Increased Bone Quantity Around an Ailing Implant in Esthetic Zone using Progressive Bone Loading: A Case Report

Introduction: Progressive loading protocol is a high-demanding procedure suggested to increase the quality of bone when the implant is inserted in D3 or D4-typed bone. The purpose of this study was to present a case report regarding simultaneously progressive and immediately loading implants in the anterior position of the maxilla. Case report: One patient whose implants in the anterior maxilla (in site of teeth #7, #9, #11) had questionable to poor prognosis who was treated immediate and delayed progressive loading protocol and was followed up for 2 years. Discussion: Although the number of studies in this field is limited, it can be concluded that the progressive loading protocol can predictably enhance the treatment success in immediate-loaded implants with poor prognosis and when inserted in low quality bone such as the present case.