Is dental bone grafting necessary for immediate loading?
Yes, dental bone grafting may be necessary. Our dentists assess the extent of existing bone loss in advance and decide individually in each case whether or not bone grafting is necessary. We will inform you about this when providing a quote.
What are the disadvantages of immediate loading?
Some disadvantages to consider:
Minimal risk of failure
Immediate loading puts immediate pressure on the implant, potentially disrupting the crucial process of osseointegration (where the implant fuses with the jawbone). This can in rare cases lead to implant failure.
Not suitable for all patients
Patients with poor bone quality or significant dental bone loss may not be suitable for implants. Certain medical conditions, such as uncontrolled diabetes or autoimmune diseases, can impair healing and increase the risk of complications with immediate loading. Smoking significantly inhibits healing and increases the risk of implant failure, making immediate loading a contraindication. Teeth grinding patients place excessive force on the implants, which can compromise ossification if they are immediately loaded.
Requires precise surgical technique
Immediate loading requires careful planning and precise surgical execution for optimal implant placement and stability. Not all dentists have the necessary expertise. Our doctors are highly qualified dentists with many years of experience.
Possibility of complications
Although rare, there is a slightly higher risk of infection in cases of immediate loading due to the dentures immediate placement. If the inflammatory factors occurring in the bone tissue cannot be completely removed inflammation also occurs around the implant. These cases are associated with the loss of the implant. This is often confused with the body seeing the implant as foreign “My bone did not hold the implant ̋. Separation always requires an inflammatory factor.
What are the indications for immediate implant loading?
The key indications for immediate implant loading:
Adequate Bone Quality and Quantity
The jawbone must be strong and dense enough to provide primary stability for the implant. This allows it to withstand immediate loading forces. Patients with extensive bone loss might require bone grafting before implants, making them unsuitable for immediate loading.
Good Primary Stability
The implant needs to achieve high stability during placement, measured by insertion torque. This indicates a strong initial connection between the implant and bone. Excessive movement of the implant after placement can hinder osseointegration (bone fusion) and make immediate loading risky.
Ideal Implant Positio
The implant must be placed at the correct angle and depth to ensure optimal load distribution and prevent complications. In the aesthetic zone (front teeth), careful implant positioning is crucial for a natural-looking restoration.
Patient Factors
Patients must be committed to maintaining excellent oral hygiene to minimise the risk of infection and ensure successful osseointegration. Smoking significantly impairs healing and can increase the risk of implant failure, making it a contraindication for immediate loading. Patients with uncontrolled diabetes or other systemic conditions that affect healing might not be suitable candidates.
Prosthetic Considerations
When placing multiple implants, splinting them together can enhance stability and allow for immediate loading. Certain types of prostheses, like fixed bridges or full-arch restorations, are more suitable for immediate loading than single crowns.