Immediate loading of implants in the aesthetic zone: comparison between two placement timings

Area of Science:

• Dental Implantology
• Prosthodontics
• Periodontology

Background:

• Traditional implant protocols offer high predictability.
• Immediate loading of dental implants, particularly in aesthetic zones, is increasingly common.
• The TSA® Advance, Phibo® implant system features a tapered design with highly porous microgeometry.

Purpose of the Study:

• To evaluate the immediate loading of TSA® Advance, Phibo® implants in the aesthetic zone.
• To compare implants placed immediately post-extraction versus those placed 4-8 weeks after avulsion.
• To assess implant success, stability, and aesthetic outcomes.

Main Methods:

• 15 TSA® Advance, Phibo® implants were placed: 7 immediately post-extraction (type 1) and 8 at 4-8 weeks (type 2).
• All implants were prosthetically restored within 24 hours, with definitive crowns placed after 20-24 weeks.
• Outcomes assessed at 4 and 12 months included X-rays, pain, mobility, suppuration, soft tissue condition, and aesthetics (PES/WES).

Main Results:

• 93.75% overall osseointegration rate, with 53.5% in type 2 implants.
• No significant difference in implant stability (ISQ values) between type 1 and type 2 implants.
• Immediate post-extraction implants exhibited increased gingival recession and peri-implant radiolucency compared to delayed placement.

Conclusions:

• Immediate/early placement and loading of TSA® Advance, Phibo® implants are a valuable and predictable option for implant success and tissue stability.
• The technique demonstrates considerable aesthetic value and high patient satisfaction.
• Further high-quality randomized clinical trials are needed to establish standardized aesthetic outcome evaluation.