Victoria House
Level 2/734 Albany Highway
East Victoria Park
Western Australia 6101
(08) 9470 3699
Oral Surgery > Implant Procedures
  Implant procedures

Implant placement
Single stage surgery –This means both the dental implant and the abutment which attaches to the implant (it emerges through the gum into the mouth) are placed at the same time with a single surgery. In less visible regions of the mouth the abutment is usually a so-called healing abutment, a solid titanium component which helps shape the gum and stays until the implant has osseointegrated with the bone. In more visible areas of the mouth in order to satisfy urgent cosmetic and functional needs, a restorative abutment and temporary acrylic crown or bridge (if more than one implant) may be attached instead. Placing a temporary tooth onto an implant on the same day the implant is placed is referred to as immediate loading and requires excellent initial stability of the implant. If the bone is soft or compromised then immediate loading is simply not possible. Most of our implant surgeries are single stage.

Two stage surgeries-means the abutment (healing or restorative) is not placed at the same surgery the implant is placed. The implant is still placed (referred to as the insertion of the first stage of a two stage endosseous implant) but a second surgery (referred to as second stage surgery of a two stage endosseous implant) is required to place an abutment or temporary restoration or even a final restoration once the implant has osseointegrated and everything has healed. Two stages of surgery are necessary when the situation is less than optimal; for instance if the bone quality is judged poor or there is lack of initial stability of the implant or perhaps a bone graft is required to cover exposed implant threads. In such cases it is better to bury the implant beneath the gum (with a protective cover screw on top) rather than place the abutment as we do with a single stage procedure. Second stage surgery is a very simple procedure and is usually carried out with a bit of local anaesthetic only

Immediate implant placement-This means a tooth is extracted and immediately an implant is placed into the extraction socket. This requires ideal conditions (atraumatic extraction, absence of infection, intact bony walls etc) and can have very good results in well selected cases. There is however evidence of a higher incidence of complications with immediate implants than implants placed following a suitable post-extraction healing period. Immediate implant placement is generally not recommended for molar teeth.

Immediate implant placement and immediate loading
-This means the tooth or teeth are extracted, implants are placed immediately into the extraction sockets and immediately loaded with a temporary crown or bridge to satisfy urgent cosmetic and functional requirements. Once again while we have very good results with well selected cases very few cases satisfy the criteria for this treatment.

Removal of implants-Implants are extremely successful however in the unlikely event an implant fails to osseointegrate with the bone then removal is required. This is very simple and similar to the removal of a very loose tooth and the defect that remains heals rapidly. In many cases a replacement implant can be placed in the same position several weeks later with evidence indicating a higher success rate. Early failure of an implant is often associated with specific factors including infection, excessive smoking or unfavourable loading combined with lack of sufficient implant stability with a single stage procedure but on occasion the cause cannot be determined. Failure of an implant after it has osseointegrated and the final restoration placed is uncommon. Removing an implant that has already osseointegrated perhaps due to infection (peri-implantitis) or because it has been positioned poorly and cannot be restored is more difficult and often results in a larger defect that requires grafting before a replacement implant is possible.

Dental Implant Solutions     Oral Surgery                        Treatment Choices           

Successful, long term and predictable restorative solutions for replacing missing teeth; either single teeth, multiple teeth or full arches.
Everything from minor surgical procedures to more complex and comprehensive procedures; on teeth, bone and surronding soft tissues in the mouth.
Offering comfort and care for all patients during their dental care treatments; in-chair or hospital procedures and IV (intravenous) sedation techniques to provide a more calming environment.
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