after the installation of the implants, some printing records are taken, on which the implantoported fixed prosthesis is manufactured within a period of less than 48-72 hours.. While this prosthesis is manufactured, some healing abutments are installed so that the gum does not occlude access to the implants.


In other cases, such as the " All-on-four " and the Nobel Guide , the fixed prosthesis is previously made by virtual records and is connected to the implants at the time of the intervention.


We must highlight two great advantages of the technique of immediate loading.


What advantages does this technique bring to the patient?

It should be noted two great advantages of the technique of immediate loading. In the first place, it is important to point out that all the interventions are performed by Minimally Invasive Surgery ( MIS ), with which the postoperative discomforts are minimal.. There is no edema or bruising and the patient is already comfortable with his prosthesis on the same day of the intervention.


The other advantage is that the patient does not stop performing their work and social activity at any time, since the waiting times that were previously necessary after the installation of dental implants have shortened noticeably. An excellent preparation and a careful technique allow the immediate rehabilitation of the patient in all senses.


Are these implants definitive or should they be replaced?

The implants that are placed after the intervention are definitive, but the prosthesis is "provisional". It must be borne in mind that newly installed implants should not be subjected to inappropriate loads, especially in the first weeks of treatment. The patient should take care of their type of feeding , restricting it to soft feeding at least during this period.


The time required varies depending on whether the implant has been placed in the upper jaw or jaw. We can not forget that the osseointegration in the maxilla requires 4 months while in the jaw the integration of the implants is consolidated in about 2 months. After that time a final prosthesis is made and with it you can already take a normal diet.


Can all patients undergo this treatment?

The vast majority of patients can benefit from the technique of immediate loading. Our criterion is not to submit to this technique only a small percentage of people, those who have special characteristics of the bone or who need bone grafts to be able to place implants.


The "Nobel Guide" (computer guided surgery ) has given us great security in the treatment of patients with limited bone available. It allows immediate loading, with all the advantages that entails.


In conclusion, rigorous planning and a careful technique are the basis for obtaining very satisfactory results in all our patients.

*Translated with Google translator. We apologize for any imperfection

By Tomás Portaceli Roig
Oral and Maxillofacial Surgery

Dr. Tomas Portaceli Roig is a specialist in Oral and Maxillofacial Surgery with a strong reputation over more than 30 years of professional practice. Serves as Oral and Maxillofacial Surgeon at the Hospital de Levante Intermutual and has his private clinic in Valencia where devotes special attention to implantology Minimally Invasive Surgery and Immediate Loading.

*Translated with Google translator. We apologize for any imperfection

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