Est. 2014 · Chișinău, MoldovaPeer-Reviewed · Open Access · QuarterlyISSN 2345-1467 · e-ISSN 1857-4696
Peer-reviewed
Open access

Since MMXIV
MJHSMoldovan Journal of Health Sciences
Nicolae Testemițanu
State University of

Medicine & Pharmacy
MJHS
Author

Adrian Zgîrcea

1 articleLatest affiliationArsenie Guţan Department of Oral and Maxillofacial Surgery and Oral Implantology, Nicolae Testemițanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova

Tooth extraction with immediate implantation and immediate loading

Adrian Zgîrcea
doi 10.52645/MJHS.2025.1.12pp. 78-81

Introduction

Immediate loading of dental implants is an evolving discipline requiring validation through clinical and statistical analyses. This study presents a case of immediate implantation and loading to evaluate predictability and outcomes. Immediate restoration reduces treatment time, promotes rapid aesthetic recovery, and addresses patient expectations for functional rehabilitation. Success in such cases relies heavily on maintaining primary stability and avoiding micromovements during osseointegration.

Material and methods

A 47-year-old patient underwent extraction of teeth 11 and 13, followed by immediate post-extraction implantation. Implants were loaded with provisional restorations within 48 hours. Statistical analysis included torque measurements, Periotest values, and aesthetic evaluations. Comparative data were reviewed against existing literature to assess clinical significance.

Results

Primary stability was achieved with insertion torque of 50 Ncm and Periotest values of -5 and -6. Literature indicates success rates for immediate loading between 94-98%, and this case corroborated these findings with stable and aesthetic results. Surveys revealed 85% satisfaction with comfort and appearance, and the gingival profile remained stable post-treatment.

Conclusions

Immediate loading is a predictable and effective method when conditions for atraumatic extraction, implant stability, and soft tissue management are met. The study reinforces the viability of this approach in improving patient outcomes and minimizing recovery periods while maintaining aesthetics.