Contemporary dental practice increasingly focuses on minimally invasive treatments as a primary therapeutic objective. Selecting appropriate cases for immediate implant placement can significantly shorten treatment duration, lower financial expenditure, and enhance overall patient satisfaction. A systematic literature search was performed in March 2025 across Medline, PubMed, and Web of Science databases, with no time limits applied. Additional manual screening was conducted to retrieve supplementary sources. Studies addressing current data on immediately loaded dental implants supporting fixed partial restorations in posterior regions were included. Publications lacking abstracts or not written in English were excluded. Ten articles met the inclusion criteria. The included studies reported survival outcomes ranging between 86% and 100%, with implant failure rates under 21.6% and an average follow-up of 55.6 months. Statistical testing indicated no significant survival differences between implants in the upper and lower jaws (χ² = 0.42, p = 0.81, df = 2). Follow-up durations ranged from one to ten years, demonstrating variability in design and observation periods. The reviewed evidence reveals marked diversity in immediate loading protocols for implant-supported fixed restorations in posterior areas. Variations in prosthetic components and implant systems were noted, but overall findings suggest that immediate loading remains a dependable, patient-oriented treatment option providing stable long-term success.
