Classic two-stage dental implantation

The specialists of the K+31 clinic use modern prosthetic techniques and materials from world manufacturers in their work. To restore a patient’s beautiful smile and self-confidence, implant surgeons conduct diagnostics and help select the optimal technology for restoring damaged teeth.
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Classical two-stage dental implantation
About the service

In dentistry, two-stage implantation is a classic method of restoring decayed teeth, consisting of two stages. It is used both for multiple defects in the dentition, and in the absence of one or more units. At the same time, an orthopedic implant is installed in place of the extracted tooth, which will act as a root, and a crown is placed on top of it. In the event of the destruction of several teeth located nearby, a bridge prosthesis is fixed to the metal rods. With complete adentia, you can restore the whole jaw.

The two-stage method of implantation requires more time and is more expensive than the one-stage method. However, it is possible to pay for each stage separately, which is convenient for most patients.

The price of a two-stage implantation depends on such factors:

  • Choose brand of implant system
  • Material of the implant, crown and accessories - a set of the same category is selected
  • Number of implants

Also, the total cost of prosthetics will include treatment, diagnostics, bone grafting (if necessary).

In the medical center "K+31" you can undergo a comprehensive diagnosis, pass all the necessary tests in our laboratory, make an orthopantomogram. Our specialists select the type and material of the prosthesis, taking into account the availability the patient has contraindications, allergies, individual diseases.

To sign up for a consultation with an implantologist, learn more about the services of our clinic, the price of the procedure, admission schedule, promotional offers, fill out the online feedback form.

Features of the classical method of dental prosthetics

Two-stage dental implantation is the standard and classic way to restore the dentition. This effective technique has been tested for decades. Later, a newer technique appeared - one-stage implantation with an instant load, which reduces the time of prosthetics, but is not indicated in all cases.

Classical implantation involves the installation of an implant, which is loaded with an orthopedic prosthesis after 3-6 months. To restore one tooth, a single implant is used, and for the entire jaw, a one-piece prosthesis is used, which is mounted on several support rods.

Dental implantation in two stages has the following advantages:

1

The titanium implant first takes root and firmly fuses with the jaw bone, and after that a crown is placed on it and chewing load is allowed. This approach improves the quality of its integration. and reduces the risk of rejection or damage in 99% of cases

2

If necessary, bone tissue is built up immediately before implantation, the wound will have time to heal

3

After implantation of the implant until the next stage, the gum is sutured. This reduces the risk of wound infection, damage during chewing, or foreign body rejection.

4

Staged payment for prosthetics - comfort for a patient who cannot immediately fully pay for implant treatment

Classical implantation of teeth in two stages takes more time than one-stage. But at the same time, the end result is of higher quality, and the duration of the life of the structure is also higher.

Conditions for the operation

The doctor recommends a two-stage method only after a comprehensive examination, assessing the condition of the patient's jaw, analyzing the presence of chronic diseases and contraindications.

Implantation begins only after preliminary sanitation of the oral cavity - elimination of caries, pulpitis or periodontitis as sources of infection. In case of significant defects and destruction, the remains of the teeth are first removed. If prosthetics of the entire jaw is performed, the doctor removes all the roots.

Indications

Classical implantation without simultaneous loading is indicated for:

  • Complete edentia, including bone tissue atrophy
  • Destruction of chewing molars, which it is better not to put a load on after implantation, but to allow them to fuse with the bone
  • There is no way to stabilize the implant, there is a risk of rejection of the structure

Most often, the classical method is chosen for the lower jaw when restoring chewing teeth.

Contraindications

There are restrictions on the operation. Implantation is not performed for the following conditions and diseases:

  • Decompensated diabetes
  • Bleeding disorders
  • HIV or AIDS, hepatitis
  • Autoimmune diseases
  • Pregnancy and lactation

Bone tissue atrophy is not a direct contraindication to implantation, since augmentation can be carried out before this. Also, during the treatment period, the patient should not have infectious diseases, fever or other diseases, the presence of which does not require surgical intervention.

General information about the procedure

Stages of dental implantation

The classic method provides for a specific procedure for installing dental implants:

  1. The first stage of dental implantation. Direct implantation of a metal support rod into the jaw bone. Depending on the chosen technique, the amount of destruction and the condition of the bone tissue, the number of implants and their location are selected
  2. Second stage of dental implantation. Installation of the prosthesis on the established supports. This can be a single crown, a bridge structure or an entire jaw

These two stages of implant prosthetics involve multiple visits to the dentist, intermediate steps, checks and treatment until the work is completed.

Preliminary treatment and preparation

At the initial consultation, the implant surgeon examines the patient’s oral cavity, diagnoses dental diseases, and determines whether treatment is necessary before starting prosthetics. Next, the doctor issues a referral for laboratory blood tests, a panoramic X-ray of the jaw and a CT scan.

Based on the examination results, anamnesis is determined and a step-by-step treatment plan is developed. If necessary, the doctor treats caries, pulpitis or other diseases, and cleans periodontal pockets.

Based on the results of X-rays or computed tomography, a specialist can assess the condition of bone structures, measure the height and width of the bone, and see the location of the maxillary sinuses and nerves.

The required volume of bone tissue must be at least 5 mm. If their deficiency is diagnosed, plastic surgery is performed - sinus lift on the upper jaw, argumentation on the lower jaw.

Implant placement

Under local anesthesia, the surgeon makes an incision in the gums in designated areas. A metal rod is screwed into the bone tissue. With the classical technique, implants are installed vertically, then sutures are placed on the gums.

After implantation, the rods must take root and fuse with the jaw bone. This guarantees a strong fixation of the future upper part of the prosthesis.

Installing the abutment

After 1–2 weeks, the doctor attaches a temporary crown to the prepared abutment. For large volumes - a bridge structure or the entire jaw.

Initially, a plastic prosthesis is used, which the patient will get used to while the permanent one is being prepared. After the manipulation, you can give a chewing load. Externally, temporary teeth are very similar to real teeth.

Installation of an adaptive prosthesis

After 1–2 weeks, the doctor attaches a temporary crown to the prepared abutment. For large volumes - a bridge structure or the entire jaw.

Initially, a plastic prosthesis is used, which the patient will get used to while the permanent one is being prepared. After the manipulation, you can give a chewing load. Externally, temporary teeth are very similar to real teeth.

Installation of a permanent prosthesis

The last of the stages of dental implantation using the classical technique. The patient can choose the crown material - metal-ceramics, ceramics, zirconium alloy. The prosthesis for each patient is made individually, according to an impression, taking into account the size, shape and color.

The doctor removes the temporary crowns and attaches permanent ones in their place. To do this, one of two types of connection is used - with dental cement or using a multi-unit system (with a screw fastening). In the first case, the prosthesis will be permanent, in the second it will be conditionally removable, that is, the doctor will be able to remove it if necessary in the future, without sawing. In the removable version, the crown is screwed onto the abutment and covered with filling material on top.

The result of prosthetics is an even row of teeth with a neat gum line and a good aesthetic effect. If necessary, gum augmentation can be performed.

How long does dental implantation last?

The preparatory stage can take from 2 days to several weeks. It all depends on the presence of dental diseases that must first be cured, as well as the need to build up bone tissue.

From the implantation of implants to their ingrowth, it takes 4–6 months. After this period has expired, the doctor examines the patient and sets the time for the next procedure to install the abutment. A few days later a temporary prosthesis is placed, and after another 1 month - a permanent one.

The entire period of treatment and prosthetics can take up to 9 months.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
All specialists
Make an appointment at a convenient time on the nearest date

Price

Reception
Price
Primary consultation with a dentist-therapist
from 4 950 ₽
Repeated consultation with a dentist-therapist
from 4 600 ₽
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