Immediate loading, also known as the “same-day temporary prosthesis” protocol, is an advanced treatment method that allows patients to receive fixed temporary teeth in the same session—or within the first 72 hours—after implant placement, without having to remain toothless. This protocol offers an ideal solution for patients with high aesthetic demands in the front region and for those who do not want interruptions in their social life.
Unlike traditional approaches, this method allows the temporary tooth to be placed on the same day if the implant is securely anchored in the jawbone (i.e., the screw is tightly fixed to the bone) without waiting for full osseointegration. This treatment approach requires the dentist’s expertise in digital planning, evaluating jawbone density with tomography, guided surgical techniques, and balancing chewing forces.
Advantages of Immediate Loading for Patients:
The process is completed without interrupting social life, providing excellent aesthetics.
Chewing and speaking functions are restored quickly.
The temporary fixed prosthesis serves as a guide for the final restoration.
It allows natural shaping of the gum contours (pink aesthetics).
However, same-day tooth placement (immediate loading) may not be suitable for every patient. Its feasibility depends on factors such as the structure of the jawbone, the condition of the edentulous area, and the patient’s overall health. For example, in posterior regions with long-standing tooth loss, this method may often be unnecessary. Conversely, for patients missing a single tooth in the anterior (smile line) area, it provides significant advantages in both aesthetic appearance and psychological comfort.
Dr. Emre Özbir is one of the pioneers of this protocol in Turkey, providing patients with same-day fixed teeth through digitally supported implant applications.
The immediate loading (same-day temporary prosthesis) method is a fast and effective treatment protocol that allows a temporary fixed prosthesis to be placed on the same day as the implant. However, this protocol is not suitable for every patient. Achieving a successful outcome requires careful evaluation of both systemic and local factors.
Key Criteria for Suitable Candidates:
Sufficient Bone Density and Volume: Imaging with tomography should show adequate thickness and quality of bone in the area where the implant will be placed. In cases of insufficient bone, grafting (bone powder application) may be necessary, which can extend the healing period.
Primary Stability Must Be Achieved: The implant should be placed in the jawbone with sufficient torque (usually 35–45 Ncm). Loading the implant before achieving this stability can lead to failure.
Control of Systemic Conditions: Conditions such as smoking, diabetes, or osteoporosis should be well-managed. Any factors that negatively affect healing should be addressed before treatment.
High Aesthetic Expectations: Patients who have lost teeth in the anterior region and do not want to go toothless during social interactions can benefit greatly from immediate loading.
Completely Edentulous Patients: Individuals who have lost all their teeth can regain chewing and speaking functions immediately with a fixed temporary prosthesis.
Immediate loading may not be recommended in the following cases:
Significantly insufficient bone volume.
Poor oral hygiene.
Uncontrolled systemic conditions or severe illnesses.
Patients with habits such as teeth grinding or clenching. In such cases, a Botox (Masseter) treatment may be suggested to protect the implant.
Dr. Emre Özbir conducts advanced digital analyses and thorough clinical evaluations before including patients in the immediate loading protocol. This ensures a personalized treatment plan, allowing each patient to safely choose the method best suited for their needs.
Recovery Process
The recovery process for immediate loading (same-day temporary prosthesis) follows a different trajectory compared to traditional implant procedures. Since the patient receives a fixed temporary prosthesis on the same day, both surgical and functional follow-up must be carefully monitored. When applied correctly, this method results in high patient satisfaction while minimizing functional loss.
First 48–72 Hours: This is the period when post-operative swelling and sensitivity are most noticeable. Cold compresses, prescribed medications, and a liquid/soft diet are recommended. The same-day temporary prosthesis should be considered mainly for aesthetics and as a functional guide, not for chewing.
By the 2nd Week: Sutures are removed, and soft tissue healing is evaluated. Any trauma to the prosthesis or misalignment with the gums is carefully checked.
3–6 Months: This period corresponds to osseointegration, where the implant biologically fuses with the jawbone. In immediate loading, forces applied to the prosthesis are carefully controlled. Excessive chewing pressure or bruxism can jeopardize implant success during this stage.
Transition to Final Prosthesis: If the temporary prosthesis phase is successful and implant stability is confirmed, a permanent prosthesis is placed after the 3rd month (sometimes up to the 6th month). The temporary prosthesis serves as a reference, guiding final planning according to the patient’s aesthetic and functional needs.
Clinical Approach by Dr. Emre Özbir
Dr. Özbir’s clinical protocol incorporates personalized patient guidance and regular check-ups to support the recovery process. Each patient receives a tailored follow-up schedule, ensuring that treatment remains safe and effective not only during the implant procedure but throughout the entire healing period.
About Immediate Loading (Same-Day Temporary Prosthesis), Based on Dr. Emre Özbir’s Clinical Experience:
No. This method is not suitable for every patient. Suitability is evaluated based on multiple factors, including bone density, the area where the implant will be placed, the patient’s overall health, and the balance of chewing forces. Immediate loading is particularly preferred when aesthetic concerns are high, especially in the anterior (front) region.
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No. The fixed teeth placed on the first day are temporary prostheses. They are designed to meet aesthetic and functional needs, but caution should be exercised when chewing. Within 3 to 6 months, the temporary prosthesis is replaced with a permanent prosthesis.
No. The procedure is performed under local anesthesia, and with the medications provided afterward, patients usually experience a comfortable recovery. Pain is generally less noticeable compared to traditional implant treatments.
The temporary prosthesis is designed primarily for aesthetics and speech. A soft diet is recommended, avoiding excessively hard foods. Applying excessive force to the prosthesis may jeopardize the success of the implant.
In the traditional method, the implant is placed and then left to heal for about 3 months before the tooth is attached. With immediate loading, a temporary fixed tooth is placed on the same day as the implant. This allows the patient to continue their social life without interruption.
Most patients can return to their daily activities immediately after the procedure. The temporary prosthesis provides an aesthetic appearance, making social adaptation easier.
With proper patient selection, accurate planning, and expert execution, immediate loading is extremely safe. At Dr. Emre Özbir’s clinic, procedures are performed with digital planning support, resulting in a very high success rate.
Hızlı Randevu Al
Implant treatments are no longer just a surgical procedure—they are a personalized digital journey. At Dr. Emre Özbir Clinic, we provide a safe, fast, and comfortable treatment experience throughout this journey.
With the Immediate Loading protocol, your implants and temporary teeth are placed on the same day. At Dr. Emre Özbir Clinic, experience a comfortable treatment journey with advanced technology and years of expertise.
This website has been created for patient education purposes, based on the guidelines of the Republic of Turkey Ministry of Health and the Turkish Dental Association.
The information on this site is intended solely to raise general awareness and cannot, under any circumstances, replace a medical examination or diagnosis by a qualified dentist.
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