European International Journal of Multidisciplinary Research
and Management Studies
124
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TYPE
Original Research
PAGE NO.
124-128
DOI
OPEN ACCESS
SUBMITED
21 December 2024
ACCEPTED
23 January 2025
PUBLISHED
25 February 2025
VOLUME
Vol.05 Issue02 2025
COPYRIGHT
© 2025 Original content from this work may be used under the terms
of the creative commons attributes 4.0 License.
What Is Single-Stage
Implantation?
Ravshanov Rustam Burkhan ugli
Clinic Resident of the Department of Orthopedic Dentistry, Samarkand
State Medical University, Samarkand, Uzbekistan
Khojimuradov Burkhan Ravshanovich
Assistant Department of orthopedic dentistry, Samarkand State Medical
University, Samarkand, Uzbekistan
Abstract:
If the implant and the abutment are installed
during the same operation, this is a one-stage dental
implantation.
• What is single
-stage implantation?
• Advantages of single
-stage implantation
• How is the immediate implantation performed
• After single
-stage implant placement.
Keywords:
Single-stage implantation, immediate
implantation.
Introduction:
If the implant and the abutment are
installed during the same operation, this is a one-stage
dental implantation.
• What is single
-stage implantation?
• Advantages of single
-stage implantation
• How is the immediate implantati
on performed
• After single
-stage implant placement
The term "implant" comes from the Latin words "in
plantare", which literally means "to plant" or "implant"
something. Implants are used to replace or restore a lost
part or the entire organ. In dentistry, an organ is
understood as teeth. Accordingly, when one tooth is
lost, various types of dentures, i.e. dental implants, are
used.
European International Journal of Multidisciplinary Research
and Management Studies
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European International Journal of Multidisciplinary Research and Management Studies
The fixation of a titanium intraosseous prosthesis, a
substitute for the root system of a tooth, can be carried
out in 1 day, or rather on the day of removal of a non-
viable or damaged tooth. This technique is called
immediate implantation.
If the implant is immediately covered with a temporary
or permanent crown, then in this case it is said that
dental implantation has been performed with an
immediate load.
If the implant and the abutment are installed during
the same operation, this is a one-stage dental
implantation. This is the main difference from the two-
stage procedure, when at least 2.5-3 months must pass
from the moment of implantation of the
endoprosthesis to the moment of installation of the
supra-gingival structures.
Advantages of single-stage implantation
• Preservation of physiological features –
the chewing
load is correctly distributed, as a result of which the
bite does not change.
• Long servi
ce life. If hygiene is observed, the service
life of the prosthesis can exceed fifteen to twenty-five
years.
• No special care required. It is enough for the patient
to follow the standard rules of oral hygiene.
Aesthetics
–
dentures are no different from natural
teeth and do not violate the overall aesthetics.
• Unlike removable structures, a number of
restrictions are not imposed on the patient (the
maximum that is required is an annual dental
appointment).
How is simultaneous implantation performed?
The single-stage installation of the implant is as
follows:
1. A tooth compromised by injury or dental disease is
carefully removed. Moreover, the doctor strives to do
this in the least traumatic way, so that all the walls of
the alveolar cavity and the soft tissues surrounding the
tooth remain intact.
2. Curettage of the well is performed in order to remove
necrotic tissues and bone fragments that may have
remained after extraction.
3. Based on the X-ray data taken immediately before the
operation, the doctor fixes the implant in the hole of the
extracted tooth, and osteoplastic material is placed
around it, activating the repair processes in the jaw
bone.
4. An abutment is screwed on top of the intraosseous
prosthesis, which is necessary to form the gingival bed
for an artificial crown. In addition, the abutment mimics
the tooth stump, therefore it serves as a support for the
crown.
5. A single-layer impression is removed, according to
which the doctor will immediately make a temporary
crown. This is usually necessary if simultaneous
implantation is combined with immediate loading with
a prosthesis. Dental crowns are made for several
purposes
–
closing a cosmetic defect; restoring chewing
and phonetic functions; creating moderate loads on the
bone to accelerate the processes of osseointegration of
the implant.
6. Removal of two-layer impressions of the upper and
lower jaws for the manufacture of permanent
orthopedic structures. This stage may be delayed
somewhat in time.
After fixing the provisional crown or crowns, the patient
is released home. In the future, he is invited several
more times for follow-up examinations, X-ray
examinations, as well as for fitting permanent
prostheses.
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European International Journal of Multidisciplinary Research and Management Studies
This is a subspecies of single-stage implantation. It
involves removing teeth and replacing them with a
crown on an implant in one visit to the clinic.
Alternative names for the technology: rapid
implantation or implantation with immediate (instant)
loading.
The technique is minimally invasive. The implant is
inserted into the recess of the extracted tooth. There
is no need to cut the gum, prepare the bone bed for
the implant and apply stitches.
Types of single-stage implantation
Depending on the condition of the jawbone and the
complexity of the clinical situation, the doctor can offer
1 of 3 options for rapid implantation.:
• With immediate loading. Simultaneously with the
implantation of the implant (or after 3-7 days), a
temporary crown is fixed. This approach allows you to
quickly restore the aesthetics of a smile. Permanent
prosthetics are performed after complete engraftment
(osseointegration) of the implant into the bone.
• With the installation of a gum shaper. A temporary
gum shaper is installed along with the implant. The
element promotes the formation and support of an
aesthetic, natural contour of the gum in the
implantation area up to the prosthetics stage after 3-6
months. Before installing a permanent prosthesis, the
gum shaper is removed.
• With delayed loading. The tooth is removed, an
implant is installed, and the gum is sutured until the
artificial root is fully implanted. Prosthetics are
performed after complete osseointegration of the
implant.
Advantages.
Accelerated restoration of aesthetic smile and chewing
function
With
simultaneous
implantation,
two
surgical
procedures are performed in 1 day
—
tooth extraction
+ implant placement. Thus, anesthesia is performed
only once instead of twice, oral tissues are manipulated,
stitches are applied, and one course of medication is
prescribed. The healing process of the hole and the
implant goes on simultaneously. This significantly
reduces the period of treatment and rehabilitation.
Treatment without bone grafting.
The implant is installed immediately after the tooth has
been removed. The hole does not have time to dissolve,
which means that the normal volume of bone tissue
remains. This helps to avoid bone buildup, which
requires additional surgical procedures and expenses.
High implant survival rate
–
more than 98%
Careful diagnosis of the patient and his preparation for
rapid implantation allows our doctors to achieve the
same implant survival rate as with the classical protocol.
Disadvantages
.
More pronounced postoperative events (not always)
This is possible due to the combination of several
procedures in one visit. For example, the swelling of the
tissues may be slightly greater.
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European International Journal of Multidisciplinary Research and Management Studies
More contraindications than classical implantation
First of all, this is due to the fact that the condition of
bone and soft tissues is important for high-quality
implant installation according to a single-stage
protocol.
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