One stage dental implant surgery refers to doing one surgery only and allowing an abutement to stick out of the gums, which allows us to place a tooth over the top. This procedure has the benefit of quick aesthetics and you walk out of the surgery with a tooth. The one stage dental implant surgery is a great choice for the front teeth, as most people want a front tooth after they walk out of the dental chair. However one stage procedure is not always possible. When the surgery is performed, we aim to tighten the implant to a torque of 35 newtons. However you may have thin bone or implant spins in your socket, or we can torque only to less than 35 newtons. In such cases it is better to perform a two stage procedure.
The benefit of the one stage procedure is less surgery, less pain, and quick aesthetics. The negative is that you load the dental implant during the osseointegration (bone fusing to the implant) phase, and can result in overload. Once a patient has the implant, they do not feel any different with a dental implant, chew normally and can cause damage to the osseointegration.
The dental implant does not break but it’s the bonding of the dental implant to the bone that can break, which often results in “Doc, I forgot you told me not to bite too hard on it and I heard a big crack when I chewed”. That’s why two stage surgery has a higher success rate than one stage surgery.
The two stage dental implant procedure is where you have two surgeries which allows for a higher success rate. The first stage of dental implant surgery is when we place the implant into the jaw bone and allow the tooth and the dental implant 2-3 months to osseointegrate, or fuse together. No pressure or biting or loading forces are applied to the dental implant which results in the 98% success rate of the two stage procedure.
Once the dental implant has fused to your bone after two months, then we can start with the second stage surgery which involves uncovering the dental implant and connecting the abutement to the fixture. Discomfort and pain after the second stage dental implant surgery is minimal compared to the first stage dental implant surgery where swelling and discomfort is present.
So which procedure is best? The two stage dental implant surgery definitely has higher success rates, but requires two surgeries. The one stage dental implant surgery is great for fast aesthetics provided YOU DO NOT CHEW HARD ON THE DENTAL IMPLANT! Failures in the one stage dental implant surgery are mostly associated with patients biting hard on them. Once the two months of osseointegration is complete you can chew on the implant all you want.
Any surgical or invasive procedure carries risks. Before any procedure we will inform you of those risks by way of written informed consent documentation.
The teeth on 4 procedure is used to replace the entire teeth of the upper jaw or the lower jaw. Typically the dentition is deemed hopeless; either damaged by periodontal disease or caries or heavy occlusion. There are alternatives to the teeth on 4 procedure, but this treatment can be done fast and without lengthy bone grafting procedures.
Teeth 4 can be done from start of the surgery to completion in 3 days. This is the reason why this procedure is so popular, because patients do not want to be without teeth for too long. As a general rule, the Teeth On 4 avoids the need for bone grafting as there is usually plenty of bone at the front of the jaw, where we avoid the sinus and lower jaw nerves.
Once the implants have been placed in the jaw bone, an impression is taken and sent to the laboratory and the denture is connected to the implant on day 3. The gums and bone are still healing, and at 6-8 weeks final adjustments are made to the denture.
In the lower jaw, the bone is much thicker and can support the entire denture on four implants. In the upper jaw, the bone is thinner, and yes four implants can support the denture but there have been known cases of overload failure due to heavy biting. In the upper jaw it is much safer to place five or six implants to distribute the load.
The success rates of this procedure are quite high, but there are other alternatives to the Teeth On 4. A full consultation with Dental Essence is required to plan and prepare these complex cosmetic dentistry procedures.
Any surgical or invasive procedure carries risks. Before any procedure we will inform you of those risks by way of written informed consent documentation.
Once a tooth is extracted from the jaw, it will shrink in volume over time. If the tooth has been extracted and left for many years, then excessive shrinkage will have occurred. This results in inadequate bone volume to support a proper sized implant to support a tooth.
Bone grafting may be required if there is not enough bone to support the implant. The bone surrounding the implant should be at least 2mm thickness in volume to be able to properly support the implant, and not worry about thin bone receding.
Any surgical or invasive procedure carries risks. Before any procedure we will inform you of those risks by way of written informed consent documentation.
Smile with confidence with quality tooth implants from Dental Essence
At our dental clinic in Essendon, we want you to feel calm and confident with any of our cosmetic dentistry services. Dental Essence provides teeth implants that are indistinguishable from your real teeth, and we treat each patient with the highest degree of care.
Teeth implants look so natural these days due in part to the structural and functional connection between the odontic implant and the living bone. A tooth implant dentist can typically place dental implants in a single sitting, but they require a period of osseointegration (i.e. is the process by which the dental implant fuses to the jaw bone). The new generation of dental implants takes only 2 months to osseointegrate, whereas older generation implants took up to 6 months to fuse.
To find out if tooth implants are a possible option for you, book a consultation at our Essendon clinic today
As teeth implants involve surgery, you require a consultation with a tooth implant dentist to determine if you are suitable. Several medical and lifestyle conditions can result in a higher implant failure rate. These may include:
– Smoking
– Diabetes
Immune compromised patients have a higher potential for implant failure as they are more prone to infection.
Patients whose bones are still growing should not have implants placed as they will ‘sink’ into the gums as the rest of the bone grows.
The dental implant is made of Titanium, with much of the surface modified to enable faster osseointegration. Roughened grooves, sand blasting and etching results in more bone interlocking and quicker osseointegration.
The advantage of the dental implant is that it is conservative of tooth structure. Unlike the bridge, the adjacent teeth are not cut. The dental implant however takes time to osseointegrate. There are certain cases where you can place an implant and have a tooth restored straight away. And if bone grafting is required, it can take up to 6 months for proper bone to form before the implant is placed in.
For more information on teeth implants or to book a consultation at our Essendon clinic, make an appointment with us by calling (03) 9351 0999 or contacting us online.
Any surgical or invasive procedure carries risks. Before any procedure we will inform you of those risks by way of written informed consent documentation.
