Immediate Versus Delayed Loading of Postextraction Implants: A Long-Term Retrospective Cohort Study
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Updated: Feb 26, 2026
In situ Compressive Loading and Correlative Noninvasive Imaging of the Bone-periodontal Ligament-tooth Fibrous Joint
Published on: March 7, 2014
Tiziano Testori1, Silvio Taschieri2, Fabio Scutellà3
1Visiting Professor, Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
Purpose:
To compare the long-term clinical and radiographic outcomes between immediate loading (IL) and conventional loading of implants placed immediately in fresh extraction sockets.
Materials And Methods:
Demographic data, implant details, and periapical radiographs of patients were collected. The long-term marginal bone level remodeling and implant survival rate were calculated.
Results:
Twenty-one patients (mean age 52.55 ± 14.61 years) with 35 implants immediately inserted into postextraction sites (22 immediate loaded and 13 delayed loaded) were analyzed. The mean follow-up duration was 6 years (range 2-11 years). The implant cumulative survival rate was 96.5%. At the longest follow-up, the mean crestal bone level averaged 0.144 ± 0.705 for IL and 0.161 ± 0.877 for delayed loading, respectively. The mean implant aesthetic score was 7.
Conclusions:
IL does not negatively influence the long-term prognosis of implants inserted into fresh extraction sockets.
