Optimizing Immediate Loading with Immediate Implants

This chapter defines and elaborates on what is meant by "immediate loading." Dynamic guided implant surgery (dCAIS) or navigation uses advanced technology to facilitate precise implant placement based on cone-beam computed tomographic (CBCT) planning. Immediate implant placement with immediate loading requires a full understanding of the biological and technical essentials involved. The most crucial determinant for success with immediate loading of immediate implants is their primary stability. Both immediate non-occlusal and immediate occlusal loading can favor faster peri-implant bone formation. Internal conical connection implants are used for immediate non-occlusal and immediate occlusal loading provided that they are placed subcrestal, incorporate a platform switch feature and have peri-implant soft tissue thickness of 3 mm. Biconometric implant crown-to-abutment attachment can replace other forms of prosthesis retention. A novel approach meant to accelerate healing with immediate loading of immediate implants is discussed.