One vs. Two Stage: What are you doing?

Sat, 05/09/2009 - 06:05 — Ti Doc

How many people are doing single stage vs. two stages for implants? I know that each situation is a little different, but in general, are you doing single stage or two stages for implant placement. As for me, I'd say that 90% of my implant placements are single stage. How about you?

Comments

Sat, 05/16/2009 - 08:08 — Perioplasticsurgeon

One vs two stage: My opinion

When I first started doing implant cases, I did everything two stage. Years later I now do 90% of my implants one stage. I do base this on evidence and I base it on intial stability at implant placement. If my implant torques out at 35 I am one staging it. Anything less then that I tend to do a two stage approach. It is my opinion you get better healing and esthetic result in a one stage approach.

Mon, 05/18/2009 - 16:23 — hawkeye

One stage vs two stage: its all up to the bone

Really the answer to the question depends of bone quality and initial stability of the implant. If the bone is soft and I dont have an initial torque of 35ncm then I two stage. If my implant is rock solid in the bone I one stage it. I agree with plastic man that you do get better healing with one stage implant. I see less bone loss with one stage. I think in a two stage approach if the tissue is thin you may have a tal 1 exposure which may lead to early bone loss.

Mon, 05/18/2009 - 21:34 — Mental Foramen

I single stage almost everything now.

It is very rare for me to 2 stage an implant now. Lit supports single staging. The only time I dual stage is if implant is not tight at placement. I routinely undersize my final drill, so loose implants do not happen too much when I place them.

Immediate loading is the next frontier for dental implants. Doing these with predictable longterm results is key. I don't think we are there yet.