With the one-stage implants operate two technologies: low-injury without suturing, with a cut periosteum along the crest of the alveolar ridge with immediate loading. In modern dentistry, single-phase implant placement is often used for atrophy, since the classical two-stage method is possible only after bone transplantation. For one-stage prosthetics, All-on-4 and All-on-6 technologies of dental implants are used:
- in the first case – 2 implants in front and 2 on the sides;
- in the second – 2 in the frontal zone, 4 on the sides.
Basal complex method is effective for atrophy, periodontitis, periodontal disease. The number of pins is increased to 8-12 per row. The surgeon models the fastening place with the help of 3D technologies, selects screws of different shapes with solid cast abutments, and in case of acute tissue deficiency, sets them at an angle. They hold dentures better, make the jaw work. The installation of prostheses and crowns on implants is performed on the 3rd day.
Two-stage with deferred load
This method is considered a classic and more aesthetic. Used to restore the dentition in the smile area. The process is divided into 2 stages: installation of the rod, after engraftment, a crown is inserted. For the two-stage method, collapsible rods are used: first, the intraosseous part is inserted, then the gingival cuff former, the abutment. Learn more about prosthetics methods in the video.
In order to introduce a pin and a temporary crown in place of the removed root, sometimes 1 visit is enough! This is real in the absence of pulpitis, cysts, granulomas, satisfactory oral hygiene. Otherwise, the doctor uses a standard protocol with corrective procedures, and the process is delayed. The essence of the procedure consists in implanting a rod into the well immediately after removal. The patient later changes the temporary crown to a permanent one, forgets about the problem. A plus of the method is the formation of a smooth gingival margin without a special cuff.
Why do we need osseointegration
If the maxillary sinus bottom is lowered, bone degeneration, periodontal disease are diagnosed, the surgeon forms the base for the root through the incision, planting an artificial membrane patch. The resorbable flap dissolves after a while, non-resorbable with titanium reinforcement is eternal. The doctor decides which membrane the patient needs. Plastic over time form a strong framework for the artificial root.