Title

Comparative evaluation of immediate versus delayed loading in dental implants

Authors

Alisha Alam¹, Satish Makwana²,*, Arun Kharavela Mohanty³, Hina Kausher⁴, Vinod Venugopal Menon⁵ & Gatha Mohanty⁶

Affiliation

¹Department of oral maxillofacial surgery, Jaipur dental college, Rajasthan, India; ²Department of Dentistry, C U Shah Medical College and Hospital, Surendranagar, Gujarat, India; ³Department of Prosthodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India; ⁴Department of Applied Medical Sciences, College of Pharmacy, Nursing and Medical Sciences, Riyadh Elm University, Riyadh- Kingdom of Saudi Arabia; ⁵Department of Prosthodontics, New Look Medical Centre, Al Ain, UAE; ⁶Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Shiksha O Anusandhaan University, Bhubaneswar, Odisha, India; *Corresponding author

Email

Alisha Alam - E-mail: alishaalam843@gmail.com
Satish Makwana - E-mail: srmakwana29@gmail.com
Arun Kharavela Mohanty - E-mail: docmohanty89@gmail.com
Hina Kausher - E-mail: hina.kausher@riyadh.edu.sa
Vinod Venugopal Menon - E-mail: drvmenon12@gmail.com
Gatha Mohanty - E-mail: gathamohanty@soa.ac.in

Article Type

Research Article

Date

Received January 1, 2026; Revised January 31, 2026; Accepted January 31, 2026, Published January 31, 2026

Abstract

The optimal timing of prosthetic loading for dental implants remains a clinical challenge, with ongoing debate regarding the long-term outcomes of immediate versus delayed loading protocols. Therefore, it is of interest to compare peri-implant outcomes, marginal bone level changes, and clinical survival rates between immediately loaded and delayed loaded dental implants over a 24-month period. Fifty implants placed in 60 patients were allocated into two groups: immediate loading (n = 25), restored within 48 hours, and delayed loading (n = 25), restored after 8–16 weeks following standardized surgical protocols. Implant survival, implant stability quotient (ISQ), peri-implant clinical parameters, marginal bone levels, complications, and patient-reported satisfaction were evaluated. While immediate loading demonstrated higher early patient satisfaction, both loading protocols showed comparable long-term clinical and radiographic outcomes, indicating that each approach is reliable when appropriate case selection is followed.

Keywords

Immediate loading, delayed loading, dental implants, implant survival rate, marginal bone loss

Citation

Alam et al. Bioinformation 22(1): 583-587 (2026)

Edited by

Rashmi Laddha

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.