Immediate load protocol for anterior maxilla with cortical bone from mandibular ramus
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Updated: Aug 7, 2026
In situ Compressive Loading and Correlative Noninvasive Imaging of the Bone-periodontal Ligament-tooth Fibrous Joint
Published on: March 7, 2014
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Objective:
To evaluate the concept of a nonfunctional immediate load protocol with single implants placed in the anterior maxilla that has been bone grafted with autogenous, block cortical grafts harvested from the ramus of the mandible.
Methods:
There were 19 hydroxyapatite-coated dental implants surgically placed in 19 patients, and immediately loaded between 48 hours and 3 days later with a custom acrylic provisional restoration that was placed out of functional occlusion. After 12 weeks, the definitive ceramo metal restoration was cemented to the custom abutment.
Results:
Over a 1-year observation period, all implants continue to function.
Conclusion:
The preliminary results of this clinical study indicate that immediate, nonfunctional load with single implants is a predictable protocol in the bone grafted anterior maxilla in select cases.
