Immediate loading techniques are specific surgical techniques that are faster but still have the same success rate.
In these techniques, a temporary prosthesis is mounted immediately, very soon after surgery.
What is immediate loading?
Depending on the clinical case in question, fixed prostheses are either cemented or screwed to the implant abutment.
- In the majority of clinical situations, it is necessary to wait two to four months before fixing a prosthesis to an implant. This period of time is needed to allow osseointegration to take place.
- To achieve fusion with the bone, the implant must not be used during this critical period as this could lead to failure of the procedure.
- In certain suitable cases, a temporary prosthesis can be placed on the implant very soon after surgery: this is known as immediate loading..
- The risk with this technique is mobilisation of the implant and not achieving osseointegration: this is only possible under certain conditions.
The case of front teeth
- When the front tooth is replaced and bone conditions are suitable, a temporary tooth can be placed on the implant immediately.
- The implant has to have excellent stability when it is placed.
- The advantage is that the patient does not have to have a temporary removable prosthesis or temporary bridge while implant osseointegation is taking place.
- The implant is not cemented so it is imperative not to bite on the temporary implant for two to four months.
- This instruction must be followed rigorously. The prosthetic tooth is sometimes slightly smaller to prevent any contact with tooth antagonists.
Two clinical situations are specifically suited to immediate loading: where the front teeth are concerned and also for patients with no teeth at all treated with fixed bridges.
In some cases, the immediate loading technique is contraindicated and should not be performed.
The purpose of immediate loading is not so much to allow you to be able to chew immediately on the temporary prosthetic teeth but rather to give immediate relief and to avoid having to wear unstable removable prosthesis during implant healing.
Ask your dental surgeon for advice.