Two-phase implants, don’t mix it with the traditional implantation method
In Part 1 of our article on two-phase implants, we learned why and to whom dental implants are recommended. In Part 2, we will learn about the process and duration of biphasic implant implantation. Also, we will answer the question, for whom a two-phase implant cannot be a solution.
PROCEDURE AND STEPS OF A TWO-PHASE IMPLANTATION
Stage One – The Planning Period
As with all treatments, implantation is preceded by a full mouth examination. The examination begins with a conversation, during which the oral surgeon learns about your general health, the history of your mouth and teeth.
A thorough dental examination is also performed before the implant is inserted, in which case we look for possible inflammations that must always be treated before the operation, as well as carious teeth.
In order to prepare a treatment plan, we definitely need a panoramic X-ray, as it can be used to find out the quality and quantity of bone, anatomical formulas like the location of the facial cavity, course of nerves, and so on. Based on the results of the general oral examination and X-rays, a treatment plan is prepared that meets the patient’s needs in all respects. Thus, two-phase implants surgery can only be performed after careful preparation.
Stage Two – Two-phase Implants Implantation Surgery
The implants are implanted on an outpatient basis under local anesthesia. An incision is made in the gums, and after detachment of the mucosal lobe, the dentin becomes accessible. This is followed by drilling the bone bed that receives the implant into the bone below the gums. This is where the artificial root is placed, above which the gums should be closed with gap-free stitches.
During the first three days, mild pain, swelling, and possibly bruising are possible. These are natural reactions of the body, which should not be frightened. On the day of surgery, we strongly recommend icing the area to minimize swelling in the following days. Sutures are usually removed one week after surgery, in the meantime, they can cause a temporary stinging, tickling sensation in the mouth.
Stage Three – Healing and Ossification Period
This 3 to 6 month rest period is needed for the full ossification of the implant that can take place safely and the implants are incorporated into the jaw.
Stage Four – Gingival Formation
After the healing time, ossification can and should be monitored by X-ray. First, the implants, which are meanwhile under the protection of the healed gums, must be opened with a few millimeters of incision, and the so-called healing-screws must be removed. The gum-forming screws are then secured to the implants.
The insertion of the gum-forming screw is necessary due to the healing of the surface epithelium in order for the gum-implant connection to form a gum adhesion similar to natural teeth to occur. It takes 2-3 weeks for perfect gum adhesion to develop.
Final Phase – Preparation of Denture Fixed on Two-phase Implants
The bridge or complete denture can be done in a period of 5-10 days. This is when the needed impressions, frame tests, tooth color selection are made. After that, the final crowns or dentures can finally be placed. At the time of delivery, the oral surgeon will explain and show the correct brushing cleaning techniques of the denture.
The aftercare is an important part of two-phase implants dentures. In order for the denture to be perfect for as long as possible, it is advisable to have an inspection every 12 months, during which the implants, bone and epithelial adhesion, denture, and more are checked. In this case, it is also worthwhile to perform a professional tooth cleaning, during which solid deposits are also removed.
FACTORS EXCLUDING THE IMPLEMENTATION OF A TWO-PHASE IMPLANTS
Of course, there are cases where dental implants not recommended, such as growing children and certain health factors such as:
- severe heart disease
- hematopoietic and coagulation disorders,
- severe diabetes,
- pregnancy – as X-rays may be harmful to the fetus,
- in case of neglected oral hygiene (surgery can be performed after recovery),
- heavy smoking (can be done, but recovery is slower and there is a higher risk of complications and infection),
- alcohol or drugs, possibly in case of drug addiction,
- taking certain medicines (medicines used to prevent or treat osteoporosis, called bisphosphonates).
From our writing, we were able to learn about the process and duration of implantation of two-phase implants and we were also able to get an answer to the question of whom is not recommended for this type of denture.
There are many other articles on the subject that can be read in our Articles section, which we would like to recommend to the reader.
If you have an opinion about what we just said, let others know it in the Comment section. If you have any questions, please contact us.
iliDent Patient Coordinator Center © Copyright 2021 ImmediateLoadingImplants.com