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One-phase implant-based fixed denture in general anesthesia

ONE-PHASE IMPLANT-BASED FIXED DENTURE UNDER GENERAL ANESTHESIA

Learn more about one-phase implant-based fixed denture

Introduction
Modern implantology offers several advanced solutions for patients who require full-mouth restoration, yet one method stands out for its speed, stability, and predictability: the one-phase implant-based fixed denture. As the attached document notes, “the advanced immediate loading implant implantation technique enables the one-phase implant-based fixed denture to be complete in just one week.” This efficiency, combined with excellent functional and aesthetic outcomes, makes immediate loading implants a preferred choice for patients who no longer have teeth suitable for prosthetic treatment. Although multiple implant systems exist—including two-phase implants, All-on-4,https://ilident.com/dental-implant-placement-under-anesthesia-mouth-rehabilitation/ and All-on-6—this article focuses primarily on the one-phase implant while providing context about the other three solutions to give a complete professional overview.

Understanding the four implant systems Full-mouth rehabilitation can be performed using several implant technologies. Each has its own indications, advantages, and limitations.

One-phase (immediate loading) implants
One-phase implants are inserted in a single surgical step and can be loaded immediately with a long-term temporary denture. This makes them ideal for patients who want rapid restoration and predictable stability. The implant can be placed at various angles, allowing the implantologist to anchor it in deeper, denser bone when necessary. Healing of the soft tissues takes a few weeks, while ossification—the biological integration of the implant with the bone—requires approximately 3–5 months. During this period, patients must avoid hard foods and follow strict oral hygiene instructions.

Two-phase (traditional) implants
Two-phase implants are placed in two separate stages. First, the implant is inserted into the bone and left to heal beneath the gums. After ossification, a second procedure exposes the implant and attaches the abutment. This method requires sufficient bone volume and often involves bone grafting. Although the process is longer, two-phase implants remain a reliable and widely used solution.

All-on-4 technology
All-on-4 uses four strategically placed implants to support a full-arch fixed denture. Two implants are inserted vertically in the front, while two are placed at an angle in the posterior region to maximize bone contact. This method is ideal for patients with moderate bone loss and provides immediate loading with a stable denture.

All-on-6 technology
All-on-6 follows the same principles as All-on-4 but uses six implants for greater stability and load distribution. It is recommended for patients with better bone quality or those who prefer a more robust long-term solution. Both All-on-4 and All-on-6 provide fixed, non-removable dentures that restore chewing efficiency and aesthetics.

Why the one-phase implant-based fixed denture stands out
Although all four implant systems are effective, the one-phase implant offers unique advantages for full-mouth rehabilitation. It is implantable in a single phase, loadable immediately, and suitable even in cases of bone deficiency. As the document states, “we are not saying that the two-phase implant is unsuitable, but the one-phase implant is much better.” This reflects the practical benefits of immediate loading implants in complex cases.

What “fixed denture” means
A fixed denture is attached to the implants with a special adhesive or screw-retained system, depending on the design. The patient cannot remove it, and it is cared for similarly to natural teeth. Proper cleaning is essential to prevent food particles from accumulating between the denture and the gums, as this can lead to inflammation.

Who is a candidate for a one-phase implant-based fixed denture?
This treatment is recommended for patients who have no teeth suitable for prosthetic care or have only a few remaining teeth that are not healthy enough to preserve. From both a medical and financial perspective, retaining compromised teeth is rarely beneficial. Full-mouth rehabilitation with one-phase implants provides a predictable, long-term solution.

Why this method can be completed in one week
The one-phase implant-based fixed denture is known for its efficiency. The entire process—from implant placement to the delivery of the long-term temporary denture—can be completed in five working days. This requires exceptional organization, teamwork, and experience.

Perfect work organization and cooperation
— Coordinated workflow between implantologist, assistants, and dental technicians,
— Precise scheduling to complete all steps within one week,
— Collaboration with external anesthesia specialists,
— Streamlined communication throughout the treatment process.

High-quality, reliable implants
— Use of Swiss IHDE one-phase immediate loading implants,
— Lifetime guarantee on the implants,
— Proven long-term stability,
— Excellent biocompatibility and mechanical strength.

Experienced implantologist and assistant team
— Several decades of domestic and international experience,
— Specialized training in immediate loading implantology,
— High success rate based on discipline and clinical expertise,
— Consistent, predictable outcomes for full-mouth rehabilitation.

General anesthesia in one-phase implant-based fixed denture treatment
Although many dental procedures can be performed under local anesthesia, full-mouth rehabilitation often requires general anesthesia due to the extent and duration of the surgery. General anesthesia ensures complete comfort and allows the implantologist to work efficiently across the entire oral cavity. It is important to note that general anesthesia is available upon request; however, its cost is not included in the package price.

How the treatment is performed
Consultation and diagnostics
— Personal consultation with the implantologist,
— Panoramic X-ray and cbCT scan,
— Detailed oral examination,
— Review of medical history and medications.

Preparation and anesthesia
— Laboratory tests and EKG,
— Consultation with the anesthesiologist,
— Final approval for general anesthesia.

Implant placement
— Removal of teeth unsuitable for treatment,
— Insertion of one-phase implants at optimal angles,
— Panoramic X-ray to verify correct positioning.

Long-term temporary denture
— Control examination the following day,
— Removal of sutures after 7–10 days,
— Impression taking for the metal framework,
— Delivery of the long-term temporary denture.

Permanent denture
— Follow-up consultation,
— Panoramic X-ray and cbCT if needed,
— Impression taking for the final denture,
— Fabrication of porcelain prostheses,
— Fixation of the permanent denture on the implants.

Healing and ossification
Soft tissue healing takes a few weeks, while ossification requires 3–5 months. During this period, patients must avoid hard foods and maintain excellent oral hygiene. Regular control examinations ensure that the implants remain stable and the healing process progresses as expected.

Summary
The one-phase implant-based fixed denture is one of the most advanced and efficient solutions for full-mouth rehabilitation. While multiple implant systems exist—including two-phase implants, All-on-4, and All-on-6—the immediate loading one-phase implant offers unique advantages in speed, stability, and suitability for patients with bone deficiency. The treatment can be completed in one week thanks to precise organization, high-quality materials, and an experienced clinical team. Healing requires several months, with ossification ensuring long-term stability. General anesthesia is available upon request; however, its cost is not included in the package price. For patients seeking a natural appearance, strong chewing function, and a predictable long-term solution, the one-phase implant-based fixed denture remains an outstanding choice.

In our Articles section, there are many writings on the following topics: dentures with implants, dental implantation with one-phase and two-phase implants, and All-On-4 & All-On-6 technology.
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