Dear Doctor Magazine - Issue 12 - (Page 48)
consUlTaTIons In ImplanTology
Staging Surgery In Implant Dentistry
One or two stage implant surgery options
A Consultation with Dr. Malcolm L. Schaller
Dear Doctor, I have read lately that implants can be done in two ways – either in one or two stages. Could you explain what this means as well as the pros and cons of each method?
his is a good question with a rather interesting answer. First a few basics – a dental implant is used to replace a tooth root that eventually becomes anchored in the bone. This essential step for making implants successful is called osseo-integration (“osseo” – bone; “integration” – fusion or joining with). Placement of dental implants is a surgical procedure requiring precision shaping of the bone to create an osteotomy (“osteo” – bony; “otomy” – reshaping). That’s a very fancy word for the creation of a receptacle or plainly speaking a “hole” or “channel.” Precision is essential so that the bone is protected and cooled during preparation taking care to keep it viable and alive. Implants must be placed in intimate contact with the bone to facilitate the integration process. When carefully treated, the cells will adhere to the implant surfaces, which are usually made of commercially pure and specially treated titanium — that’s the magic!
an example of a dental implant placed into the bone and covered by the gum tissue. this will require a second surgery to uncover the implant (two stage implant surgery)
Implant Healing Abutment
an example of a dental implant placed into the bone with a healing abutment attached protruding through the gum tissue (one stage implant surgery).
48 Dear Doc tor
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