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When tissue is deficient or mutilated through the lack of teeth, implants are put and allowed to osseointegrate, then the gingiva is surgically moved throughout the therapeutic abutments. The down-facet of the two-stage method is the necessity For added surgery and compromise of circulation to the tissue as a result of repeated surgical procedures.
Placement of the implant: The implant screw is placed and will be self-tapping,[32]: a hundred–102 otherwise the prepared web site is tapped with an implant analog. It really is then screwed into spot with a torque controlled wrench[35] at a precise torque so as never to overload the bordering bone (overloaded bone can die, a affliction identified as osteonecrosis, which can cause failure with the implant to completely integrate or bond with the jawbone).
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Dentists count the amount of teeth missing on identifying the amount of implants necessary, in addition to the area with the influenced teeth.
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This is particularly essential with implants as the blood provide is more precarious while in the gingiva surrounding an implant, and is particularly theoretically far more prone to personal injury on account of a longer attachment to your implant than on a tooth (an extended biologic width).[46]: 629–633
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Adequate Preliminary stability might permit rapid loading with prosthetic reconstruction, even though early loading poses a better possibility of implant failure than regular loading.[fifty nine]
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Subsequent analysis indicates that no big difference in implant survival existed in between 1-stage and two-phase surgical procedures, and the selection of whether to "bury" the implant in the primary stage of surgery became a concern of sentimental tissue (gingiva) administration[38]