Tooth extraction with immediate implantation and immediate loading

Abstract

Introduction. Immediate loading of dental implants is an evolving discipline requiring validation through clinical and statistical analyses. This study presents a case of immediate implantation and loading to evaluate predictability and outcomes. Immediate restoration reduces treatment time, promotes rapid aesthetic recovery, and addresses patient expectations for functional rehabilitation. Success in such cases relies heavily on maintaining primary stability and avoiding micromovements during osseointegration. Materials and methods. A 47-year-old patient underwent extraction of teeth 11 and 13, followed by immediate postextraction implantation. Implants were loaded with provisional restorations within 48 hours. Statistical analysis included torque measurements, Periotest values, and aesthetic evaluations. Comparative data were reviewed against existing literature to assess clinical significance. Results. Primary stability was achieved with insertion torque of 50 Ncm and Periotest values of -5 and -6. Literature indicates success rates for immediate loading between 94-98%, and this case corroborated these findings with stable and aesthetic results. Surveys revealed 85% satisfaction with comfort and appearance, and the gingival profile remained stable post-treatment. Conclusions. Immediate loading is a predictable and effective method when conditions for atraumatic extraction, implant stability, and soft tissue management are met. The study reinforces the viability of this approach in improving patient outcomes and minimizing recovery periods while maintaining aesthetics.