Dental implants are the best treatment modality for replacement of missing teeth.
Choosing the right type of implants plays a vital role in the rehabilitation process and prognosis. Below are different types of implants available, the time frame involved and case selection.
Single piece implants are implants that are designed in such a way that the implant and the abutment are connected in one piece. The bridge of the crown can only be cement retained.
Advantages of Single Piece Implants
Single piece or One Piece Implant prove to be a cheaper option for a patient when making a choice because the implant and abutment are made as one piece during their fabrication and this reduces the abutment cost when compared to a two piece implant.
Disadvantages of Single Piece Implants
Abutments cannot be customised. The company manufactures the abutment with implant. Hence no customisation possible. The Single or one piece implants can only be bended. They can never be made parallel to the adjacent implant abutment which is possible in the laboratory by CAD CAM Designing. We used to do lot of trimming and abutment shaping in the patients mouth. This leads to lot of titanium dusting which is not good if swallowed.
After the implant placement the abutment milling have to be done directly in the mouth itself. Milling in the mouth requires lot of chair side time, keeping the implant patient’s mouth open for a very long time which is more traumatic to the patient. This leads to lot off stresses on the implant, affecting the healing of the bone around the implant. Abutment milling in Single piece implants is done with the airotor-handpiece with Tungsten carbide burs which is not precise, Moreover leads to lot of frictional heat generation which is not good for bone healing around the implant or Osseo-integration . Abutment milling in the mouth immediately after implant placement when the stability of the implant is not very good can lead to failure of the implant.
The tip and abutments of these implants are very thin and they tend to break. Removal of the implants becomes difficult if proper stability is not achieved. These implants are not easily retrieve able.
Delayed Implantation is a more conventional technique where the techniques used are not flapless and are time taking. One has to put up with a waiting period of almost 3 months and upwards for appropriate Osseo-integration to take place after which the crowns are given.
The two piece implants are implants where the implant and the abutment are designed separately. Unlike single piece implants, the two piece abutments allow a lot of scope for customization.
Advantages of Two Piece Implant
Two piece implants essentially prevent the need for abutment milling to be done in the patient’s mouth and provides an ideal environment for better Osseo-integration and is ideal for the immediate loading protocols.
Disadvantage of Two Piece Implant
Rough surface is till the crest, so chances of the implant to be affected are more because of the gum shrinkage over period of time.
Hybrid Implants have advantages of both One piece implants and two piece implants. Smooth machined surface at the collar to prevent peri implantitis and rough surface is helpful for osseointegration.
The implant abutment junction has a multi lock hex design to prevent screw loosening. There are no micro movements at the junction. At The Dental Specialists we use advanced Hybrid Implants taking surgical advantages of Single piece for immediate loading and screw retained prosthetic solutions applying the concepts from two piece implantology.
Immediate implantation techniques are novel approaches developed to make the implant experience less tedious and comfortable to the patient. The techniques are flapless and use surgical and radiographic guide stents which make it possible for us to perform immediate loading.
We use a unique protocol called the Tall and Tilted Pin Hole Immediate Loading ( TTPHIL) Technique and give permanent teeth in 2-9 days. TTPHIL- ALL TILT™ Technique is innovative and is more reliable than traditional implant surgical techniques as we aim for minimal time loss and discomfort for our patients.
|Edentulous Type||Loading Protocol||Implant Type|
|Single Tooth||Immediate||Hybrid Implants|
|Multiple Tooth||Immediate||Hybrid Implants|
|Complete Edentulous||Immediate||Hybrid Implants|