Immediate load dental implants are types of dental implants developed in recent years thanks to advancements in technologies, and most of all, in images technologies; this kind of implants allows the patient to get immediately his or her permanent crown, bridge or denture.
Usually, a dental implant work requires two surgical procedures: in the first, the root, or the post, is inserted into the jawbone and a temporary tooth is attached to it in order to achieve an aesthetic result; then, after some months, the temporary prosthesis is replaced with the permanent one. This procedure was so designed to preserve the osseointegration process, in which the root, made up of a bio-compatible material, is free to fuse in the bone and to create a strong and durable support for the prosthesis.
Immediate loading implants.
In this case, no load is applied to the root, because the temporary tooth has a mere aesthetic function, it doesn’t come in contact with the teeth on the opposite side and it isn’t functional; this procedure is based on the opinion that the implant requires time to fuse in the bone and that it has to be free-of-load to ensure a predictable healing and osseointegration.
This type of dental implant is used with a high rate of success, about 97%, but recent studies demonstrate that also immediate load dental implants have a high rate of success, in spite of the procedure is quite different.
Immediate load dental implants have been designed especially for patients who need to replace the frontal teeth or all the upper or lower teeth, in all-on-4 implants, for example. An immediate load means that the prosthesis is applied during the same procedure in which the root is inserted, so an only one surgical procedure is required, and that these prosthesis are permanent and functional, not only aesthetic.
In this way, the patient receives immediately his or her natural looking teeth.
To prevent and avoid any failure in the osseointegration process and assure the result without complications such as inflammations, all types of dental implant surgery have to be carefully planned, especially the immediate load types. The initial consultation and tests are of basic importance for the success of the procedure, along with the expertise of the dentist. The tests include photographs, dental x-rays, and a computer tomography (CT) scan, to precisely place the implants in the bone, because some research has shown that loading on the implant may be beneficial as it promotes the growth of new bone cells around the implant post, but these stresses must be within strict parameters.
As for any types of dental implants, it is fundamental to verify the quality of the bones and of the gums.