Carga imediata em implante unitário anterior: Relato de caso

Abstract

Introduction: Immediate loading in implant dentistry is defined as a modality of implant-supported oral rehabilitation in which masticatory forces are applied to dental implants within a maximum of 72 hours after placement. Objective: This study aims to report a clinical case, supported by scientific evidence, of a 23-year-old patient who sought rehabilitative treatment in the anterior maxillary region using the immediate loading protocol. Case Description: The patient presented with agenesis of teeth 12, 22, 15, and 25. Following reverse treatment planning, orthodontic therapy was initially recommended due to the technical complexity of the case. However, for socioeconomic reasons, the patient opted not to undergo orthodontic treatment. After comprehensive clinical and radiographic evaluation and with the patient’s consent, implant placement was planned for the region of tooth 12. The surgical procedure was performed, achieving primary stability with a torque value of 45 Ncm, which allowed immediate loading according to current scientific guidelines. Additionally, a xenogenous bone graft was used to fill a concavity in the apical area of the residual bone, improving gingival esthetics and buccal bone plate thickness to ensure long-term stability and predictability. Conclusion: Immediate loading represents a safe and effective treatment option for dental agenesis cases managed with osseointegrated implants, providing satisfactory esthetic and functional outcomes