Why Would You Hesitate to do Early Loading?

Despite the many benefits of early loading, including increased patient satisfaction and improved clinical, dental management, and operational efficiency, hesitation often arises due to concerns about primary stability, bone conditions, traditional protocols, and the temporary drop in ISQ during the transition from mechanical to biological stability approximately 3 weeks post-surgery.

Redefining Concept 1

Recently, various research findings have demonstrated that MegaGen implants have successfully addressed the challenges faced in early loading.

MegaGen Implant: Redefining Early Loading with Innovative Implant Design

To overcome the risks of early loading, MegaGen Implant has developed an innovative design that enhances both mechanical and biological stability.

01. MegaGen implant presented ITV over 40Ncm, even in soft bone

In this study, no implant presented ITV below 40Ncm, even in soft bone, hence remaining within the “comfort zone” mentioned earlier in that manuscript.

02. No drop in ISQ value

Of 40 implants, 39 had ISQ above 70, ensuring a "comfort zone" for early loading.

03. CaTiO3(calcium titanate) nano structure Improved bone formation

CaTiO3 nanostructures enhance implant surface reactivity, promoting protein and cell adhesion. Cells grow on ~300nm particles with filopodia extending to grasp them. Ca²⁺ release activates osteoblasts, forming a Ca-ion bone matrix layer with PO₄³⁻ ions.

Early Loading Human Study by Dr. Francesco Mangano
Human Study by Prof. Christian Makary

MegaGen’s Solution for Accelerated Loading

XPEED:
Promoting faster and greater new bone apposition

XPEED nanotechnology
Trusted & Proven with 10 years of F/U and scientific evidence

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  • · Large amounts of cations are created on the implant surface due to Ca2+
  • · PO43- ions adhere to Ca2+-rich layer, while Ca2+ re-adheres to PO43- layer
  • · This augmented apatite layer accelerates mineralization to create hydroxyapatite
  • · 100% acid-residue-free surface
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Main Image
KnifeThread:
Guarantees sustained implant stability
  • ·Stable stress dispersion due to buttress thread shape
  • · Easier insertion without cutting edge due to thread shape
  • ·Increased surface area due to round-faced design
Same core diameter, but different thread depth! Same BIC, Same start for prosthetics
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Core & Thread technology:
Minimize a bone destruction & Maximize BIC
  • · Minimized compressive force to bone
  • · KnifeThread increases bone-to-implant contact area
  • · Preserve bony structure
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Here is Evidence

Case #1

_Courtesy of Christian Makary , Abdallah Menhall , Carole Zammarie , Teresa Lombardi , Seung Yeup Lee , Claudio Stacchi , Kwang Bum Park

14 patients were treated with the insertion of 40 AnyRidge implants: Among them, 39 implants showing ISQ > 70 after 3 weeks of healing were loaded with provisional restoration.

  • · 4.5mm implant was placed after final 3.3mm bone preparation
  • · Thread depth varied by bone quality
  • · One-year post-loading X-rays showed stable implant outcomes – 4mm thread depth in hard bone, 5.5mm deeper threads in soft bone
Case #2

_Courtesy of Dr. Chang-Hun Han

ISQ values were stable for all implants. Final prosthesis was loaded after 9 weeks when implant ISQ values in grafted area were close to 70.

  • · Immediate implantation was performed in the maxillary central incisor
  • · 8 AnyRidge implants were placed using a one-stage surgical procedure
  • · A combination of conventional RBM and XPEED surface was used
Case #3

_Courtesy of Dr. Chang-Hun Han

ISQ values were stable even in soft bone. ISQ does not decrease.

  • · 4 BlueDiamond implants were placed in the maxillary molars

Strong like a ‘DIAMOND’

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Implant Fracture

Zirconia, replacing traditional materials, offers lower fracture risk, long-term stability, and superior aesthetics, making it ideal for implants and full-mouth rehabilitation. However, its high strength transfers excessive occlusal forces to the fixture, causing implant and abutment fractures. In particular, 11° Morse Taper implants experience a 'wedge effect,' increasing the risk of microcracks and fractures. This issue is more common in smaller diameter fixtures (3.5mm or 4.0mm), while larger diameter fixtures are less susceptible to these risks.

The Birth of the BlueDiamond Implant

The BlueDiamond Implant was developed to meet the need for a system capable of withstanding strong occlusal forces. By combining the KnifeThread design, Core and Thread concept, XPEED surface treatment, and selected features of AnyRidge, BlueDiamond offers enhanced strength, robust connections, and broad compatibility – providing a fundamental solution to the challenges of implant fractures.

Targeting Zero Fractures

100% increase in compressive strength via scientific design

01. Biologic S-line

Beautiful & natural-looking esthetics

02. Designed for less bone stress

Maximum preservation of cortical bone

03. Higher initial stability in any bone condition

Deep thread & KnifeThread design ensure high stability even in soft boneof cortical bone

04. Feel the X-FIT moment!

First with Octa, then with Keystone More precise positioning & connection

05. Pure titanium body

Long-term biological stability with over 20 years of clinical evidence

06. XPEED

Nano bone matrix layer of Ca2+ incorporated S-L-A surface Excellent, rapid & long-lasting osseointegration

Why do immediate?

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Recent research shows that 90% of extraction sockets suitable for immediate implants are in the molar region. To ensure predictable outcomes, considering biological factors is essential for informed decisions.

Molar Extraction Site: Immediate or Delayed?

Immediate implant placement in molar extraction sites poses anatomical and biomechanical challenges due to wide, irregular sockets that hinder primary stability. Low bone density (D3-D4) in posterior regions, limited bone height near the sinus floor and IAN, and strong masticatory forces further increase complications. Additionally, thin buccal cortical bone is prone to resorption, risking implant stability.

Conversely, delayed loading can lead to bone and soft tissue resorption and longer treatment times, potentially reducing patient satisfaction and treatment efficiency.

Immediate Molars Predictable? Solution for Successful Immediate Molar Implants💡

Implant Design
  • · Utilize wide-diameter or tapered implants for enhanced primary stability
  • · Employ optimized designs to improve bone engagement and osseointegration
Surgical Techniques
  • · Apply strategic under-drilling in softer bone to increase ITV without excessive compression
  • · Use Guided Bone Regeneration (GBR) with bone grafting and membrane techniques if primary stability is insufficient
Prosthetic Approach
  • · Consider immediate provisionalization when stability conditions are met (ITV > 45 Ncm, ISQ > 70) for controlled loading

Features to consider before prosthetically driven molar immediate

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AnyRidge and BlueDiamond implant system makes it easier!

01. Preserve the jumping distance for optimal bone remodeling

To facilitate effective bone remodeling with a proper blood supply around the implant, it is crucial to ensure adequate space.

02. A thread-less upper section of the fixture & an anatomical S-line prosthetic will promote better peri-implant biotype and a thicker mucosa

Preserves an excellent emergence profile for a healthy and aesthetic gingiva

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03. A strong connection is essential to prevent failure due to movement and bacteria
  • · BlueDiamond: Unique X-FIT gives greater joint stability
  • · AnyRidge: Unique Magic 5° connection gives a perfect hermetic seal