One-stage dental implantation

Three types of simultaneous implantation

There are three main techniques that differ in their cost and aesthetics during implant healing.

Simultaneous implantation with a temporary crown

The technique is used when restoring a tooth in the smile area, so that the gap does not embarrass the patient during healing. A temporary plastic tooth is selected and adjusted by an orthopedist from ready-made kits (most often from Yamaguchi) and is attached to the implant through a standard abutment. Plastic is not able to provide the proper appearance and correctly distribute the load on the entire prosthesis, therefore, it must be replaced in a timely manner with a ceramic or ceramic-metal crown so as not to break the abutment or implant and spoil all the work already done.

Simultaneous Implantation with Healing Abutment

The gingiva former is a smooth cylindrical cap screwed into the implant hole and serves to form a “nest” from the gingival mucosa where the crown will later fit. It protects the surgical site from the development of infection and avoids re-injury during the installation of the crown (no need to cut out part of the already fused gum for an artificial tooth).

Simultaneous implantation with gum closure

The cheapest, but also the most painful option for immediate implantation. In this case, only a small cap closes the implant hole, which the surgeon sews tightly under the gum. After 3-4 months, the gum is cut again and a crown is placed in place of the lid, around which the gum is again sewn up. This technique is often used to save money in the absence of a large number of teeth in the chewing area.

Simultaneous Implantation Procedure

The one-stage treatment is divided into two stages and in the first stage it usually takes from 3 to 7 days – up to the installation of a temporary crown. The operation takes place in several steps:

Preparation

At the first appointment, a visual examination, analysis of computed tomography images (images can be taken right at our clinic before the appointment), a conversation with the patient and drawing up a plan with the calculation of the cost of treatment.

On the second and subsequent, all contraindications, if any, are eliminated. it is impossible to prevent the rejection of the implant from getting into the open wound of the infection. Bad teeth are removed, caries is treated, cleaning is carried out.

Installation of implants

After removing the obstacles for implantation, the surgeon cuts the gum, prepares the implant site with surgical drills of different diameters and profiles, and screws it into place using a special force control tool. Next, the implant is closed with a cap or shaper and sutured. When choosing a method with the installation of a temporary crown, the orthopedist screws a system of transfers into the implant and takes impressions for the manufacture of a temporary crown, which is installed after its preparation (usually on the third day).

Installing a permanent prosthesis

After 3-4 months, you will visit the clinic again two or three times to take impressions and install a permanent crown.

Contraindications

• Lack of bone volume for implant placement;
• Complicated tooth extraction or its fragments in the socket;
• Untreated inflammation, granulomas, cysts;
• General and temporary restrictions on surgical intervention:
  • Bruxism;
  • Gum and blood diseases;
  • Decompensated diabetes mellitus;
  • Oncological diseases;
  • Sinusitis (with fixation in the zygomatic bone);