Dental · Dental Implants · Procedure

Immediate Load Implants: The Procedure, Step by Step

It works only when primary stability at insertion is high enough to resist chewing force during integration — measured with torque, not assumed. This page covers the immediate load implants appointment itself — what is prepared beforehand, what happens in the chair, and what the first hours afterwards feel like. Plan for 1 visit for placement plus temporary and 5-7 days.

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Quick answer

Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary. Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex. It works only when primary stability at insertion is high enough to resist chewing force during integration — measured with torque, not assumed.

Before your procedure

What's confirmed before you're in the chair.

  • A CBCT scan, not a panoramic X-ray, to measure bone height and width at each planned site
  • A list of blood thinners, bisphosphonates and diabetes medication sent to the surgeon in advance
  • Any active gum infection treated before the surgical date, not on the same visit
  • Confirmation of the implant brand and the abutment system in writing, so future servicing is possible anywhere
  • A written, fixed price covering 1 visit for placement plus temporary — confirmed before you fly, not on arrival
Step by step

What happens during immediate load implants.

  • Stop 01

    Records check on arrival

    Your scan or photographs are reviewed in person against the remote plan. It works only when primary stability at insertion is high enough to resist chewing force during integration — measured with torque, not assumed.

  • Stop 02

    Site preparation

    The gum is reflected and the osteotomy is drilled in graduated steps under saline irrigation to keep the bone below 47°C — overheating is the classic cause of early failure.

  • Stop 03

    Fixture placement and torque reading

    Each implant is driven to a recorded insertion torque. That number decides whether a temporary can be loaded immediately or whether the site is left to integrate submerged.

  • Stop 04

    Closure and temporary

    Sutures go in, and a healing abutment or an immediate temporary is fitted depending on the torque reading and where the implant sits in the smile line.

  • Stop 05

    What is specific to this option

    A temporary crown is fitted the same day as implant placement, rather than waiting months to heal.

  • Stop 06

    Debrief and follow-up

    You leave with written aftercare and the follow-up schedule fixed — for this option that means 5-7 days, with 1 visit for placement plus temporary in total.

Anaesthesia & duration

Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex.

Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.

Who performs it

An oral surgeon or an implantologist places the fixtures; the prosthetic stage — abutment, scan, crown or arch — is usually handled by a prosthodontist working with the same in-house laboratory.

Right after the procedure

Expect gauze pressure for 30-45 minutes, a numb lip for two to four hours and a small amount of oozing on the first evening. You walk out unaided, but you should not fly the same day if a graft or sinus lift was involved.

Learn more

Cost and alternatives for Immediate Load Implants.

Compare vs alternatives → See full cost breakdown →
FAQ

Procedure questions, answered

Is the same-day tooth the final one?

No — it is a temporary. The definitive crown or arch is made after integration, usually 3-4 months later.

Are failure rates higher?

With correct case selection they match staged loading. Failures cluster in soft bone and in patients who chew normally too early.

What insertion torque did my implant reach?

Ask for the figure in Ncm. Above roughly 35 Ncm supports an immediate temporary; below that, the fixture is normally left to integrate before anything is loaded on it.

Which implant brand is being used?

Get the brand and reference in writing. A globally distributed system can be serviced by any dentist at home; an unbranded fixture often cannot.

Will I need a bone graft or sinus lift?

Only the CBCT answers this. If a graft is likely, ask whether it is quoted separately and how many extra months it adds before the final restoration.

How many visits does immediate load implants need in total?

1 visit for placement plus temporary — and 5-7 days. Any quote that compresses that materially is worth a second read, because laboratory and healing time set the schedule, not the clinic diary.

How does this compare with the closest alternative?

Same-day dental implants describe the same visit protocol; conventional staged loading is safer where bone is soft.

Recognise the signs

Signs it might be time to look into this.

01

You cannot walk around with a visible gap

Front-tooth aesthetics are the most common driver of immediate loading.

02

You have limited time to travel twice

One placement visit with a temporary reduces early trips.

03

A front tooth just fractured

Fresh fractures with intact bone are the classic immediate-load scenario.

Specific to this option

Immediate Load Implants: The Procedure, Step by Step: at a glance.

It works only when primary stability at insertion is high enough to resist chewing force during integration — measured with torque, not assumed.

Sessions1 visit for placement plus temporary
Time in Turkey5-7 days
RecoveryStrict soft diet for 8 weeks — non-negotiable here
Expected lifespanSame as conventional implants once integrated

Closest alternative

Same-day dental implants describe the same visit protocol; conventional staged loading is safer where bone is soft.

Related options

You might also compare

See how recovery from immediate load implants works

Timeline, aftercare and what to watch for, day by day.

View recovery guide
In-depth guide

Immediate Load Implants: the procedure in detail

It works only when primary stability at insertion is high enough to resist chewing force during integration — measured with torque, not assumed. Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.

What immediate load implants involves on the day

It works only when primary stability at insertion is high enough to resist chewing force during integration — measured with torque, not assumed. Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex. Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.

Who does the work

An oral surgeon or an implantologist places the fixtures; the prosthetic stage — abutment, scan, crown or arch — is usually handled by a prosthodontist working with the same in-house laboratory. Expect gauze pressure for 30-45 minutes, a numb lip for two to four hours and a small amount of oozing on the first evening. You walk out unaided, but you should not fly the same day if a graft or sinus lift was involved.

What to confirm before you book

  • A CBCT scan, not a panoramic X-ray, to measure bone height and width at each planned site
  • A list of blood thinners, bisphosphonates and diabetes medication sent to the surgeon in advance
  • Any active gum infection treated before the surgical date, not on the same visit
  • Confirmation of the implant brand and the abutment system in writing, so future servicing is possible anywhere

Schedule

1 visit for placement plus temporary and 5-7 days are what the plan is built around. Same-day dental implants describe the same visit protocol; conventional staged loading is safer where bone is soft.

This page is general educational information, not medical advice, and does not replace guidance from your treating clinician. Always follow the specific instructions given by your treating clinic, and contact them directly with any concerns about your individual case.
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