Immediate Load Protocol
Immediate loading enables same-day delivery of fixed provisional teeth following implant surgery. This protocol requires adequate primary stability of 35+ Ncm torque and uses PMMA provisionals or conversion of existing dentures. Patients leave surgery with functional, aesthetic teeth while osseointegration occurs over 3-6 months before final restoration delivery.
Protocol Requirements
- 35+ Ncm torque required
- PMMA provisional material
- Same-day teeth delivery
- Conversion prosthesis option
- 3-6 month healing phase
- Soft diet protocol
- Multi-unit abutment connection
- Indexed pickup technique
- Group function occlusion
- Night guard recommended
Delivery Workflow
Pre-Op Planning
Design PMMA provisional or prepare denture for conversion with indexed positions.
Surgical Phase
Place implants achieving 35+ Ncm torque, connect multi-unit abutments at proper emergence.
Provisional Pickup
Position temporary cylinders, inject pickup material, capture implant positions in provisional.
Occlusal Adjustment
Reduce occlusion to group function, eliminate working and non-working interferences.
Patient Instructions
Soft diet 6-8 weeks, no biting directly, night guard use if bruxism present.
FAQs
What torque is required for immediate loading?
Minimum 35 Ncm insertion torque is required for immediate loading. Higher torque (45+ Ncm) provides additional stability margin for prosthetic loading.
How long should the immediate load provisional remain?
PMMA provisionals typically remain for 3-6 months to allow osseointegration before transitioning to the final zirconia or hybrid restoration.
What is a conversion prosthesis?
A conversion prosthesis converts an existing denture into a fixed provisional by incorporating temporary cylinders that attach to multi-unit abutments at surgery.
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