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Dental implants? Immediate or deferred? Artedental explains the options 

Do you need a dental prosthesis? Do you know the difference between an immediate load and a deferred one?

Until just a few decades ago, fixed or removable dentures were the only solution in the absence of a complete dental set. However, with the arrival of implants, the market is opened and the patient is placed in a much more aesthetic, functional and, above all, comfortable solution. The wearing of constantly moving teeth with the possibility of them falling out and the obligation to remove them to clean or sleep becomes, in most cases, a patient’s choice.

Most dental clinics today provide implant-supported prostheses or, what is the same, dentures that attach to various dental implants integrated into the patient’s bone. A solution that is considered at present as the best in the market. Moreover, the use of dental implants is not exclusive to people with no teeth. It is also a solution for patients who have lost a single tooth or several pieces.

However, when deciding on a treatment of implants with fixed prosthesis, it is important to know each procedure, as this choice will also save visits, interventions and additional costs. The difference between the immediate or delayed load plays in this case a fundamental role, sometimes impossible to avoid by the specific conditions of each patient. When speaking of “load”, it refers to the place-ment of the prosthesis on the implants, and is “immediate” or “deferred” according to the moment in which it takes place.

In the immediate loading, the prosthesis is fixed during the hours or days after the placement of the implants; while the deferred loading is done after the implants have been osseointegrated, that is, they have bonded to the bone, a process that can last between three and six months. This does not mean, in any case, that the patient has to go home without teeth, because the prosthetist, with the help of the dentist, will manufacture a temporary prosthesis that the patient will take until they place the definitive, higher quality and more aesthetic than the provisional one.

The stomatologist and surgeon Juan Carlos de Vicente Rodríguez publishes in the Spanish Journal of Oral and Maxillofacial Surgery that there are no significant failure figures between one process or another. That is, in both immediate and delayed loading the success rate of implants is similar, greater than 90%. So why is not an immediate load always made if the patient’s waiting time with a temporary prosthesis is reduced so much?

The doctor and surgeon Víctor Cubillo, medical director of the Artedental clinic in Puerto de la Cruz, specialising in dental implantology, explains that “e-verything depends on the primary stability of the implants, that is, they are sufficiently firm in the bone .” Such stability cannot always be achieved because of “the quality of the bone, not so much of the quantity, but of the quality and the ability of the surgeon to take advantage of the conditions of the patient.”

In this clinic, in addition, they have spent years investigating to reduction of the patient’s waiting time as much as possible, to the point of having invented and patented in Europe a system that allows the definitive prosthesis (not the provisional one) to be placed on the same day of the placement of Implants, a system they call ArtOn4.

“For the patient the advantage is incalculable,” says Volker Samrei, a clinic technician and one of the creators of this system, “in fact, the provisional prostheses are designed to last only a short time, and therefore easily fracture. The aesthetics are far from that of the definitive ones and its texture is of quite lower quality, something that the patient perceives clearly “.

“Reducing patient waiting in dentistry is not just a matter of time,” explains the medical director of Artedental, “it also entails a reduction in cost and visits to the dentist, but more importantly, it implies an improvement in the quality of life of the patient “.

The proliferation of treatments with implants has increased dramatically in dental centres, especially after checking the results. For example in Artedental, the demand of the ArtOn4 system has increased expo nentially in recent years. Amaya Sáez, director of the clinic, says that in the last two years the demand for this system “has increased to 500 a year, which has forced us to double the clinic team.” For patients who are thinking of rehabilitating their teeth and are not clear which system to choose, whether fixed or removable prosthesis, with immediate or delayed loading, it is advisable to go to centres whose specialty are dental implants. They will always be able to offer you the most advisable option according to the case, because “”each patient is different, as well as the number of implants, the loading system and the prosthesis. Everything must be individualised and valued after a previous study of the conditions of each patient, “explains Dr. Cubillo.