One-stage dental implantation

One-stage dental implantation involves inserting an implant into the gum immediately after tooth extraction, during one visit to the doctor. This method allows not only to save the patient’s time, but also to preserve maximum bone tissue in the operated area. Depending on the condition of the jawbone, doctors use one of three express implantation methods: with immediate loading, with the installation of a gum former, or with delayed loading. Choosing a dental implantation method immediately requires an individual approach and a comprehensive examination of the patient.
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What to consider when choosing implants

When choosing an implant, the anatomical features of the jaw, the volume and quality of bone tissue, as well as the condition of the patient’s gums are taken into account. High quality titanium is often used to make implants. It can be pure with a minimum of impurities or reinforced with vanadium and aluminum.

The degree of osseointegration is also important – the ability of the implant to fuse with bone tissue. It is ensured by technological processing of the material, during which a rough surface is created for better adhesion to the bone. In addition, special biocompatible substances are applied to the implants, which stimulate bone tissue growth. This treatment increases the chances of successful fusion of the implant with the bone and its durability.

What to consider when choosing implants

Advantages of one-stage implantation

  • High aesthetics and physiology. The procedure ensures a harmonious combination of artificial and natural teeth, uniform load distribution
  • Prevention of atrophy. Preserves the volume of the jawbone, prevents changes in the dentition
  • Speed. The operation is completed in just a few hours
  • Low invasiveness. Implantation involves only one intervention at the time of installation of the artificial root
  • Quality. Doctors use only modern techniques and certified materials from official manufacturers

Implant options for immediate implantation

Implants are one-piece, where the rod and abutment are a single unit, which allows you to immediately install a crown. There are also collapsible options, where the abutment is installed separately.

In addition, doctors take into account the shape of the pin:

  • Long and thin apical rods – suitable for dense bone tissue
  • Short and wide coronal rods – used for low bone density

Dental implant manufacturers are constantly improving their products, offering different sizes and shapes. This allows doctors to select the optimal implant for each client.

Implants from such brands as Nobel Biocare with 99.8% survival rate, ROOTT with 99.6%, Xive and Ankylos with 99%, as well as Osstem and Alpha Bio with 97.1% also demonstrate excellent survival rates.

We invite you to familiarize yourself with the leading manufacturers of dental implants:

  • Astra Tech (Sweden) Survival rate 99.3%, accelerated osseointegration, lifetime guarantee, price RUB 55,000, premium class
  • Dentium (South Korea) Survival rate 99.2%, standard rate of osseointegration, lifetime guarantee, price 20,000 rubles, economy class
  • Straumann (Switzerland) Survival rate 99.4%, accelerated osseointegration, lifetime guarantee, price RUB 35,000, premium class

Disadvantages of one-stage implantation

Despite the numerous advantages, there are certain limitations and disadvantages:

  • Contraindications. The operation is not performed for periodontal disease, osteoporosis, bleeding disorders, kidney and cardiovascular diseases
  • High risk of rejection. Occurs in case of insufficiently strong fixation of the bone root, wide socket, severe damage to soft tissue

The competence of the implant dentist plays a key role in the success of implantation. The accuracy of the operation, the stability of the implant in the bone, as well as the correct installation of the abutment and gum former, necessary for further reliable fastening of the crown, depend on his experience.

General information about the procedure

Stages of instant dental implantation

Simultaneous installation of an implant is a process in which the physiological structure of the jaw tissue is preserved. The effectiveness of the procedure depends on compliance with the developed protocols.

  1. Preparation. Involves a consultation with a dentist and a complete examination of the patient. It includes blood tests, orthopantomogram (OPTG) and computed tomography to assess the condition of the dental system
  2. Root removal under local anesthesia. The doctor carefully removes the root of the damaged tooth, since implantation requires an intact bone socket
  3. Implant installation. If the tooth socket allows surgery, the implant is installed directly into it. In case of bone tissue atrophy, additional procedures are first required, for example, bone grafting
  4. Attaching the crown. A temporary crown is installed to reduce the load on the implant during the period of osseointegration. The operation lasts about an hour, if a sinus lift is necessary - up to 3 hours
  5. Osseointegration. The healing process takes from 2 to 5 months, depending on the location of the implant. After this, the temporary crown is replaced with a permanent one

It is recommended to follow all the doctor’s instructions after immediate dental implantation in order to avoid negative consequences.

Oral care after dental implantation

On the first day after immediate implantation, the following rules must be observed:

  1. Maintain a semi-upright position to prevent swelling
  2. Apply cold to your cheek for the first 2-3 hours
  3. Only drink drinks that are not sweet or too hot
  4. After 5 hours you are allowed to eat semi-liquid, non-spicy food
  5. If pain occurs, take a pain reliever such as Paracetamol
  6. Avoid vigorous mouth rinses
  7. Stop smoking as it negatively affects the healing process

During the period of osseointegration, which lasts several months, it is important to exclude the effects of high temperatures on the body (bath, sauna), heavy physical activity and stressful situations. In addition, it is worth limiting the consumption of alcohol, strong tea and coffee, as well as hard, spicy, hot or cold foods. It is recommended to chew food on the healthy side, gradually increasing the load on the operated side.

After installing a permanent crown, gradually increase the load on the implant and carefully monitor oral hygiene. In the first three days after surgery, it is recommended to take baths with antiseptics twice a day, and after three days you can start brushing your teeth with a soft brush.

After two weeks, you can use irrigators to more thoroughly clean your teeth and remove food debris. If there are no complications, you can return to normal hygiene procedures 2-3 weeks after surgery.

Early and late complications after express dental implantation

Complications can occur immediately after cessation of anesthesia and during the first 2-3 weeks. The most common of these is inflammation, often caused by infection.

Other early consequences include:

  • Pain and fever. If the pain intensifies after the third day and is accompanied by a high temperature, you should consult a doctor. Painkillers and antipyretics may be ineffective
  • Increasing swelling. If swelling does not decrease on the fourth day, it spreads to the ear and throat, medical attention is required
  • Excessive bleeding. Normally, minor bleeding may occur on the first day. If it does not stop within 2-3 hours, this is an alarming symptom
  • Seam separation. Requires immediate medical attention
  • Purulent discharge. They differ from ichor by a fetid odor and turbidity, accompanied by inflammation and pain
  • Numbness. If sensation does not return within 2-7 days, this may indicate nerve damage

Late complications usually occur after several years and are associated with the patient's general health, injury, or inadequate dental care. These include:

  • Problems with installing a crown/prosthesis. Incorrect implant position due to surgeon error
  • Chronic runny nose and sinusitis. Occurs when the maxillary sinus is damaged during installation of an implant in the upper jaw
  • Implant loss. This may be a consequence of a doctor's error during installation
  • Mucositis and peri-implantitis. Inflammatory processes associated with poor hygiene and bad habits of the patient

A rare but serious complication is implant rejection. Most often it is associated with deteriorating health or acute inflammation.

Drug therapy after dental implantation

An important aspect after immediate dental implantation is drug therapy. In most cases, doctors recommend taking broad-spectrum antibiotics belonging to the penicillin or cephalosporin groups. They are designed to combat purulent infections and have proven themselves to be effective and safe drugs.

Important! To ensure the necessary concentration of active substances in the blood, doctors recommend starting treatment two days before surgery. This is especially necessary for complex surgical interventions and the presence of chronic diseases.

The standard course is from 5 to 7 days, but in some cases the use of antibiotics is extended to two weeks. The final decision on the drug and its dosage is made by the doctor based on the clinical picture and individual tolerance by the patient.

Medication support after dental implantation:

  • Probiotics and eubiotics To protect the gastrointestinal tract from the negative effects of antibiotics, drugs containing lacto- and bifidobacteria are prescribed
  • Ointments for healing Designed for application to seams. Provide rapid recovery of the mucous area
  • Painkillers with anti-inflammatory effect Used to relieve pain and inflammation after anesthesia wears off
  • Antihistamines Designed to prevent swelling. Particularly effective in combating swelling of the mucous membranes
Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
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
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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