ANSWERS

How is implant timing decided?

Implant timing is decided by bone quality, extraction status, and soft-tissue healing. Immediate placement happens at extraction when bone volume and primary stability allow. Early placement waits 4-8 weeks for soft-tissue closure. Delayed placement waits 3-6 months for full bone healing.

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Why it works this way

The four timing protocols

The International Team for Implantology (ITI) consensus defines four implant placement timelines: Type 1 (immediate, same-day as extraction), Type 2 (early, 4-8 weeks post-extraction after soft-tissue healing), Type 3 (early with partial bone healing, 12-16 weeks), and Type 4 (delayed, 6+ months after full bone remodeling). The decision is driven by what the surgeon sees on the CBCT and what the bone does at extraction.

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What insertion torque is needed for immediate loading?

35 Ncm is the widely cited clinical threshold for immediate provisionalization on single implants and same-day loading on full-arch cases. The original Malo All-on-4 protocol (2003) established 35 Ncm across all four implants as the gate for same-day fixed provisionals. Below that threshold, the implant is placed but left to integrate for 3-4 months before loading. Some clinicians use 30 Ncm as a softer threshold for single-tooth provisionals out of occlusion.

How long does osseointegration take before final restoration?

Standard osseointegration runs 3-4 months in the mandible and 4-6 months in the maxilla, where bone density is lower. Grafted sites add 2-4 months on top of that. For immediate-load cases, the provisional carries the patient through integration while the final prosthetic is fabricated. Dani Dental sequences the final crown, bridge, or full-arch delivery to land at the integration milestone the surgeon sets, not on a generic lab calendar.

Can the surgical guide and final prosthetic come from the same lab?

Yes, and it eliminates the handoff that creates fit problems on implant cases. When the guide and prosthetic are designed on the same CAD file from the same CBCT and intraoral scan, the implant position planned matches the restoration designed. Splitting the work between a surgical-guide vendor and a separate prosthetic lab introduces tolerance stacking. Dani Dental designs the guide, mills the abutments, and delivers the final restoration on one digital workflow.

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This answer is one piece of a larger workflow. The pillar page covers materials, turnaround, and how we build the case to your specification.

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