Immediate Load Implants · Led by Dr. Hung Le Ba Gia (Dr. Evans) · Last reviewed May 2026
Same-Day Implants, Same-Day Smile.
Picasso Dental places immediate-load dental implants in Vietnam, using Straumann BLX, Nobel Biocare and All-on-4 immediate-loading protocols, every fixture covered by the manufacturer's original warranty. Walk in missing a tooth, walk out with a fixed temporary crown or bridge already in place, planned by CBCT 3D imaging, performed at branches with hospital-grade facilities.
What is an Immediate Load Implant?
An immediate-load dental implant is one that is restored with a provisional fixed crown or bridge on the same day it is surgically placed. The provisional stays in position during the 4 month osseointegration period. The final, definitive crown or bridge is fitted once the implant has fully fused with the bone. The protocol exists for two reasons: aesthetics (no visible gap, no removable temporary), and convenience (especially for international patients combining surgery with travel).
Immediate Loading vs Immediate Placement
Immediate Placement
Definition: The implant is placed into the socket on the same day a failing tooth is extracted, no waiting for the socket to heal first.
What it means for you: Fewer surgical visits, less total treatment time. Doesn't necessarily mean a same-day crown.
Immediate Loading
Definition: A provisional fixed crown or bridge is fitted onto the implant on the same day it is placed, before osseointegration is complete.
What it means for you: No visible gap during healing. The same-day teeth concept. Often combined with immediate placement.
Immediate Load Configurations
Pricing is tiered by configuration (single immediate-load vs All-on-4 immediate-load) and implant brand (Straumann BLX, Nobel Biocare Active, Osstem, Neodent). All-inclusive of the implant fixture, the same-day provisional crown or bridge, and the definitive final restoration. Per-configuration pricing is published on our cost guide. Pricing is itemised in your written quote after CBCT planning.
| Configuration | Brand | What's Included |
|---|---|---|
| Single Immediate Load | Straumann BLX | Implant + same-day provisional crown + final crown |
| Single Immediate Load | Nobel Biocare Active | Implant + same-day provisional crown + final crown |
| All-on-4 Immediate Load | Osstem | 4 implants + same-day fixed bridge + final fixed bridge |
| All-on-4 Immediate Load | Neodent | 4 implants + same-day fixed bridge + final fixed bridge |
| All-on-4 Immediate Load | Nobel Biocare / Straumann | 4 implants + same-day fixed bridge + final fixed bridge |
Add-ons quoted separately when indicated by your CBCT: bone graft, sinus lift, extraction.
The Procedure, Step by Step
From your first consultation to your definitive restoration. The same-day component takes one day; the full timeline to final crown is 6 months.
Consultation + CBCT
Clinical exam, medical history, CBCT 3D scan to confirm bone density and quality are sufficient for immediate loading.
Day 1 · 75 minEligibility Confirmed
Surgical plan reviewed. Immediate loading is only proceeded with when bone quality, primary stability and bite forces are favourable.
Day 1–3Surgery + Provisional
Implant placed under local anaesthetic. Insertion torque and stability quotient measured. Provisional fixed crown or bridge fitted same day.
Surgery · 60–180 minSoft Diet Phase
8 weeks on a soft diet to protect the implant during initial integration. Provisional carries no heavy chewing load.
Weeks 1–8Osseointegration
4 months total during which the implant fully fuses with bone. Provisional remains in place throughout.
3–4 monthsDefinitive Restoration
Digital impression (iTero), abutment, custom final crown or bridge fabricated and bonded onto the implant.
2–3 visits · 2 weeksAre You a Candidate for Immediate Loading?
Immediate loading is only safe when the implant achieves enough primary stability at placement to withstand light chewing forces during integration. Here is what determines eligibility.
Bone Quality
Dense cortical bone holds an implant tightly, soft cancellous bone does not. Lower jaw front and back generally have the best bone for immediate loading. Upper back jaw is the most challenging zone.
Insertion Torque
Measured in Ncm at placement. Generally we want ≥35 Ncm for single immediate loading and ≥45 Ncm for full-arch immediate loading. Below threshold, we delay loading.
Stability Quotient (ISQ)
Measured with a resonance frequency device. Generally ≥70 ISQ at placement is needed to safely load. Some clinicians require higher thresholds for All-on-4.
Bite Force & Parafunction
Heavy grinders and clenchers (bruxism) put extreme load on implants. We are conservative about immediate loading these patients, sometimes recommending delayed loading or a night guard during integration.
Implant Position
Anterior teeth (front, lighter bite forces) are excellent immediate-load candidates. Posterior molars (heavy bite forces) are loaded immediately only when stability and bone are excellent.
What If You Don't Qualify?
Honest answer: we use a removable provisional or a fixed bonded provisional during integration, then load the final crown at 4 months. The implant outcome is identical, you just don't have a same-day fixed tooth.
Best-Fit Scenarios for Immediate Loading
Three scenarios where immediate loading delivers the most value, both clinically and practically.
Front Tooth Replacement
Why it fits: Aesthetics matter most in the smile zone, and front-tooth bite forces are light. A same-day provisional avoids any visible gap during healing.
Brand recommendation: Straumann BLX or Nobel Biocare Active.
All-on-4 Full-Arch
Why it fits: The All-on-4 protocol was specifically designed for immediate loading. Four cross-arch implants stabilise each other; a single fixed bridge ties them together.
Brand recommendation: Any of our four brands; Nobel Biocare and Straumann have the most documented immediate-load evidence.
International Patient Single Trip
Why it fits: Lets a patient travel from abroad, have surgery, leave with a fixed temporary crown or bridge in place, and return home without a removable temporary or visible gap during osseointegration.
Pre-flight planning: CBCT and medical history reviewed before travel via WhatsApp.
Why Straumann BLX for Immediate Loading?
Straumann BLX is one of the implant systems specifically engineered for immediate-load protocols. Here is why we use it and when.
Tapered Apical Design
Aggressive tapered shape compresses bone laterally as it is inserted, producing high primary stability even in less-dense bone. The single biggest factor in being able to load on day one.
Deep, Broad Threads
Self-cutting thread design grips cortical bone tightly. Insertion torque routinely exceeds the 45 Ncm threshold needed for safe immediate loading.
Roxolid & SLActive Surface
Titanium-zirconium alloy (stronger than pure titanium) plus the chemically active SLActive surface speeds osseointegration. Documented integration in 4 weeks under ideal conditions.
When We Choose BLX
Single immediate-load anterior teeth, fresh extraction sockets, soft-bone upper jaw cases where extra stability matters, and any patient where same-day fixed teeth are the priority.
When We Don't Choose BLX
Standard delayed-load posterior cases where Osstem or Neodent are equally suitable at lower cost. We don't prescribe premium hardware where it doesn't add clinical value.
Warranty
Straumann's full international manufacturer warranty applies. We provide your implant serial number and full clinical records.
Recent Immediate Load Cases
A small selection of recent immediate-load cases. Every photograph shows an actual Picasso Dental patient, published with their written consent.
Single Immediate Load
Front Incisor · Straumann BLX
Patient from Singapore · Treatment: 4 months · Da Nang Vinmec
All-on-4 Immediate Load
Upper Arch · Nobel Biocare
Patient from Auckland · Treatment: 6 months · Da Nang Vinmec
Combined Immediate Placement + Loading
Upper Premolar · Straumann BLX
Patient from Sydney · Treatment: 4 months · HCMC Thao Dien
All-on-4 Immediate Load
Lower Arch · Straumann
Patient from London · Treatment: 6 months · Da Nang Vinmec
Aesthetic Immediate Load
Upper Central Incisor · Nobel Biocare
Patient from Hanoi · Treatment: 4 months · Hanoi Old Quarter
Immediate Load Bridge
3-Unit Bridge · Straumann BLX
Patient from Da Nang · Treatment: 5 months · Da Nang Hoà ng Diệu
Who Will Place Your Immediate Load Implant
Immediate-load placement at Picasso Dental is led by Dr. Hung Le Ba Gia (Dr. Evans), with 1,000+ implants placed and 200+ All-on-4 full-arch cases completed, the majority of those All-on-4 cases delivered with same-day immediate-load provisionals.
Lead Implant Specialist
Dr. Hung Le Ba Gia (Dr. Evans)
Picasso's dedicated implant specialist, with 1,000+ implants placed and 200+ All-on-4 full-arch cases completed. Immediate-load protocols, particularly Straumann BLX and All-on-4, are central to his daily practice.
Founding Clinical Director
Dr. Emily Nguyen
Founder of the original clinic in 2013. Sets clinical standards for implant case selection, surgical protocols and prosthetic delivery group-wide.
Caring for Your Same-Day Implant
The first 8 weeks are critical, the implant is integrating, and the provisional must not be overloaded. Here is the schedule that protects your investment.
First 7 Days
Soft food only. No smoking, no straws, no vigorous rinsing. Mild swelling is normal and peaks around day 3. Take prescribed antibiotics and pain relief as directed.
Weeks 8: Soft Diet Phase
Cooked vegetables, eggs, fish, soft pasta, soft fruits. Avoid: apples, nuts, hard bread crusts, chewy steak, ice. The implant must not take heavy chewing load while integrating.
Weeks 16
Diet returns gradually to normal-soft. The provisional remains in place, designed to last well beyond 16 weeks. Daily brushing and flossing around the provisional as you would any tooth.
Months 4: Final Restoration
X-ray confirms integration. Digital impression taken, definitive crown or bridge fabricated and fitted. After this point, eat normally, brush and floss as you would any tooth.
What to Avoid During Healing
Smoking is the single biggest threat to immediate-load success. Untreated grinding (bruxism) is the second, if you grind, we provide a night guard during healing. Both compromise the integration window.
If You Travel Home Mid-Treatment
We provide complete clinical records, X-rays, implant serial numbers and surgical notes. Your home dentist can perform recalls or address concerns, and we respond to questions over WhatsApp at any time.
The International Immediate-Load Journey
Two paths for patients flying in from abroad. Immediate loading is particularly suited to international patients, leave with fixed teeth in place, no removable temporary, no visible gap.
Option A: Two Trips (Standard)
Trip 1 ( 10 days): Consultation, CBCT, surgery, same-day provisional fitted, recovery in Vietnam, fly home with fixed temporary in place.
Wait at home: 6 months osseointegration. We check in over WhatsApp.
Trip 2 ( 7 days): Final impression, definitive crown or bridge fitted, case file delivery.
Best for: Most international patients · Continuous fixed-teeth aesthetic between trips.
Option B: Single Extended Trip
One trip ( 6 months): Consultation, CBCT, surgery, same-day provisional, healing in Vietnam, definitive restoration, all in one stay.
Best for: Retirees · Remote workers · Patients who can take an extended period in Vietnam.
Bonus: Low cost of living during healing · Beach recovery in Da Nang or mountain recovery in Da Lat · Continuous care under the same team for the entire treatment.
Risks & Success Rates: Honestly
Immediate loading is well-documented but not risk-free. Here is what the literature reports and how Picasso minimises every avoidable risk.
Documented Success Rate
Long-term clinical literature reports immediate-load implant survival in the 97 percent range over 10 years for properly selected patients, slightly below the 98 percent range for delayed-load implants but still in the high-90s. Patient selection matters more than the technique itself.
What Can Go Wrong
Failure to integrate from premature loading (rare with proper torque thresholds). Provisional fracture (replaceable in the chair). Soft tissue recession around the provisional in thin biotypes. Peri-implantitis if hygiene is poor during healing.
How We Minimise Risk
CBCT 3D imaging before every surgery. Insertion torque and ISQ measured at placement. Strict eligibility thresholds, we delay loading when measurements are below threshold. Genuine brand fixtures (BLX, Nobel Biocare, Osstem, Neodent). Soft-diet protocol enforced during integration.
If Something Goes Wrong
If the implant fails to integrate within 6 months of placement, we re-place it at no additional cost. If a provisional fractures during the healing phase, we replace it. We don't invoice you to fix our own work.
Smoking, Bruxism & Immediate Loading
Smoking and uncontrolled grinding are the two biggest threats during the immediate-load healing window. Honest disclosure during consultation lets us adjust the protocol, sometimes recommending delayed loading or a night guard.
Soft Tissue Aesthetics
Even a perfectly placed immediate-load anterior implant can show subtle gum recession in thin biotypes. We assess gum biotype before surgery and may recommend a connective tissue graft to thicken the gum, predictable, gentle, done under local.
Frequently Asked Questions
What are immediate load dental implants?
Immediate load implants (also called same-day implants or teeth-in-a-day) are dental implants restored with a provisional fixed crown or bridge on the same day they are placed surgically. The provisional remains in place during the 4 month osseointegration period. The definitive crown or bridge is fitted after the implant has fully fused with the bone.
Is immediate loading the same as immediate placement?
No, they are different concepts. Immediate placement means an implant is placed into the socket on the same day a tooth is extracted. Immediate loading means a provisional crown is fitted on the implant the same day it is placed. Both can be combined (extraction, placement and provisional all on day one) when conditions allow.
How much do same-day immediate load implants cost in Vietnam?
Pricing depends on implant brand (Straumann BLX, Nobel Biocare Active, Osstem, Neodent) and configuration (single immediate-load vs All-on-4 immediate-load per arch). Per-configuration pricing is published on our implant cost guide.
Am I a candidate for an immediate load implant?
Eligibility depends on bone density, bone quality, primary stability of the implant at placement, and your bite force. The CBCT scan and intra-operative measurements (insertion torque, stability quotient) tell us definitively. Anterior teeth, all-on-4 protocols, and patients with good bone are most often candidates. Heavy grinders and patients with poor bone quality may not be.
Will the same-day crown look like a real tooth?
It will look natural enough that no one will notice in conversation, the provisional is shaped, shaded and polished to blend with surrounding teeth. It is not the final, definitive restoration, however. The provisional is built for healing and aesthetics during osseointegration; the final crown delivered at 6 months has higher-grade materials and a more refined finish.
Can I eat normally with the immediate load provisional?
Not at first. The provisional is built to protect the implant during early integration, not to take heavy chewing load. We require a soft diet for the first 8 weeks, no biting into apples, no nuts, no chewy steak, no hard bread crusts. Most patients return to normal-soft eating at week 8 and full normal eating after the final restoration.
What is Straumann BLX?
Straumann BLX is an implant system specifically designed for immediate-load protocols. Its tapered design and aggressive thread pattern produce high primary stability at placement, the key prerequisite for safely loading the implant the same day. We use BLX in many of our single-tooth immediate-load cases.
How does All-on-4 immediate loading work?
All-on-4 was specifically designed for immediate loading. Four implants are placed in one arch, the rear two angled to engage strong cortical bone, and a provisional fixed bridge of 14 teeth is screwed onto them on the same day or the following day. The patient leaves the clinic with a fixed full-arch bridge in place, no removable denture period.
What if the implant fails to integrate?
If the implant fails to integrate within 6 months of placement, we re-place it at no additional cost. Documented failure rates for immediate-load implants are slightly higher than delayed-load ( 3 percentage points in most studies), but still in the high-90s percent range when patients are properly selected.
Is immediate loading better for international patients?
Often yes. Immediate loading lets international patients leave Vietnam with a fixed temporary crown or bridge already in place after a single trip, rather than wearing a removable temporary or having a visible gap during osseointegration. The final restoration is fitted on the second trip 6 months later.
Where is immediate load surgery performed?
At any of our six branches. Hospital-based delivery (Vinmec International Hospital Da Nang and Link General Hospital Da Lat) is recommended for All-on-4 immediate-load cases that take 5 hours and benefit from on-site sedation and emergency medical support.
How long does the implant last vs delayed loading?
Long-term survival is comparable. The systematic review evidence shows immediate-load implants survive in the 97 percent range at 10 years vs 98 percent for delayed-load, when patients are appropriately selected. The implant fixture itself, once integrated, has the same expected lifespan.
Related Treatments
Single Tooth Implant
The standard delayed-load alternative when bone or stability does not permit same-day loading. Same final result, longer total treatment time on the provisional.
All-on-4 Full Arch
The protocol most associated with immediate loading. Four implants supporting a complete fixed bridge of 14 teeth, often delivered on the day of surgery.
Full Mouth Reconstruction
Both arches restored. Immediate loading is the standard delivery method for full-mouth All-on-4 and All-on-6 cases.
Start Here
Get a Personalised Same-Day Plan
Within 24 Hours.
Tell us which tooth (or teeth) need replacing and your travel timeline. Our implant team reviews every request and tells you honestly whether immediate loading suits your case, with a brand recommendation, treatment plan and price estimate at no cost and no obligation.