Same-day (Immediate loading) dental implants in Turkey: Procedure, risks & costs

What are immediate dental implants?

Immediate loading implantology involves surgically placing a dental implant and attaching a fixed provisional restoration during the same visit in carefully selected candidates. However, the procedure carries an inherent risk of implant failure if primary stability is insufficient at the time of insertion, if bone volume is inadequate, or if strict post-operative dietary instructions are not followed during the 3 to 6-month healing period.

As with any surgical procedure, there is an inherent risk of implant failure (reported between 2% and 5%) if osseointegration does not occur successfully, which may require additional surgery or implant replacement.

Key clinical advantages & technical considerations :

• Immediate aesthetic support: A provisional crown may be placed on the day of implant surgery to maintain appearance and support the surrounding soft tissues. The final aesthetic result depends on healing and the definitive crown.
• Combined surgical workflow: Tooth extraction, implant placement, and provisional crown attachment may be performed during one appointment in suitable cases. Additional procedures or visits may still be necessary.
• Controlled loading: The provisional crown may require limited or no direct biting contact during healing. Patients should follow their dentist's dietary instructions to avoid excessive forces that could compromise osseointegration.
• Clinical eligibility: Immediate loading requires adequate primary implant stability and careful assessment of bone quality, soft tissues, infection status, and bite forces. Not all patients are suitable candidates.

How does immediate loading work?

How Immediate Loading Dental Implants Work

Receiving a provisional crown on the same day as implant placement is a major advancement in dental care, but the treatment is not completed in one visit.

1. Extraction and implant placement: If necessary, the damaged tooth is removed, and a titanium implant is placed in the jawbone, provided clinical conditions allow immediate loading.
2. Provisional restoration: A temporary crown may be attached during the same appointment, allowing you to smile and speak comfortably. Follow your dentist's instructions on diet and chewing to avoid excessive forces during healing.
3. Definitive restoration: Over the following 3 to 6 months, the implant undergoes osseointegration. Once healing is sufficient, the provisional crown is replaced with a custom permanent crown or bridge.

This approach may reduce the number of visits and help maintain appearance during healing, but eligibility and outcomes vary by patient. Implant failure remains possible even with careful selection.

Interested in exploring this? A free online consultation with one of Turquie Santé's partner specialists can outline a personalized approach for you.

Who is a good candidate for same-day implants?

Immediate loading isn't suitable for every patient or every extraction site. According to case-selection criteria used in professional implant dentistry, good candidates generally have:

• Good general health and consistent oral hygiene.
• Sufficient bone volume and density at the implant site.
• Healthy bite alignment and adequate jawbone space.
• An intact or near-intact bone wall around the extraction socket.

Pregnancy, a weakened immune system, uncontrolled gum disease, heavy smoking, or insufficient bone at the extraction site typically make immediate placement less suitable, in these cases, a short healing period before implant placement usually gives a more predictable result.

Only a full dental exam, including 3D imaging, can confirm eligibility. Turquie Santé's partner dentists assess your bone structure, oral health, and history before recommending an approach.

Immediate loading vs. traditional implants: What's the difference?

Immediate loading and traditional dental implant protocols differ mainly in when the implant is restored with a provisional or definitive crown. The most appropriate approach depends on your oral health, bone quality, implant stability, and individual treatment plan.

Why does the risk profile matter?

For immediate loading to succeed, the implant must achieve adequate primary stability at placement and remain sufficiently stable while the surrounding bone heals. Excessive micromovement, infection, poor bone support, smoking, uncontrolled medical conditions, or excessive biting forces may compromise osseointegration.

If the implant fails to integrate, it may need to be removed. Further treatment, such as allowing the site to heal, bone grafting where indicated, or placing a replacement implant, may be necessary. This can extend the treatment timeline and increase the overall cost.

If your dentist recommends delayed loading, it does not mean that immediate loading is an inferior technique. It means that, based on your clinical findings, allowing more time for healing may offer a more appropriate risk-benefit balance. Neither approach is risk-free, and the decision should be made after an individual clinical assessment.

What risks and side effects should you know about?

While immediate loading is a predictable procedure in carefully selected candidates, as with any oral surgical intervention, potential risks and complications exist. These include:

• Failure of osseointegration / Early implant loss: Micro-movements caused by premature heavy chewing forces can prevent the bone from fusing to the implant, leading to failure (reported in roughly 2% to 5% of immediate loading cases depending on bone density).
• Provisional crown or component fracture: Temporary materials are weaker than final ceramics and can chip or break under force.
• Peri-implantitis and infection: Bacterial inflammation affecting the tissues around the implant. Immediate loading does not inherently increase this risk compared with delayed loading, but inadequate stability and excessive forces may compromise healing.
• Nerve injury or parasthesia: Transient or, rarely, permanent numbness, tingling, or altered sensation in the lip, tongue, or chin due to proximity to the inferior alveolar nerve.
• Maxillary sinus complications: Risk of sinus perforation, infection, or sinusitis during upper jaw implant placement.
• Surgical & anesthetic risks: Post-operative pain, edema, hematoma, or rare adverse reactions to local anesthetics or sedation.
• Bone graft requirement: Unexpected lack of primary stability or inadequate bone volume may require intraoperative bone grafting, which may postpone immediate loading in favor of a conventional staged approach.