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Immediate loading for a single dental implant

Single-tooth implants with immediate loading consist of placing one or a few dental implants and then attaching a fixed prosthesis. This technique is used to reduce the stages of the procedure and allow the smile to be restored more quickly with implants. The tooth is fixed directly to the implant during surgery or within a few days.

The single-tooth implant immediate loading technique makes your treatment faster

In a common procedure, a temporary acrylic tooth is placed in the correct position for a period of one to four months (healing period), depending on the type of implant chosen. Soon after this period, the implant and bone are closer together and the gums are more stable, making it possible to make the molds for the permanent porcelain tooth.

In the case of immediate loading for single implants, the technique is used to rehabilitate just one tooth. This type of intervention is used when the tooth is severely compromised by cavities, periodontal disease, fractures or simply the absence of a tooth (a tooth that hasn’tbeen born).

The extraction of a problem tooth is followed by the installation of the implant and the fixing of an immediate prosthesis by the implant dentist. Even with planning, in some cases there are uncertainties about the use of immediate loading. Some factors cannot be predicted, such as the stability of the implant (insertion torque) and the quality of the bone.

The technique is particularly suitable for the front teeth, especially the incisors, which require less chewing force. The bottom teeth are not suitable for immediate loading because chewing exerts too much force. Therefore, immediate loading in this area reduces the chances of successful treatment.

To carry out the single implant immediate loading procedure, the patient must be in good health with good oral conditions to facilitate the primary stability of the implant. In addition, favorable bone structure is essential for immediate loading.

Uncontrolled systemic diseases and smoking are factors that should be assessed by the dentist, as smoking reduces the chances of osseointegration.

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Immediate loading – Indications and planning

The topic of implants with immediate loading has always been very present when it comes to dental implants. The term is related to pressure, i.e. loading on the newly installed implant, therefore immediately after surgery. It is important to note that the decision on whether or not to perform immediate loading on the implant should be made by the implant dentist. Assuming that this is the main desire of all patients, it is the implant dentist who must certainly assess the conditions conducive to the use of this technique.

Currently, implant surgery is studied beforehand by the implant dentist (dental implant specialist) through the patient’s panoramic X-ray and CT scan. It is therefore possible to assess whether the patient has favorable bone conditions for the use of this technique. However, it is at the time of implant surgery, by locking the implant, that it is possible to guarantee that the immediate loading technique can be carried out. In this way, the professional can also change the technique used to make the prosthesis if the necessary implants are not locked during surgery. Although the bone structure is studied beforehand through examinations, it is only during surgery that the real bone situation can be gauged.

How is immediate loading surgery with dental implants performed?

Surgery is performed to install dental implants in the jawbone. The surgery should take place like a conventional dental implant surgery. Prior to the surgery, plans are made for an immediate temporary prosthesis, so that the patient will never be without teeth. There are prerequisites for using the installed implant:

Sufficient torque (greater than 35 N.cm)
Long implant (longer than 11 mm)
Implant with sufficient diameter: Larger than 3.75 mm
Planning a prosthesis compatible with the implant‘s ability to withstand forces
Sufficient number of implants
Good distribution of implants in the arch
Patient without bruxism symptoms
People without symptoms of diseases that compromise tissue and bone healing (e.g. diabetes)
Non-smoking patient (smoking greatly reduces the chance of implant success)

Learn more about immediate loading

immediately loaded implant — Immediate loading means that the implant will be loaded with the crown as soon as it is inserted. In practice, loading occurs with the placement of the tooth, which will transmit the force of chewing through the implant to the bone.

This means that not all cases are good for immediate loading. Sometimes, only during implant installation will we be able to tell if the implant has met the requirements for immediate loading. Therefore, in some cases immediate loading can be aborted to allow the implant to heal in a conventional way (between 3 and 6 months).

If the surgery goes well, you can then start on the provisional or even definitive prosthesis, which requires molds and measurements of the arch. Immediate loading is usually carried out with a temporary prosthesis and, after the implants and gums have healed (between 3 and 6 months), the definitive prosthesis is made.
Watch the video below where we show the total implant surgery and the installation of the protocol prosthesis.

Although it is possible to carry out the treatment with the definitive material initially, we consider it better to make a temporary prosthesis, as the gums must swell and the bone changes shape during the initial three months of healing after surgery.

Best material for fixed prostheses

Currently, the most modern material for fixed prostheses is zirconia. Zirconia is a biocompatible material in line with the biological dentistry trend, which seeks to avoid the use of metals in dental treatments. It is also highly resistant and can be designed using computer graphics, which gives a much more natural aesthetic result compared to other types of dental prosthesis materials.

If you have any questions, please contact our team.

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Immediate loading - Indications and planning

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Rapid immediate loading of dental implants

All about Immediate loading

Immediate loading of dental implants

Rapid (immediate) loading is possible thanks to scientific advances. Today it is possible, in selected cases, to enter the office without teeth and leave at the end of the day with all the teeth fixed on dental implants with immediate loading. This technology gives patients great satisfaction due to the rapid results.

Immediate rapid loading can be planned for individual dental implants, or even total dental implants, the so-called protocol prosthesis. Its feasibility should be assessed in consultation with the implant dentist.

When to load implants quickly:

Implants with this rapid loading technique can be used in the following cases:

For total implants (replacement of dentures with all teeth fixed)
Several teeth (usually teeth or tooth roots with periodontal disease, badly decayed teeth as well as old dentures)
For a single tooth (mainly in the anterior region)
Fixed prosthesis of some teeth (in selected cases)

The rapid loading technique can be indicated for a single tooth or for all teeth.

Indications for immediate rapid loading dental implants

The dental implant technique with immediate loading can be carried out when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure to be carried out so as not to overload the site with chewing.

Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. The conditions, planning requirements and feasibility of the implant with immediate loading are assessed individually in consultation. Not all cases can be immediately loaded.

Therefore, the dental implant technique with immediate loading can be indicated for the following cases: people with a completely toothless lower arch, a full arch with a few teeth, single or individual teeth in the anterior region of the mouth, and in some cases fixed prostheses on a few teeth, depending on the region. In all cases and situations, the main course of action is to consult your dentist and carry out a full assessment to determine what and how will be done.

Only this assessment can determine whether an immediately loaded dental implant is indicated or whether another rehabilitation procedure would provide a better result. The technique is not always used in all cases, as it depends on the patient having some specific and favorable conditions that are assessed in consultation.

We must therefore plan your case carefully in order to achieve the expected success. The procedure aims to install a temporary prosthesis immediately after the implants have been placed. The time it takes to make the final prosthesis will be discussed with the dentist and varies from case to case.

Types of dental implants

If your concern is to complete your dental implant treatment as soon as possible, you can use fast-healing implants. The Swiss company Straumann is responsible for producing the most modern dental implants that allow rapid healing. Under ideal conditions, without bone grafting and good locking, these implants normally heal in between 1 and 2 months. So if your concern is time, opt for Straumann implants. These implants can be used for single implants or total implants.

In addition to titanium implants, there are also ceramic implants, an option for those who want a metal-free implant treatment.

Types of dentures

The type of dental crown or type of prosthesis to be used in your treatment should certainly also be evaluated, in order to shorten its execution time. If possible, opt for computerized crowns or prostheses. These modern prosthesis models use 3D tools that speed up the execution time and offer greater quality and naturalness. This includes the Translucent Zirconia Prosthesis, the single zirconia crown or the fixed zirconia prosthesis. As well as the Cerec porcelain crown.

At the ImplArt dental clinic, we have all the structure to carry out your procedure with peace of mind, so come in for an assessment and we’ll analyze whether your case can be solved with this technique. Contact us by WhatsApp (11) 3262-4750, we’ll be happy to talk to you and answer any questions you may have.

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