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One-stage surgical procedure
In this procedure, Stage I surgery proceeds as usual except that the implants and abutments are placed at the same time. The implants are then topped with cover screws. These small protective caps keep the gums from growing over the implants, thus eliminating the need for a second surgery to uncover the implants.
After adequate time has been given for healing to take place, treatment proceeds directly to restoration, or the placement of your new crowns. You usually won’t receive a temporary prosthesis with the one-stage surgical procedure.
The benefit is obvious: there’s no need for a second surgery. The main drawback of the one-stage surgical procedure is that it is not suitable in all cases. In making the determination whether this procedure is right for you your doctor must consider a number of factors, including the stability of the implant when it is first placed, the implant system used and the type of restoration you will be getting. This procedure is usually not advisable when bone grafting is necessary.
Before the procedure:
The doctor conducts a thorough evaluation and outlines a treatment plan. Any necessary corrective procedures, such as bone grafting, are done at this time in preparation for the surgery. |
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Stage I surgery:
The implants and abutments are surgically inserted into the jawbone and covered with protective caps; the gums are then sutured closed. This may be done under a local anesthetic, intravenous sedation or general anesthesia.
There is usually no discomfort during the procedure, and most patients are able to return to work the following day. After the implants are placed you may experience mild to moderate swelling and discomfort for a few days.
Fabrication of your new permanent teeth will take between one and eight weeks depending on how many teeth are being replaced. |
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Restoration:
Several weeks later your new teeth will be ready to be fitted to the abutments and examined and adjusted to ensure that the size, shape, color and fit are perfect. Several follow-up visits may be needed to adjust your bite. |
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End result:
Your new teeth should be so hard to distinguish from natural teeth—both for yourself and others—that you may forget that you were ever missing teeth in the first place! With proper care, your implants will last a lifetime. |
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Follow-up care:
Your doctor will give you detailed after-care instructions to keep your new implants and gums in good condition. |
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In some cases, immediate load implants can further shorten your treatment time. Your doctor can help determine the best course of treatment in your particular case. Consult your doctor to find the best solution for you, given your specific case.
Back to Treatment | Standard surgical procedure | Immediate load implants
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