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Same-Day Teeth

Immediate Loading Implant Cases

Detailed case studies documenting our immediate loading protocol. See how patients walk out with fixed teeth the same day as their implant surgery.

What is Immediate Loading?

Immediate loading (also called "teeth in a day" or "same-day teeth") is an advanced protocol where a fixed prosthesis is attached to dental implants within 72 hours of surgery, rather than waiting the traditional 3-6 months.

Benefits:
  • No need to wear removable dentures during healing
  • Immediate restoration of function and aesthetics
  • Single surgical phase
  • Fewer visits required
  • Psychological boost from immediate results
Candidate Criteria

Not every patient is a candidate for immediate loading. Success depends on:

  • Adequate bone density and volume
  • Good primary implant stability (>35 Ncm)
  • Proper occlusal planning
  • Patient compliance with post-op instructions
  • No uncontrolled systemic conditions

Case Study #156: All-on-4 Immediate Loading

Patient Profile
  • Age: 58 years
  • Gender: Male
  • Origin: London, UK
  • Medical: Healthy
Treatment
  • Procedure: All-on-4 upper arch
  • Implants: 4 Straumann BLX
  • Torque achieved: 45-60 Ncm
  • Prosthesis: Same-day fixed bridge
Timeline
  • Day 1: Surgery + provisional
  • Day 3: Discharge with fixed teeth
  • Month 4: Final prosthesis
The Problem

Patient had been wearing an upper denture for 5 years and was frustrated with the lack of stability, inability to taste food properly due to palate coverage, and social embarrassment when the denture moved while eating or speaking.

The Solution

CBCT analysis revealed adequate bone in the anterior maxilla and adequate length for angled implants in the posterior. The All-on-4 immediate loading protocol was recommended.

Day-by-Day Treatment
Day 1 - Morning
Surgery

Under IV sedation, remaining upper roots were extracted. Four Straumann BLX implants were placed - 2 vertical in the anterior, 2 angled at 30 degrees in the posterior. All implants achieved primary stability >45 Ncm. Impressions taken immediately after surgery.

Day 1 - Evening
Lab Work

Our in-house lab worked through the night to fabricate a PMMA fixed bridge based on the surgical impression and pre-planned design.

Day 2
Prosthesis Fitting

Fixed provisional bridge was screwed onto the implants. Occlusion was carefully adjusted. Patient left with fixed teeth that looked and functioned naturally.

Day 3
Final Check & Discharge

Post-operative review, minor adjustments, detailed home care instructions. Patient discharged with confidence and a big smile.

Month 4
Final Prosthesis

After confirmed osseointegration, provisional replaced with final zirconia prosthesis featuring highly aesthetic, individual tooth characterization.

The Results
  • All 4 implants showed 100% survival at 18-month follow-up
  • No bone loss beyond physiological remodeling
  • Patient reports excellent function and aesthetics
  • Can eat all foods including steak and apples
  • No palate coverage means full taste sensation restored
Patient Statement

"Walking out of the clinic on Day 2 with fixed teeth was surreal. After 5 years of that awful denture, I suddenly had teeth that didn't move, didn't need adhesive, and let me taste my food again. The immediate loading protocol was a game-changer for me. I didn't have to go through months of wearing a denture while waiting for implants to heal. Highly recommend this approach to anyone who qualifies."

Case Study #162: Single Tooth Immediate Implant

Patient Profile
  • Age: 34 years
  • Gender: Female
  • Origin: Milan, Italy
  • Reason: Fractured front tooth
Treatment
  • Tooth: Upper right central incisor
  • Implant: 1 Nobel Active
  • Loading: Immediate provisional crown
Timeline
  • Day 1: Extraction + implant + crown
  • Month 3: Final ceramic crown
  • Total visits: 2
The Problem

Patient fractured her upper front tooth in a sports accident. The fracture extended below the gum line, making the tooth non-restorable. As a professional who frequently presents to clients, she needed an immediate aesthetic solution.

The Solution

Immediate implant placement with immediate provisional crown. This approach allows extraction, implant placement, and crown delivery in a single appointment - the patient never has to be without a front tooth.

The Results
  • Patient left same day with a natural-looking provisional crown
  • No visible gap during the entire treatment period
  • Final crown delivered at 3 months with perfect soft tissue contour
  • Result is indistinguishable from natural teeth
  • Patient returned to work next day with no visible changes

Are You a Candidate for Immediate Loading?

Send us your X-rays and we'll evaluate if immediate loading is right for you.

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