A comparative review one-stage and two-stage dental implants
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20232465Keywords:
Dental implants, One-stage surgery, Two-stage surgery, OsseointegrationAbstract
Dental implants have been used as an effective treatment for missing teeth. Dental implantology has a long history that reaches back to ancient times when attempts were made to replace missing teeth with various materials. Modern dental implants are designed to osseointegrate, where the implant fixture fuses with the jawbone. The surgical procedure involves placing the implant, followed by the adaptation of the surrounding tissue. There are two main surgical techniques: one-stage surgery and two-stage surgery. One-stage surgery involves placing the implant and allowing a healing abutment to protrude through the gums. This eliminates the need for a second surgery but carries the risk of overloading the implant during the healing phase. Two-stage surgery is the standard approach, where the implant is initially submerged, and a second surgery is performed to connect the abutment. The choice between one-stage and two-stage surgery depends on many factors, including bone quality, clinical parameters, and aesthetic considerations. One-stage surgery offers quick aesthetics but can pose a higher risk of implant failure due to early loading. Two-stage surgery provides a higher success rate but requires two surgical procedures.
References
Alghamdi HS, Jansen JA. The development and future of dental implants. Dent Materials J. 2020;39(2):167-72.
Romeo E, Lops D, Amorfini L, Chiapasco M, Ghisolfi M, Vogel G. Clinical and radiographic evaluation of small-diameter (3.3-mm) implants followed for 1-7 years: a longitudinal study. Clinical Oral Implants Res. 2006;17(2):139-48.
Brånemark R, Brånemark PI, Rydevik B, Myers RR. Osseointegration in skeletal reconstruction and rehabilitation: a review. J Rehab Res Develop. 2001;38(2):175-81.
Puleo DA, Nanci A. Understanding and controlling the bone-implant interface. Biomaterials. 1999;20(23-24):2311-21.
Sykaras N, Iacopino AM, Marker VA, Triplett RG, Woody RD. Implant materials, designs, and surface topographies: their effect on osseointegration. A literature review. Int J Oral Maxillofac Implants. 2000;15(5):675-90.
Steigenga JT, Al-Shammari KF, Nociti FH, Misch CE, Wang HL. Dental implant design and its relationship to long-term implant success. Implant Dentistry. 2003;12(4):306-17.
Yildirm TT, Kaya FA, Yokus B. Clinical and radiographic comparison by analyzed cone beam CT between one stage and two stage dental implants. J Int Dent Med Res. 2017;10:368-73.
Kahraman S, Bal BT, Asar NV, Turkyilmaz I, Tözüm TF. Clinical study on the insertion torque and wireless resonance frequency analysis in the assessment of torque capacity and stability of self-tapping dental implants. J Oral Rehab. 2009;36(10):755-61.
Yalçn S, Baseğmez C, Mijiritsky E, Yalçn F, Isik G, Onan U. Detection of implant crevicular fluid prostaglandin E2 levels for the assessment of peri-implant health: a pilot study. Implant Dentistry. 2005;14(2):194-200.
Murata M, Tatsumi J, Kato Y. Osteocalcin, deoxypyridinoline and interleukin-1beta in peri-implant crevicular fluid of patients with peri-implantitis. Clin Oral Implants Res. 2002;13(6):637-43.
Güncü GN, Tözüm TF, Güncü MB, Yamalik N. Relationships between implant stability, image-based measures and nitric oxide levels. J Oral Rehab. 2008;35(10):745-53.
Carinci F, Brunelli GA, Zollino I,. Mandibles Grafted With Fresh-Frozen Bone: An Evaluation of Implant Outcome. Implant Dentistry. 2009;18:86-95.
Kamel S. One-stage vs two-stage implant placement: A systematic review and meta-analysis. Br J Oral Maxillofac Surg. 2018;56(10):e25.
Branemark P-I. Tissue integrated prostheses. Osseointegration in clinical dentistry. Plast Reconstruct Surg. 1986;77(3):496-7.
Stappert CF, Romeo D. Soft tissue enhancement after implant placement. Implant Site Develop. 2015:361-82.
Kale PP, Mani A, Anarthe R, Pendyala G, Thakkur P, Sekharamantri AV. Management of surgical complication during dental implant placement. J Head Neck Physicians Surgeons. 2021;9(1):13.
Gaspar J, Borrecho G, Oliveira P, Salvado F, Martins dos Santos J. Osteotomy at low-speed drilling without irrigation versus high-speed drilling with irrigation: an experimental study. Acta Medica Portuguesa. 2013;26:231-6.
Voruganti K. Clinical periodontology and implant dentistry, 5th edition. Br Dent J. 2008;205(4):216.
McCracken MS, Mitchell L, Hegde R, Mavalli MD. Variability of mechanical torque-limiting devices in clinical service at a US dental school. J Prosthodontics. 2010;19(1):20-4.
Meffert RM, Langer B, Fritz ME. Dental implants: a review. J Periodontology. 1992;63(11):859-70.
Esposito M, Grusovin MG, Polyzos IP, Felice P, Worthington HV. Interventions for replacing missing teeth: dental implants in fresh extraction sockets (immediate, immediate‐delayed and delayed implants). Cochrane Database Systemat Rev. 2010;(9).
Becker W, Becker BE, Israelson H. One-step surgical placement of Brånemark implants: a prospective multicenter clinical study. Int J Oral Maxillofac Implants. 1997;12(4).
Engquist B, Åstrand P, Anzén B. Simplified methods of implant treatment in the edentulous lower jaw: a 3‐year follow‐up report of a controlled prospective study of one‐stage versus two‐stage surgery and early loading. Clin Implant Dentistry Relat Res. 2005;7(2):95-104.
Basta MN, Gerety PA, Serletti JM, Kovach SJ, Fischer JP. A systematic review and head-to-head meta-analysis of outcomes following direct-to-implant versus conventional two-stage implant reconstruction. Plastic Reconstruct Surg. 2015;136(6):1135-44.
Collaert B, De Bruyn H. Comparison of Brånemark fixture integration and short‐term survival using one‐stage or two‐stage surgery in completely and partially edentulous mandibles. Clin Oral Implants Res. 1998;9(2):131-5.
De Smet E, Jacobs R, Gijbels F, Naert I. The accuracy and reliability of radiographic methods for the assessment of marginal bone level around oral implants. Dentomaxillofac Radiol. 2002;31(3):176-81.
Barber HD, Seckinger RJ, Silverstein K, Abughazaleh K. Comparison of soft tissue healing and osseointegration of IMZ implants placed in one-stage and two-stage techniques: a pilot study. Implant Dentistry. 1996;5(1):11-4.
Batenburg R, Meijer H, Geraets W, Van Der Stelt P. Radiographic assessment of changes in marginal bone around endosseous implants supporting mandibular overdentures. Dentomaxillofac Radiol. 1998;27(4):221-4.
Bernard JP, Belser U, Martinet JP, Borgis S. Osseointegration of Brånemark fixtures using a single‐step operating technique. A preliminary prospective one‐year study in the edentulous mandible. Clin Oral Implants Res. 1995;6(2):122-9.
Cecchinato D, Olsson C, Lindhe J. Submerged or non‐submerged healing of endosseous implants to be used in the rehabilitation of partially dentate patients: A multicenter, randomized controlled clinical trial. J Clin Periodontol. 2004;31(4):299-308.
Cordaro L, Torsello F, Roccuzzo M. Clinical outcome of submerged vs. non‐submerged implants placed in fresh extraction sockets. Clin Oral Implants Res. 2009;20(12):1307-13.
Chaushu L, Naishlos S, Rosner O. Changing Preference of One- Vs. Two-Stage Implant Placement in Partially Edentulous Individuals: An 18-Year Retrospective Study. Applied Sciences. 2020;10(20):7060.
Menini M, Pesce P, Delucchi F. One-stage versus two-stage technique using two splinted extra-short implants: A multicentric split-mouth study with a one-year follow-up. Clin Implant Dentistry Relat Res. 2022;24(5):602-10.