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Immediate Implant Loading: Current Status From Available Literature

Avila, Gustavo DDS, PhD*; Galindo, Pablo DDS, PhD; Rios, Hector DDS, PhD*; Wang, Hom-Lay DDS, MSD

doi: 10.1097/ID.0b013e3180de4ec5
Clinical Science and Techniques

The introduction of osseointegrated implants in dentistry represents a turning point in dental clinical practice. Thanks to their multiple therapeutic possibilities and the high predictability of success, implant therapy is now regarded as an extremely reliable approach to replace missing teeth. The concept of immediate implant loading has recently become popular due to less trauma, reduced overall treatment time, decreased patient's anxiety and discomfort, high patient acceptance and better function and esthetics. Nonetheless, research and understanding in this area are confuse and sometimes contradictory. Hence, it is the purpose of this review to provide rational for immediate implant loading, summarize current available literature, and analyze factors that influencing this newly introduced treatment method. Results from this review indicated that immediate implant loading achieved similar high success rate as that noted in the conventional approach (delayed protocols). However, a careful case selection, proper treatment plan, meticulous surgery and proper design of prosthesis are essential for optimal outcomes when this approach is adopted.

*Periodontics Resident, Dept. of Periodontics & Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.

†Assistant Professor, Dept. of Oral Surgery, School of Dentistry, University of Granada, Granada, Spain.

‡Professor and Director of Graduate Periodontics, Dept. of Periodontics & Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.

Reprint requests and correspondence to:

Hom-Lay Wang, DDS, MSD; Dept. of Periodontics and Oral Medicine; University of Michigan, School of Dentistry; 1101 N. University; Ann Arbor, MI 48109-1078; Tel: 734-763-3383; Fax: 734-936-0374; E-mail:

© 2007 Lippincott Williams & Wilkins, Inc.