Stomatológ 2025, 35(2):16-23

Guided Immediate Implantation with Immediate Loading:
A Comprehensive Analysis of Current Surgical and Prosthetic Protocols, Biological Principles, and Clinical Outcomes in the era of digital dentistry

Štorcelová Dorota1, Beneš Pavel1,2, Staněk Ján1,3, Malíček Ľubomír4, Hocková Barbora1, Slávik Rastislav1,4, Stebel Adam1,4
1 Klinika maxilofaciálnej chirurgie SZU, Fakultná nemocnica s poliklinikou F.D. Roosevelta, Nám. L. Svobodu 1,
975 17 Banská Bystrica (prednosta MUDr. MDDr., Dr. med. dent., Adam Stebel PhD.)
2 Zubní ordinace BB stomatologie s.r.o., Polívková 465/51, 779 00 Olomouc
3 Protetické oddelenie, Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého v Olomouci, Hněvotínska 3,
779 00 Olomouc (vedúci lekár MDDr. Iva Voborná, Ph.D.)
4 3S DENT stomatologické centrum, Košická 11, 821 08 Bratislava

The aim of this paper is to provide an overview of current knowledge on guided immediate implantation with
immediate loading (GII/IL) within the context of digital dentistry.
Modern digital technologies—CBCT, intraoral scanning, and software-based planning—enable precise implant positioning, therefore minimizing surgical deviations and increasing the predictability of outcomes. Atraumatic extraction, control of primary stability (IT ≥ 30 Ncm, ISQ ≥ 70), and a properly designed emergence profile are key factors for successful osseointegration
under immediate loading protocols. Provisional restorations allow soft-tissue shaping and support a high level of esthetic outcome.
The presented case reports confirm that when biological and technical principles are respected, GII/IL represents a predictable, efficient, and highly patient-preferred approach to implant therapy.

Keywords: Guided immediate implantation, immediate loading, digitalization, primary stability

Published: January 1, 2026  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Dorota Š, Pavel B, Ján S, Ľubomír M, Barbora H, Rastislav S, et al.. Guided Immediate Implantation with Immediate Loading:
A Comprehensive Analysis of Current Surgical and Prosthetic Protocols, Biological Principles, and Clinical Outcomes in the era of digital dentistry. Stomatológ. 2025;35(2):16-23.
Download citation

References

  1. GARGALLO-ALBIOL, J., BAROOTCHI, S., MARQUÉS-GUASCH, J. a WANG, H. L. Fully guided versus half-guided and freehand implant placement: systematic review and meta-analysis. International Journal of Oral and Maxillofacial Implants. 2020, 35(6) Go to original source... Go to PubMed...
  2. -1169. DOI 10.11607/jomi.7942. Go to original source...
  3. GÓMEZ MEDA, R. Successful immediate loading of a PROGRESSIVE- LINE implant with guided surgery and socket shield technique: case report [online]. 2021 [cit. 2025-12-27]. Dostupné na: https://www.biohorizonscamlog.es/es/servicios/media-center/ciencia-y-practica/casos-clinicos
  4. LEMOS, C. A. A., VERRI, F. R., DE OLIVEIRA NETO, O. B., CRUZ, R. S., LUNA GOMES, J. M., DA SILVA CASADO, B. G. a PELLIZZER, E. P. Clinical effect of the high insertion torque on dental implants: a systematic review and meta-analysis. The Journal of Prosthetic Dentistry. 2021, 126(4), 490-496. DOI 10.1016/j. prosdent.2020.06.012. Go to original source... Go to PubMed...
  5. MANFREDINI, M., GHIZZONI, M., CUSARO, B., BERETTA, M., MAIORANA, C., SOUZA, F. Á. a POLI, P. P. High insertion torqueclinical implications and drawbacks: a scoping review. Medicina. 2025, 61(7), 1187. DOI 10.3390/medicina61071187. Go to original source... Go to PubMed...
  6. RISMANCHIAN, M., KHODADADI, R., KHODADADI, T., KHODADADI, T., RISMANCHIAN, H. a RAHIMI, A. Long-term clinical outcomes of immediate loading versus nonimmediate loading in single-implant restorations: an umbrella review. Dental Research Journal. 2025, 22(10), 41. DOI 10.4103/drj.drj_574_24. Go to original source... Go to PubMed...
  7. YUONIS, H., LV, C., XU, B., ZHOU, H., DU, L., LIAO, L., ZHAO, N., LONG, W., ELAYAH, S. A., CHANG, X. a HE, L. Accuracy of dynamic navigation compared to static surgical guides and the freehand approach in implant placement: a prospective clinical study. Head & Face Medicine. 2024, 20(1), 30. DOI 10.1186/s13005-024- 00433-1. Go to original source... Go to PubMed...
  8. ZUHR, O. a HÜRZELER, M. Plastic-esthetic periodontal and implant surgery. 2. vyd. Berlin: Quintessence Publishing, 2012, s. 529-561, 608-630. ISBN 978-1-85097-238-2.

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.