Single stage dental implants
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Single-stage dental implantation: pros and cons and indications
Like any dental procedure, the one-stage implantation technique has both advantages and disadvantages.
But the procedure is not without some drawbacks. These include an increased possibility of rejection of the installed structure or its displacement.
Important! You cannot install a permanent prosthesis immediately after implanting the pin. Such a step threatens his rejection. Fixation of a permanent orthopedic structure occurs only after completion of the osseointegration process.
Manipulation is carried out for both partial and complete restoration of the dentition.
The dentist can offer one-stage implantation for:
- The absence of one or more dental units. In this case, the procedure is justified from the point of view of restoring the aesthetic appearance of the smile
- Complete absence of teeth in one of the jaws. In this case, a removable denture for 10-14 dental units is used. This allows the patient to chew immediately after implantation
- Destruction of the jaw bone
- Increased mobility or pathological destruction of dental units
- Root recession
The installation of one-stage implants is indicated for significant damage, when it is difficult or impossible to restore the tooth with a crown.
The advantages of the procedure with immediate loading include:
- Possibility of installing a prosthesis immediately The duration of therapy is significantly reduced: there is no need to wait for complete restoration of bone tissue. Minimal damage to soft and hard tissues of the oral cavity.
- Only one procedure needed There is no need for a repeat operation to access the bone and form a bed for the implant being installed.
- Economical No need for expensive bone grafting, i.e. there is no loss of bone, as happens with a long-term absence of a dental unit.
- Risk reduction The procedure helps reduce the risk of developing degenerative processes of bone tissue and, as a result, deformation of the row.
- Rapid engraftment Thanks to specialized fastening, reliable primary stabilization is achieved, and immediate loading accelerates tissue regeneration.
- Aesthetically The natural structure of the tissues surrounding the prosthesis is preserved.
This type of installation of orthopedic structures has a number of contraindications.
Relative ones include:
- Advanced caries
- Pregnancy, lactation
- Acute phase of chronic pathologies
- Inflammatory process in the area of a damaged tooth
If there are temporary contraindications, implantation can begin after treatment of existing pathologies. For example, if in the area of future work there are active foci of inflammation or severe destruction of tooth tissue, you will first need to cure the inflammation or restore bone tissue.
- Insufficient amount of bone tissue
- Blood pathologies
- Decompensated diabetes mellitus
- Open tuberculosis
- Individual reaction of the body to drugs used for anesthesia
- Oncology
- Systemic lesions of bone or connective tissue
- Thyroid diseases
- Mental disorders
The decision on whether orthopedic structures can be installed using a one-step technique is made by a specialist after examining the patient and studying his medical history.
How implantation occurs
Procedure algorithm:
- Diagnostics. Necessary to assess the condition of the jaw bone. For these purposes, the following may be prescribed: laboratory tests, CT scan of the jaw, orthopantomogram
- Preparatory stage. Includes elimination of the patient’s problems: caries therapy, professional teeth cleaning
- Modeling. The specialist selects the implantation protocol, the place of integration of the artificial root, and determines the treatment tactics
- Tooth extraction, socket cleaning
- Installation of an artificial root. Implantation is carried out through a small puncture
- Suturing the gums
- Installation of a temporary crown. After 2-3 days, an adaptive prosthesis is placed, made according to individual parameters for a specific patient
When the implant healing process is completed, the patient is given a permanent crown.
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Single-stage dental implantation: what is it?
The main task of dental specialists is aimed at restoring the functionality and aesthetics of the dentition. Prosthetics with implants is the final step of a complex of rehabilitation measures, which consists of sanitation of the oral cavity.
Modern dentistry offers two options for installing implants:
As for the one-step procedure, it includes several dental implantation protocols, which involve the installation of monoblock or classic dentures.
Express implantation is used for minor defects or complete edentia. The procedure has the advantage of minimal harm to surrounding tissues. The doctor makes a puncture in the soft tissues and immediately after the problem tooth has been removed, installs a pin. Loading with a temporary prosthesis occurs on the same day or later, but no later than 3 days.