Immediate implant placement, defined as the placement of dental implant immediately into fresh extraction socket site after tooth extraction, has been considered a predictable and acceptable procedure. The advantages of immediate implant placement into the extraction sockets over the delayed placement of implants are there is no need to wait for 4–6 months after extraction for the bone to form.
Immediate loading, otherwise known as Immediate Function, involves the placement of a restoration within 48 hours of implant placement. It can be applied if sufficient primary stability is achieved – for a single tooth restoration, this is known as immediate provisionalization.
The technique was developed in response to patients growing demand for quicker treatment and faster time-to-teeth. Among the several long-term studies performed since then with 5-10 years’ follow-up, high cumulative survival rates, such as around 97% – 100% were reported for immediately loaded implants placed in extraction sites for any indication. To avoid loading a restoration, the provisional should be taken out of occlusion or the patient should be instructed to follow a soft diet.
It simultaneously solved the problem of low bone supply and enabled patients with diabetes and other medical issues to receive safe treatment. Each implant is fixated in at least two locations in cortical bone. This type of bone provides a high level of mineralization and stability and low metabolism. It can be immediately loaded and practically does not resorb throughout a patient’s lifetime. Bone augmentation, sinus lift, bone transplants and waiting periods become unnecessary. With the help of the Strategic Implant we are able to successfully supply treatment even in cases of severe bone atrophy. The patient receives a beautiful smile within just a few days. Immediate loading of oral implants has been defined as a situation, where the superstructure is attached to the implants within 72 h after surgery. The immediate functional loading was defined as occlusion of implant with the dentition of the opposite jaw immediately on completion of the surgery.
