When placing implants in the anterior zone, care should be taken before planning the treatment sequences. A thorough examination must be performed to both soft and hard tissue with special emphasis on potential changes that could take place following implant placement. These changes such as bone resorbtion and/or soft tissue retraction can jeopardize the esthetic outcome of the future prosthesis and represent a challenge for the practitionner.
Accelerated loading protocols and immediate temporization are often indicated in order to bypass tissue shrinkage and guide hard and soft tissue healing around dental implants. Different parameters such as bone density, implant geometry and surgical techniques play a major role in achieving optimal implant primary and secondary stability. Understanding these parameters will allow us to predictably plan our future loading protocol (immediate, early or delayed).
During this presentation, scientific and clinical rationale will be presented in order to give the clinician an evidence-based approach, for immediate or early loading protocol and its implication on tissue healing, by using implants with versatile thread geometry adapted to different bone densities. These accelerated loading protocols will reduce hard and soft tissue remodeling following tooth extraction and implant placement thus maintain proper contour and optimal function and esthetics.