Abstract

Dental implantation, viewed as an independent research-based method used to treat patients with partial and complete adentia, has a special place among the major dental specialties. There are surgical algorithms and established methods for using dental implants available. The classical two-stage implantation protocol with delayed loading is considered the most reliable and predictable, featuring the lowest complication rate. The increased interest in direct dental implantation with immediate loading can be accounted for by psycho-emotional factors, accelerated implant osseointegration, better functional and aesthetic results, prevention of alveolar process bone atrophy, as well as reduced volume of surgical and orthopedic interventions. The stability of dental implants after direct implantation and immediate loading has been found to match the stability of implants after employing a two-stage technique. The primary stability of dental implants installed directly into the hole of the removed tooth on the anterior mandible is due to a small volume of spongy substance at a significantly thick cortical layer, possible installation of an implant with a length exceeding the length of the tooth root, the availability of a proper keratinized gum zone, as well as the removal from occlusion temporary structures on implants.

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