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Two-phase Implants the Traditional implantation Method

Two-phase Implants the Traditional implantation Method (Part 2)

Two-phase implants are different than 0ne-phase  immediate loading  ones

Part 1 of our discussed0é about the possibilities available for dentures and one of them is the two-phase implants-based denture. In Part 2, we will learn about the process and duration of two-phase implant implantation. Also, we will answer the question of who are the ones who cannot get such an implant.

The procedure of a two-phase implantation
Stage One – The Planning Period
As with all treatments, implantation starts with a complete mouth examination. It begins with a conversation during which the oral surgeon learns about your general health and mouth and teeth condition.

A thorough dental examination is also necessary before the implant insertion, in which case we look for possible inflammations that must always treat before the operation and carious teeth.

The dentist makes a treatment plan that meets the patient’s needs based on the general oral examination and X-ray results. To prepare a treatment plan, we need a panoramic X-ray to find out the quality and quantity of bone, anatomical formulas like the location of the facial cavity, the course of nerves, and so on. Carefully examining the bone’s condition is essential because the two-phase implant is implantable only into the tooth bone. Thus, two-phase implant surgery can only start after careful preparation.

Stage TwoTwo-phase Implants Implantation
The implantation may occur under local or general anesthesia. After an incision on the gums and detachment of the mucosal lobe, the dentin becomes accessible. That is followed by drilling the bone bed that receives the implant into the bone below the gums. When all implants are implanted, the gums must close with gap-free stitches.

Mild pain, swelling, and bruising are possible during the first three days. These are natural reactions of the body, which should not be frightened. We strongly recommend icing the area to minimize swelling in the following days on the day of surgery. Sutures removal occurs 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 4- 6 month rest period is necessary for the complete ossification of the implant that can take place safely, and the implants become part of the jaw bone tissue.

Stage Four – Gingival formation first, the implants, which are meanwhile under the protection of the healed gums, must open with a few millimeters of incision, and they remove the so-called healing screws. Then the implantologist secures the gum-forming screws to the implants. After the healing time, ossification can and should be checked by X-ray.

The insertion of the gum-forming screw is necessary due to the healing of the surface epithelium for the gum-implant connection to form a gum adhesion similar to natural teeth. It takes 2-3 weeks for perfect gum adhesion to develop.

Final Phase – Preparation of two-phase Implants based denture(s)
The final bridge or complete denture will be ready in a week. That is when the needed impressions, frame tests, and tooth color selection happen. After that, they finish the final crowns or dentures. At delivery, the oral surgeon will explain and show the correct brushing cleaning techniques for the denture.

Aftercare is an essential part of two-phase implant-based dentures. For the denture to be perfect for as long as possible, inspecting it every 12 months is advisable. The dentist checks the implants, bone, and epithelial adhesion. In this case, performing a professional tooth cleaning is worthwhile, during which they remove tartar and other discoloration attached to the denture.

Factors excluding the use of a two-phase implant
Of course, there are cases where dental implants may not recommend, 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 only possible 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).

In our writing, we discuss the process and duration of implantation of two-phase implants, and we also answer the question of those who might want to have this type of denture. It is worth mentioning that an immediate loading implant is still usable in many cases of bone deficiency when a two-phase implant is not possible.

Many other articles on the subject can be read
in our Articles section, which we recommend.
If you have an opinion about what we just said, let others know it in the Comment section. If you have any questions, please get in touch with us.
iliDent Patient Coordinator Center © Copyright 2021


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