iStomatolog > Dental implants > Two-stage implantation

Two-stage dental implantation

Two-stage implantation

Two-stage implantation

What is two-stage dental implantation?

Two-stage dental implantation involves two consecutive procedures with a time interval of 1 to 6 months:

  1. Implant placement.
  2. Prosthetics (installation of a crown on the implant).

Indications for two-stage dental implantation

Implantation performed simultaneously with tooth extraction

Radiographic signs of osteoporosis of the jaw bone

The need for bone grafting

The need for a sinus lift operation

The need for soft tissue plastic surgery

Contraindications for two-stage dental implantation include

Alcohol or drug addiction

General somatic diseases

After elimination or stabilization of the primary disease (achieving sustained remission), implantation becomes possible.

Pregnancy

Oncological diseases

Two-stage implantation is possible after achieving remission and 12 months after completion of radiation or chemotherapy.

Psychiatric disorders

Stages of two-stage dental implantation

1 Stage

Implant placement

2 Stage

Placement of gum former 1-6 months later

The timeframe depends on the chosen implant system; the jaw where the implantation is carried out (the osseointegration period is twice as long in the upper jaw); and any accompanying operations.
3 Stage

Scanning of the implant for the manufacture of an individual zirconia/titanium abutment 2-7 days later.

In a single implant, scanning of the implant and crown fabrication is done in one visit.
4 Stage

Fabrication of crown on the implant or bridging prosthesis

Fixation of individual abutments and prostheses on the implants in the oral cavity.

How implant and crown placement works during two-stage dental implantation?

Implant placement takes about 30 minutes.

  • Anesthesia - usually local. In case of pathological fear of the patient or extensive surgical intervention during the placement of a large number of implants and simultaneous accompanying operations, general anesthesia and sedation may be used.
  • Treatment of the oral cavity with an antiseptic solution (rinsing) and the site of implant placement with a Betadine solution.
  • Incision of the mucosa on the alveolar process.
  • Creating space for implant placement. This is done using a physiodispenser device and a set of special drills. Each implant system has its own unique set, which allows step-by-step development of bone tissue in accordance with the length and diameter of the chosen implant.
  • Actual placement of the implant in the created space.
  • Suturing of the mucosa.
  • Recommendations regarding home care.

Installation of gum former takes about 10 minutes.

It is performed 1-6 months after the implantation, depending on the implant system and the jaw where the implant was placed (the healing process is longer on the upper jaw than on the lower jaw), as well as whether there were accompanying procedures such as sinus lifting or bone grafting. Under anesthesia, a section of the mucous membrane is removed in the area of the implant and a gum former is placed, which simulates the future tooth neck. The gum heals within 1-3 days after the installation of the gum former.

 Implant scanning takes about 30 minutes.

Digital scanning of the implant is done for the individual production of an abutment (zirconia or titanium) and a crown on the tooth. It is done on a CEREC machine using original components.

Fixation of the finished crown on the implant takes about 30 minutes.

The implant-crown structure may consist of two parts: when the crown is glued to the abutment and this structure is screwed to the implant (screw-retained crown); or of three parts: the abutment is screwed to the implant, and the crown is separately fixed to it (cement-retained structure). Screw fixation is most often used for single crowns on the implant, while cement-retained is used for making bridge-like structures supported by implants.

Overall, two-stage implantation has advantages over one-stage implantation (when the implant and crown are installed in one visit). Osteointegration (implant fusion with the bone) is comparable to the process of bone fracture healing, when the formation of a vascular network and bone structures occurs. As with a fracture, it is necessary to create optimal conditions during the healing period for the formation of a bond between the implant and the jaw tissue (so-called implant osteointegration).

How soon can a crown be placed on an implant?

The timing for placing a crown on an implant depends on several factors, including:

  • The type of implant system used; some implant systems, such as Straumann, allow for immediate loading and crown placement after just one month, while others may require six months or longer.
  • The type of bone where the implant is placed.
  • Whether any additional surgical procedures were performed, such as tooth extraction, sinus lifting, or bone grafting.
  • The patient's overall health and any underlying medical conditions.

On average, for a two-stage implant procedure, the time frame for placing a crown in the lower jaw is 2-3 months, while the upper jaw may take 4-6 months.

Benefits of the two-stage implantation at iStomatolog Center

  • Using only proven implant manufacturers with original components.
  • Providing several implant systems at different price points with detailed descriptions of their advantages and disadvantages.
  • Offering individualized support during the post-implantation period.
  • Utilizing digital scanning for precise implant and crown fit, rather than traditional silicone impressions.
  • Custom-making crowns and abutments for implants from titanium and zirconia using milling techniques.
  • Providing a guarantee from the implant manufacturer for the implant placement.

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    Two-stage or single-stage implantation, what is the difference?

    Two-stage implantation involves first installing the implant and waiting for a period of time for it to fully integrate with the jawbone before creating the crown. With single-stage implantation, the crown is made at the same time as the implant is installed.

    Generally speaking, two-stage implantation is preferred over single-stage. Implant integration can be compared to the healing of a bone fracture, where a vascular network and bone structures are formed. Like with a fracture, optimal conditions must be provided during the integration period to ensure proper fusion between the implant and jawbone.

    What is immediate implantation?

    Immediate implantation involves removing a damaged tooth and placing an implant in one visit. A necessary condition is the absence of inflammation (cysts, granulomas) in the area of the roots of the damaged tooth and sufficient bone volume.

    Recommendations after two-stage tooth implantation

    1. Take medications as recommended by the treating doctor.
    2. Avoid consuming alcohol for a period of 7 to 14 days.
    3. Limit or avoid smoking.
    4. Avoid visiting saunas, baths, tanning beds, or pools.
    5. Limit heavy physical activity for 7 days.
    6. Limit the consumption of hard and tough foods until the sutures are removed.
    7. Use a soft toothbrush until the sutures are removed.
    8. Thoroughly clean the mouth after every meal until the sutures are removed.

    How to care for an implant?

    Until the sutures are removed, it is necessary to clean the teeth with a soft toothbrush, use mouthwash with an antiseptic, and apply special gels to the suture area to accelerate regeneration processes and protect the mucous membrane. In the future, after the implant has integrated and the crown has been installed, no special care is required. It is sufficient to brush your teeth daily and use an irrigator. It is recommended to visit the dentist for preventive checkups and professional oral hygiene at least once every six months.

    Full Price list of dental clinic services is available at the following link 

    FAQ

    The cost of dental implant installation (excluding the cost of the implant crown) directly depends on several factors and ranges from 300 up to 700 euro. The cost of implant installation depends on the following factors: the implant system used (leading implant manufacturers strictly adhere to all production standards, from the quality of the titanium to the precision of thread application and product sterility, and they also provide a warranty for their products - accordingly, the cost will be higher. Examples include Straumann, Megagen, Nobel, Ankylos, MIS); the equipment used for implant installation (implants can be installed on a regular dental chair, but the use of special equipment such as a physiodispenser allows for safe installation without risking injury or overheating of bone tissue); the need for additional procedures (sinus lifting, bone grafting, gum plastic surgery, etc.); and the dentist's qualifications.
    Dental implants do not pose any danger to the patient's health. They do not affect the functioning of the organs and systems of the human body. The implant material is biologically inert and biocompatible.
    "Turnkey" implantation means that the patient receives a new tooth in place of the missing one that corresponds to the functional and aesthetic characteristics of the lost tooth. The stages of turnkey implantation include implant placement, abutment and crown installation. Additional procedures such as tooth extraction, bone and gum plastic surgery, and sinus lifting may also be included.
    The installation of the implant itself takes about 10 minutes. The total duration of a visit for the installation of one implant is about 30 minutes and includes: pre-implantation preparation of the patient, anesthesia, implant placement, stitching, post-implantation manipulations, and recommendations. The duration may be increased if additional procedures are required, such as tooth extraction, bone and gum plastic surgery, sinus lifting, etc. The necessity for these procedures is determined by the doctor and agreed upon with the patient.
    When the implant is placed in the location of a long-removed tooth without additional manipulations with bone or gum tissue, pain is absent or insignificant in the first few days and does not require painkillers. Pain after dental implant surgery is mild, easily eliminated by painkillers, and may be present for 1-3 days. In case of significant intervention on bone tissue and gums or the installation of a large number of implants, pain may be present for up to 5-7 days (by the 7th day, it usually subsides).
    The integration (osseointegration) of the implant takes from 1 to 6 months depending on the initial situation, implant system, type of bone, jaw on which the implantation was performed, accompanying operations on the bone and soft tissues. On average, this is 2-3 months for the lower jaw and 4-6 months for the upper jaw. However, the patient does not feel the implant integration process, and it is more correct to speak of the healing time of the gum in the implant placement area, which is about 7-10 days (actually until the stitches are removed).
    Two-stage implantation

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

    You can get more detailed information at the consultation. At iStomatolog Center, it is possible to install different implant systems, after a 3D examination of the jaw, we will offer you several implant systems to choose from specifically for your clinical case.

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    Срочно нужно было получить квалифицированную помощь из-за травмы ребёнка, обратилась в эту клинику и не пожалела. Доктор Дышловая Ирина Сергеевна - и по телефону, и на консультации, и при лечении была максимально профессиональна. На рецепции девочки приятные. Вобщем, рекомендасьон 👌🏻
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.
    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Професіоналізм на вищому рівні, дуже гарно працюють а також затишно та комфортно,всім рекомендую
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    С удовольствием рекомендую клинику и желаю Елене и компании всевозможных профессиональных и прочих жизненных успехов! Спасибо за профессионализм и внимательность.
    Что такое профессионализм? Это в высшей степени компетентность, уверенность и любовь к своей работе. «Не боюсь и доверяю» - это, пожалуй, определение собственных ощущений от лечения у Елены Дайнецкой. Мой выбор - iStomatolog и никто другой!!!

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