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Updated: Jun 16, 2026

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Immediate functional loading in the maxilla using implants with platform switching: five-year results.

George E Romanos1, George Hubertus Nentwig

  • 1Department of Oral Surgery and Implantology, Dental School (Carolinum), Frankfurt, Germany. grperio@gmail.com

The International Journal of Oral & Maxillofacial Implants
|February 18, 2010
PubMed
Summary
This summary is machine-generated.

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Immediate loading of dental implants in the maxilla shows high success rates. This protocol is viable with proper implant stability, cross-arch stabilization, and a soft diet during healing.

Area of Science:

  • Dental Implantology
  • Oral and Maxillofacial Surgery

Background:

  • Immediate loading in the maxilla is not standard practice.
  • Some studies indicate high survival rates for non-functionally loaded implants.

Purpose of the Study:

  • To evaluate the prognosis of immediately loaded implants in the maxilla.
  • Assess implants with progressive thread design and platform switching.
  • Include cases with and without simultaneous autogenous bone augmentation.

Main Methods:

  • Ninety implants were placed in 15 patients, with immediate occlusal loading using a provisional prosthesis.
  • Implants were splinted for 6-8 weeks.
  • A 3-month provisionalization period with a soft diet was used for augmented sites.

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Main Results:

  • A high survival rate of 96.66% was observed after a mean loading period of 42.4 months.
  • Only three implant failures were reported.
  • No complications like inflammation or bone loss occurred.

Conclusions:

  • Immediate loading in the maxilla is a successful treatment option.
  • Key factors for success include primary implant stability, cross-arch stabilization, and a soft diet during initial healing.