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ABSTRACT
Loading Protocol in Dental Implant
Madhavi Singh , Manish Goutam
ABSTRACT
Dental implants have become a predictable treatment option for replacing missing teeth, with high survival rates and long-term functionality. A critical aspect influencing implant success is the timing of prosthetic loading, which determines when an implant-supported restoration is placed into function. Traditionally, a delayed loading protocol was considered essential to ensure osseointegration. However, with advancements in implant surface technology, surgical protocols, and digital planning, immediate and early loading have emerged as viable alternatives. This review examines the biological and biomechanical principles, clinical outcomes, and current evidence on immediate, early, and conventional loading protocols. Factors influencing protocol choice, recent advances, and future perspectives are also discussed. Evidence suggests that immediate and early loading can achieve comparable success rates to conventional loading when appropriate case selection and clinical protocols are followed.
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