Immediate Loading Implants

A dental implant (also known as an endosseous implant or fixture) is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, or facial prosthesis or to act as an orthodontic anchor. The basis for modern dental implants is a biologic process called osseointegration, in which materials such as titanium or zirconia form an intimate bond to bone. The implant fixture is first placed so that it is likely to osseointegrate, then a dental prosthetic is added. A variable amount of healing time is required for osseointegration before either the dental prosthetic (a tooth, bridge or denture) is attached to the implant or an abutment is placed which will hold a dental prosthetic/crown.

Immediate implant placement is when an implant is placed at the same time as the natural tooth is extracted. Over the years there have been many studies reporting high survival rates. The expert recommendations were that careful patient selection, proper treatment planning, and precise implant placement were necessary to gain predictable and esthetic results

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.

We can place implants right after the extraction of the teeth, even if periodontal or peri-apical infections are present before extractions. It is not necessary to treat these infections separately, because the tooth will be anyway removed.

The treatment success does not depend on the availability of vertical bone. Hence we can treat even cases with much resorbed bone (“atrophy”).
The Immediate Loading technology has been continually improved throughout the last decade

Steps of Immediate Loading Implants

1. Consultation and discussion of the treatment plan
2. Removal of affected teeth and implant placement
3. Trying-in of the bridge
4. Permanent fixation of the bridge
5. Correction of bite

The immediate implants offers enormous advantages compared to the old – fashioned technology of 2-stage implants, which is used since the 1950ies. The immediate implants are used as a rule without any bone augmentations. Nevertheless virtually all patients can be treated with implant with the help of our technology.

We anchor immediate implant as a rule only in cortical bone areas and therefore we can utilize the implants immediately. Later, over time, other intrabony parts of the implant osseo-integrate. We do not depend on osseo integration for the success of the treatment. Cortical bone provides a high level of mineralization, and this provides stability. At the same time the metabolism of this bone is and remains low.
For the immediate loading Implant no waiting times or healing times are necessary. On average we finish the treatment with the incorporation of the fixed teeth within 72 hours.
Since work independently of the bone supply, we are able to place the new teeth according to the aesthetic wishes of the patients.
In case of complications the Strategic Implant can be removed easily and it is usually replaced immediately.
And the biggest advantage compared to conventional dental implants: the bone around the Strategic Implant does not develop “Peri-Implantitis”. We know today that more than 50% of the conventional implants are suffering from this disease and so do the patients. Peri-Implantitis is a disease, which is found only around conventional dental implants, regardless of the brand and the price of the implant.
This disease is unstoppable, and it ends with the removal of the implant after a long period of severe suffering for the patient. This disease does not appear around the Strategic or Immediate implants.

1. Patients requesting implants can be treated practically without exception – regardless of the extent of bone loss or whether residual teeth are present and require extraction.
2. Only one single surgical intervention is necessary. Immediate Implants are splinted with (permanent or semi-permanent) bridges very soon after the implant placement. If desired, another bridge (for instance of a different material) may be placed after 6-9 months. In many cases however the first bridge will be the final one.
3. The low number of surgeries and other treatment steps reduces overall cost.
4. Implants with slim design interfere with the host bone’s blood supply much less than comparable conventional implants.
5. The polished implants are virtually free from peri-implantitis, a dangerous infection found only around conventional implants. Peri-implantitis leads to serious problems and severe bone loss. The infection is not found around Strategic Implants or immediate loading implants.
6. Because Strategic Implants can be immediately loaded, patients can quickly return to their normal life.

Comparison Table of Dental Implants

	Implantation
Strategic	Stage	Conventional
Inspection Diagnostic Procedures Treatment plan	1	Inspection Diagnostic Procedures Treatment plan
Preparation of the oral cavity Removal of teeth, roots and cysts Implant placement impression Taking for the lab, The control of X ray diagnostic.	2	Preparation of the oral cavity Removal of teeth, roots and cysts.
Trying of the bridge frame (0 – 1 day after implant placement).	3	Bone augmentation and cinus lifting
Delivery of Bridge 1 – 3 days after Implant placement	4	1-2 months after implant placement, adequate bone healing provided.
	5	Healing of the bone after tooth extraction (2 To 4 months)
	6	Placement of gingival former
	7	Impression taking
	8	Fixing of the bridge
Treatment duration 1 to 5 day’s	Total	Treatment duration 4 – 24 months
Number of Appointments 3		Number of appointments 8 to 25