Carga inmediata: situación actual

Abstract

Many times, classical loading protocols on implants do not satisfy the expectations of both patients and clinicians. Therefore, immediate loading is supposed to be an interesting line of investigation in modern implantology. There are an important number of scientific publications available about this option, which makes it possible to solve a growing number of cases, in a predictable way, reducing waiting times and providing satisfaction to professionals and, most of all, to patients. Primary stability, reduction of micromovements, implant microtopography and length, insertion torque, prosthesis design and occlusion seem to be determinant factors for success in immediate loading. In several clinical situations, such as full mandibular restorations, a great amount of studies demonstrates similar results as the ones achieved with conventional protocols; nevertheless, although it is possible to find in the literature high success rates in most clinical situations, there are a few ones that require acting with caution until we have more publications at our disposal.