Abstract
Introduction: Early implant follow-up studies laid the scientific foundation for modern implantology. Early loading was identified as a critical factor; therefore, various waiting times were explored until a period of at least three months was established for the mandible and five to six months for the maxilla. Thus, an immediate dental implant (IDI) was defined as the placement of a prosthetic element on the implant without osseointegration occurring. Objective: This systematic review aimed to analyze the importance of clinical evaluation and bone elevation for the success of the immediate implant technique, presenting criteria for the indication and follow-up of these procedures. Methods: The systematic review rules of the PRISMA Platform were followed. The search was conducted from December 2025 to January 2026 across the Web of Science, Scopus, Embase, PubMed, ScienceDirect, SciELO, and Google Scholar databases. The quality of the studies was assessed using the GRADE instrument, and the risk of bias was evaluated according to the Cochrane instrument. Results and Conclusion: According to the GRADE instrument, most studies presented homogeneous results, with X2=71.7% > 50%. A total of 132 articles were found and submitted for eligibility analysis, with 22 final studies selected to compose the results of this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 33 studies with a high risk of bias and 21 studies that did not meet GRADE and AMSTAR-2 standards. It was concluded that the high success rate is a consequence of correct surgical and prosthetic planning, and the harmony between the implant system, the patient, and the dentist. Immediate dental implant placement in total jaw rehabilitation is a procedure with high success rates that should and can be applied in all cases where the technique is efficient in providing adequate primary stability to the implants.