All-on-6 Implants
Implant loading may be immediate or delayed; stability and healing conditions guide the choice.
[1]The short answer
Implant loading may be immediate or conventional: fixed prostheses in an edentulous maxilla can be loaded immediately, while inadequate stability or compromised healing conditions favour conventional loading.
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What the change looks like
What are All-on-6 loading decisions?
| Approach | What the timing means |
|---|---|
| Immediate loading | A fixed prosthesis can be attached to microroughened implants in an edentulous maxilla at the time of placement.[1] |
| Conventional loading | Loading takes place more than two months after implant placement when stability is inadequate or healing conditions are compromised.[1] |
Who may consider this approach?
Immediate loading of microroughened implants is a viable option for some partially edentulous sites in the esthetic zone. In the partially edentulous posterior maxilla, there is insufficient evidence to support immediate loading.
[1]Does it hurt?
The available treatment detail concerns timing rather than pain: immediate loading is complex, and conventional loading is used when implant stability is inadequate.
[1]Is it safe?
Complications can involve the tissues around an implant, including mucositis without bone loss and peri-implantitis with bone loss. Technical problems include implant fracture, connection loosening or fracture, and fracture or loss of retention in the restoration.
[2]How long does it last?
There is no single lifespan in the loading guidance. At follow-up, survival means the implant or reconstruction is still present; success also requires that complications are absent.
[2]What happens during treatment?
Loading is the point at which the restoration is put into function after implant placement. Immediate loading is an option in selected settings, whereas conventional loading is more than two months after placement.
[1]What is recovery like?
For partially edentulous posterior sites without modifying factors such as fresh extraction sockets, augmentation, or short implants, microroughened implants are commonly loaded between six and eight weeks after placement.
[1]| Clinical setting | Loading timing |
|---|---|
| Partially edentulous posterior sites without modifying factors | Microroughened implants may be loaded between six and eight weeks after placement.[1] |
| Inadequate stability or compromised implant conditions | Conventional loading, more than two months after placement, remains the preferred approach.[1] |
What are the alternatives?
Conventional loading is the alternative to immediate loading when stability is inadequate, when the implant site is compromised, or when extensive augmentation or sinus floor elevation is needed.
[1]What should you expect from follow-up?
Follow-up distinguishes a reconstruction that remains present from one that is successful without complications. A complication may require chair time after the prosthesis has been incorporated.
[2]What about insurance and financing in the UAE?
Loading decisions may change when stability is inadequate or when there is a compromised implant site, parafunction, dental complications, extensive augmentation, or sinus floor elevation.
[1]Frequently asked questions
Can implants be loaded immediately when stability is low?
No. Conventional loading is the preferred approach when implant stability is inadequate, and it takes place more than two months after placement.
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