INSTITUTOGIOVANNI NASCIMENTO
Dental 3D printer and the resins used for surgical guides and provisional teeth

Immediate Loading

01

Overview

Immediate loading is the approach in which the implant and a fixed provisional tooth are placed in the same surgical session. The patient leaves surgery with provisional aesthetics and function restored, without the waiting period with an empty space. The provisional is adjusted so that it does not take the full chewing load.
The technique is also used in full-arch rehabilitations, with fixed full-arch prostheses supported on four to six implants. Not every case is a candidate: immediate loading requires primary stability of the implant at the time of placement, which depends on the quality and volume of the bone measured on the CBCT scan.

02

When to seek care

The decision for immediate loading is made before surgery.

Seek an evaluation if a missing tooth affects your speech, your work or your social life and you need a fixed solution from the first day. It is also the path considered for those who are about to have compromised teeth extracted and do not want to go through the interim period with a removable denture.

Candidacy for immediate loading is determined by the CBCT scan and by measuring the stability of the implant during surgery. When conditions are not favorable, the conventional two-stage approach is the safer choice.

  • Missing front teeth
  • Extraction planned in the near term
  • Discomfort with a removable denture
  • Compromised full arch
  • Difficulty speaking in public
  • Teeth with advanced mobility
  • Need for a fixed solution

03

What is included

CBCT scan

Digital planning of the prosthesis

Surgical guide, when indicated

Surgery and implant placement

Fixed provisional prosthesis

Occlusion adjustment

Post-operative check-ups

Final prosthesis after integration

04

Clinical note

Immediate loading does not shorten osseointegration; it restores aesthetics and function while the bone does its work. What decides the case is the primary stability measured in surgery — if it is not there, the fixed provisional does not go in that day.

Dr. Giovanni Nascimento

05

Frequently asked questions

Common questions about immediate loading