Immediate loading has proven to be a predictable modality for restorations with titanium dental implants. An increasing number of articles indicate that zirconia implants might osseointegrate to a similar extent in this context. This 5-year case report describes an outpatient maxillary restoration with eight immediately loaded zirconia implants. Implantation followed extensive bone augmentation. At the 5-year follow-up, all implants were still well osseointegrated clinically and radiologically. No major bone loss or peri-implantitis had occurred in spite of temporary insufficient patient compliance. More research and studies are needed to confirm these results.
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