When we have clinical, academic and surgical training based on scientific evidence, we have to take into account and attach importance to different sorts of results that are obtained with the same procedure, in this case, the surgical one.

Speaking more clearly and in detail:

– When we insert implants in the bone, in order to have chance to carry out an immediate function, i.e., to be able to place implants and, in the same day, have the teeth screwed, each implant has to have a clamping force above a specific value, which is measured electronically and mechanically throughout the surgery.

And the values obtained are what support the decision that is taken during the surgery.

In other words, we base our decision according to radiological, clinical and medical criteria, and based on our previous experience in this kind of surgery, which we carry out on a daily basis and sometimes more than once a day. We decide if the teeth are screwed in the same day, or in the following morning, if we happen to carry out the surgery in the evening.

In world literature we witness important variations regarding these numbers, but in about 10-20% of upper jaw surgeries we are not capable of providing that same “immediate function”. In our individual and specific experience, in the upper jaw, about 10% of the times we are not able to screw the provisional structure at the very same day. When this happens, our patients go home with the lower structure already screwed and a detachable upper one, always complying with top-tier standards of accuracy and aesthetics.

When the osseointegration months are over (the healing process of the bone implant), the final result is exactly and precisely the same, from a biological, medical, surgical and oral rehabilitation standpoint.

Today we present one of those cases, where our patient was not able to leave the clinic with both structures screwed in the same day of her surgery, solely the lower one, with the upper being the detachable option.