This leaflet explains “Two Stage Implant Therapy”.
In the first stage surgery of the “Two Stage Implant Therapy”, a Titanium dental implant is placed into the bone and is then covered over with the gum and left to heal. After a suitable healing period a second surgery is performed to access the implant and fit a healing abutment (a small cylinder) onto the implant suturing the gum around this healing abutment. Now the healing abutment perforates the gum and can just be seen in the mouth. The gum is then left to heal around this healing abutment.
Integration of the implant into bone
The word integrate is used to describe the growth of your own natural bone onto the Titanium metal surface of the implant. The healing period for two stage implant integration varies in different areas of the mouth from 8-12 weeks in the lower jaw to 6 months in the back of the upper jaw. However, if a bone graft is used, healing may take longer.
Healing abutment cleaning is very important….
After both stages of surgery, cleaning is very important. Therefore for the first 7 days cleaning is achieved using a mouthwash containing Chlorhexidine (either Savacol or Curasept). While after the second stage of implant surgery, when the healing abutment is fitted, a very soft toothbrush can be used gently from day 5 around the healing abutment to prevent the formation of any dental plaque. Finally, after 10 days healing, normal brushing must be resumed and the healing abutment must be kept perfectly clean.
When is it necessary to provide two stage implant therapy?
Two stage implant surgery is necessary if there is insufficient bone or the bone has insufficient strength to allow the implant to be screwed in tight. Also, if the bone is poor quality or if there is insufficient bone volume to cover the implant a bone graft may have to be provided to achieve the best clinical outcome.
How is treatment provided?
With two stage implant surgery the first stage surgery is usually provided under general anaesthetic to allow bone grafting or multiple site surgery to be provided. However the second stage surgery, placing the healing abutment, is normally performed with local anaesthetic at the practice.
Following surgery to place an implant, a post-surgical review is arranged to check the healing site and make sure that there have been no post-surgical complications. Such problems, should they occur, may include infection and or excessive swelling.
It is normal practice to use a Chlorhexidine mouthwash (Savacol or Curasept) for around 10 days to reduce dental plaque formation and thereby prevent infection. In addition patients are given antibiotics to avoid post-surgical infection and some painkillers, though post-surgical pain is usually fairly minimal. Also it is advised that patients should avoid any anti-inflammatory drugs after implant surgery including over the counter drugs like Nurofen.
contact the friendly team at NQ Surgical Dentistry today on(07) 4725 1656 or call in to see us at 183 Kings Rd, Pimlico QLD 4812