The science of implantology has evolved dramatically over the last 10 years. As the field of implantology progressed, the techniques have changed and developed for better.

Earlier implants were inserted into the bone by two stage surgery wherein a full thickness flap was raised. The flap was then sutured  and not disturbed for approximately 4 months. The patient was instructed not to wear any dentures for a period of one week, and thereafter as little as possible to avoid implant failure. Therefore, the patient was inconvenienced for an extended period .When the Osseo integration or healing period was over, a second-stage surgery was performed to expose the implants by removing the overlying tissue and placing the transmucosal element. At this point temporary teeth could be placed and the reconstruction for placement of permanent teeth would be taken up.

This two-stage  procedure was improved upon with a single stage technique, whereby the transmucosal element was placed the same day as implant placement, or differently designed one piece implants were used that remain supragingival.

To reduce the number of visits and discomfort to the patient, was designed surgery to extract the teeth and place the implants into the extraction site(s) the same day. This is called immediate placement. However, the teeth were not placed on those implants the same day.

The latest revolution in implant surgery is to provide immediate placement and immediate loading of implants with temporary teeth the same day. The patient experiences little discomfort overall and is able to resume eating and normal life activities the same day. This procedure requires the practitioner to be selective in picking appropriate patients. The jaw bone must be adequate in height and width to accept the implants. There must be enough bone past the socket sites to achieve rigid fixation of the implants. In addition, all residual infection, if any, must be eliminated prior to implant placement.