Immediate Placement with Immediate Functional Loading of Single-Tooth Implants: Report of a Clinical Case

• Asad Ammarah Meatooq

  Department of Periodontology, Faculty Oral and Dental Surgery, University of Zintan, Zintan, Libya

  Author

Background: Immediate implant placement with immediate loading has emerged as a predictable protocol that minimizes treatment duration and optimizes esthetics. Although conventional protocols recommended a 3–6 month healing phase for osseointegration, innovations in implant macro- and micro-design now permit earlier functional loading in selected sites. This study aims to evaluate the clinical performance of single-tooth implants immediately placed and loaded in the anterior maxilla, with emphasis on surgical and prosthetic parameters. Methods: A case report was conducted on a patient requiring replacement of a maxillary anterior tooth due to trauma. The tooth was atraumatically extracted, and the implant was immediately placed into the fresh socket with primary stability achieved. The implant was immediately restored with a provisional crown to maintain esthetics and function. Clinical follow-up included evaluation of healing, implant stability, peri-implant tissue response, and esthetic outcomes. Results: Healing was uneventful, with minimal postoperative discomfort and no signs of infection or implant mobility during the follow-up period. The peri-implant soft tissues remained stable, and sutures supported preservation of papillary architecture. The provisional crown provided satisfactory esthetics and function during the osseointegration phase. Early clinical assessment indicated successful osseointegration with favorable tissue response. Conclusion: Immediate implant placement with immediate loading can be a predictable and esthetically pleasing treatment modality in selected cases with good primary stability and intact surrounding bone. Careful case selection, precise surgical technique, and meticulous prosthetic management are critical to achieving optimal outcomes

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