Immediate loading implants: fast and effective treatment

What are immediate load implants?

Immediate load implants is a simple, predictable and routine technique in our practice that is based on removing a tooth that has no solution, for reasons of caries, fractures, and at the same time we place an implant and a provisional cover that restores aesthetics and function. It is a technique that requires a more detailed study than the deferred implant technique or the classic technique and is normally based on a radiographic scan, an impression taken to make some models of the patient and some photographs that guide us on the tones, the color of the gum, of the adjacent teeth to give maximum aesthetics.

What are the advantages and disadvantages?

The fundamental advantage of immediate loading implants is, as the name suggests, immediacy. Because a patient who has a serious problem because he has just lost a tooth, especially in the esthetic zone, in the anterior sector, can leave our clinic in a single day without a long protocol, in approximately one hour, he can leave our clinic with a provisional cover that is indistinguishable from the rest of his teeth. And this is also a great psychological support, which would be the second advantage, very important, of this type of technique, because they are patients who sometimes come to us frightened because they cannot continue with their personal and working life and we solve this problem quickly. The disadvantages they have? Well, the immediate load implant requires a more exhaustive study and requires a certain greater surgical skill, but thanks to current digital software techniques we can plan a computer-guided surgery with virtual models, with digital models, where we can avoid this added difficulty of the technique and achieve results in a simple and predictable way.

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Is it advisable in all cases, and can it be performed in patients with little bone?

It is not a technique that is recommended in all cases. Precisely the planning and study is the essence of the success of this technique. In those cases in which there is little bone, it is often preferable to perform tissue regeneration, both hard and soft, prior to implant placement. But it is also true that in the anterosuperior sectors in a high percentage of cases it can be done. And also to achieve complete rehabilitations in which we remove the teeth of the entire arch on the same day and place the provisionals on the same day, providing the patient with function and esthetics.

What care should the patient follow and is any subsequent check-up necessary?

Normally in this type of technique we recommend the patient, fundamentally, to have common sense. They should not exert excessive pressure on the area we have just operated on, they should have a gentle and adequate cleaning, they should rinse with antiseptic mouthwashes so that the wound is not contaminated, and in those cases in which we frequently associate grafts at the same time as we place the implant and the sheath, we recommend antibiotics and anti-inflammatory drugs, although in general they are not very painful techniques. In terms of revisions, we recommend a very important revision every week, to check that everything is going well, and then, as with any implant, a clinical and radiographic revision every year to keep the implants in good health.