Immediate dental implant: The meaning
The protocol in basal implantology consists of placing the implants immediately after the extraction of one or more teeth and fixing the prosthesis on the implants within a maximum period of 72 hours. This is what we call the immediate loading of implants. (which do not require osseointegration) The immediate loading of a traditional dental implant is not recommended since its retention principle is based on its osseointegration. Some dental surgeons suggest it, we consider this practice questionable. The loading of a basal implant is on the other hand compulsory and enters into the protocol of Basal implantology. The principle of retention of the basal implant by stabilizing the bridge requires and imposes the immediate loading of immediate dental implants.
Immediate loading dental implant
The basal implant is an immediate loading implant. The complete treatment is carried out in 5 to 6 days. After the placement of the basal dental implant, the prosthesis must be fixed within 3 days in order to distribute the chewing forces. The different shapes of the strategic basal implant allow it to fit into all parts of the cortex, even those difficult to access such as the zygomatic areas (instead of wisdom teeth). In basal implantology, weight-bearing is not only possible, it is mandatory for the success of the treatment.
Immediate implantation
Immediate implantation involves placing the dental implant immediately after a tooth has been extracted. Opinions differ regarding the traditional dental implant on immediate implantation after extraction.
Immediate implantation consists of placing the dental implant immediately after the extraction of a tooth. Opinions differ regarding the traditional dental implant on immediate implantation after extraction. Studies by the International Implant Foundation note a slightly better success rate when a basal dental implant is placed immediately after extraction. The risk of complications is minimal with immediate implantation with the strategic basal implant. to our patients, when tooth extractions are necessary, to perform them during their 1 st consultation in the dental clinic that they will have chosen for their intervention. be performed immediately after tooth extraction
An essential rule is to be respected, either the dental implant is placed immediately after the extraction (in the hour which follows), or the patient must wait 3 months before placing the dental implant, while the bone should never undergo trauma during its bone regeneration phase.
Immediate dental implant in UK
The reduced treatment time makes the basal implant an increasingly popular treatment in UK but very few dentists are certified. According to a CNRS study on the relationship between dental surgeons and their laboratory of prostheses, 47.1% of dentists in France and Belgium make their dentures abroad and only 5% have an in-house laboratory. Among these, most of them are simple laboratories with only traditional technologies without appropriate equipment basal implantology. We understand better why the immediate implant is so rarely practiced in France and Belgium and why the immediate dental implant is so little recommended.
FAQ immediate loading dental implants
An immediate-loading dental implant refers to a treatment in which the prosthetic teeth are fixed on the implants within 72 hours after placement. Unlike traditional implants that require several months for osseointegration, immediate-loading implants (used in basal implantology) are designed to be functional immediately after surgery.
No. Immediate loading is not recommended with traditional dental implants because their stability relies on osseointegration — a process that takes several months. Loading them too early can lead to micromovements, infection, or implant failure.
In contrast, basal dental implants are specifically designed for immediate functional loading. Their anchorage in the dense cortical bone provides instant mechanical stability.
In basal implantology, immediate loading is a key part of the treatment protocol. The bridge or prosthesis must be fixed within 72 hours to distribute chewing forces evenly across the implants.
This early loading stimulates the bone, prevents micromovements, and ensures long-term stability. Delaying the loading could compromise the mechanical retention of the basal implants.
Immediate loading with traditional implants carries significant risks:
Poor osseointegration due to premature stress on the implant.
Inflammation or peri-implantitis from micro-movements.
Loss of implant stability or total implant failure.
That’s why immediate loading is only considered safe with basal or cortical implants, which use a different retention mechanism independent of osseointegration.
In most cases, the complete basal implant treatment is completed within 5 to 6 days.
Day 1: Implant placement and impressions
Day 3: Fixation of the permanent bridge
Day 5–6: Functional adjustments and final checks
Patients can leave the clinic with a fixed and functional set of teeth within the same week.
Immediate implantation: placing the implant immediately after tooth extraction.
Immediate loading: fixing the prosthesis immediately after implant placement.
In basal implantology, both can be combined — the implant is placed right after extraction and loaded within 72 hours.
Yes, especially with basal implants. According to studies from the International Implant Foundation, the success rate is slightly higher when basal implants are placed immediately after extraction.
The risk of complications is minimal if the implant is inserted either immediately after extraction (within one hour) or after complete bone healing (approximately 3 months later).
The immediate-loading technique requires specific training and equipment.
According to a study, over 47% of dentists in England and US outsource prosthetic work abroad, and only 5% have in-house laboratories with the technology necessary for basal implantology.
For this reason, only a few dental surgeons in Western Europe are certified in this advanced procedure.
No bone graft or sinus lift required
Immediate function and aesthetics
Reduced treatment time (5–6 days)
Suitable for patients with bone loss or periodontitis
Long-term mechanical stability
The modern concept of basal implantology and immediate functional loading was developed by Prof. Dr. Stefan Ihde, founder of the International Implant Foundation (Germany).
His patented Strategic Implant® and BCS systems have been used worldwide for more than 20 years.