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Abstract
Background: Immediate loading of dental implants has emerged as an important advancement in implant dentistry, reducing treatment time and improving patient satisfaction. However, successful outcomes depend on multiple biological and biomechanical factors.
Objective:To systematically review the literature regarding the critical aspects influencing the success of immediate loading implants.
Methods:A systematic review was conducted according to PRISMA guidelines. Electronic databases including PubMed, Scopus, and Web of Science were searched for studies published between 2000 and 2026. Studies evaluating immediate loading implant protocols, primary stability, implant survival rates, and prosthetic outcomes were included.
Results:A total of 147 records were identified, and 55 studies met the final inclusion criteria. Reported implant survival rates ranged from 92% to 98%. Key determinants of success included adequate primary stability (>35 Ncm insertion torque), favorable bone quality, appropriate implant design, controlled occlusal loading, and careful patient selection.
Conclusion:Immediate loading implants represent a predictable treatment approach when strict clinical criteria are respected. Advances in implant surface technology and digital surgical planning continue to improve outcomes.
