Advances in Dental Implantology: Osseointegration, Surface Modifications, and Immediate Loading Protocols

This chapter examines the biological principles underpinning osseointegration and surveys the latest developments in implant surface engineering, including micro- and nano-scale modifications designed to accelerate and enhance bone-to-implant contact. It reviews current evidence on immediate loading and same-day implant protocols, assessing their indications, outcomes, and complication profiles relative to conventional staged approaches. The chapter also addresses emerging concepts such as zirconia implants, platform switching, and the influence of the peri-implant microbiome on long-term implant stability.