Implantology

Immediate loading

Immediate loading allows the simultaneous placement of implants together with a fixed provisional prosthesis on the implants in the same intervention.

To guarantee the safety of this system and prevent the implants from suffering from this early loading during the osseointegration period that occurs after surgery, it is essential to ensure the immobility and stability of the functional set, so it is a more technical protocol than the traditional loading system. The great advantage is that it offers the patient greater comfort by avoiding the need to wear a removable denture for two or three months of osseointegration. This is why it is in great demand.

Nowadays we offer our patients immediate loading in practically all implant treatments, whether in complete rehabilitations, partial rehabilitations or single units.

The main advantages of immediate loading on implants are:

  • Reduction of the time needed for the treatment.
  • Obtaining esthetics and function from the day of surgery.
  • Teeth are achieved from the first day.
  • The postoperative period is less uncomfortable.
  • The number of necessary interventions is reduced.

Frequently Asked Questions:

Dental implants are designed to last in the mouth for a long time. We have patients who have had their implants for thirty years and they keep well. It is important to have good hygiene because the greatest risk of implant loss once osseointegrated in the bone is a chronic infection in the surrounding tissue called peri-implantitis. Implants affected by peri-implantitis can progressively lose their anchorage in the bone until they become detached.

Antibiotic and periodontal treatments to control the spread of the infection as well as regenerative treatments of the surrounding tissues are the main clinical tools we have to mitigate the effects of peri-implantitis and keep it under control. Therefore, it is very important to prevent this infection from appearing and for this it is essential to have a good hygiene of the prosthesis. In our practice we use a system called Fixpeek to prevent possible peri-implantitis, which allows fixed prostheses on implants to be easily removed in order to maintain an ideal hygiene of the fixations.

It is not always indicated, so each case must be studied individually. The aim is always to avoid premature loading of the implants that could compromise their osseointegration, and there are various parameters that must be handled to establish the indications in each case. On the other hand, new implant designs now allow immediate loading where it was not possible to do so years ago without risk.

The extension of life expectancy means that in many cases dental pieces do not last forever, however, improvements in dental hygiene of the population mean that some very old people still have their natural teeth. Periodontal health, hygiene, not smoking and the correct position of the teeth are key to keep the teeth. Of course we do not consider it appropriate to replace teeth if they are healthy and can be preserved, we only recommend implants in those cases clinically indicated.