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TREATMENT SEQUENCE
There are several variations of implant placement that may occur, depending on the patient's particular needs. A common use is single tooth replacement, where there is sufficient bone. The implant procedure consists of three phases: implant placement, insertion of post, and seating permanent crown.

  • Phase One - implant placement
    • Appointment 1 - Examination and treatment planning

    • Appointment 2 - Placement of implant Gum is reflected and hole prepared for jaw for implant

      • Implant is inserted into hole

      • Gum is sutured closed covering up implant
    • Appointment 3 (7-10 days) - Sutures removed

    • Appointment 4 (4 weeks) - Site examined to assure proper healing

    • Appointment 5 (3-6 months) - Small punch hole made in gum over implant to expose implant

      • Healing cap screwed in implant that extrudes through gum
    • Appointment 6 (1-3 weeks after exposure) - Study models taken that record exact location of implant

  • Phase Two insertion of post
  • When the study models are poured they produce an exact replica of the patient's jaws, with the implant simulation in place. Using the models, the dentist orders the exact size of post that will be inserted in the implant and used to hold the crown. The surgeon or the restorative dentist may perform this step.

    Once the post is placed in the study models, it can be shaped to ideal form for supporting the crown.

    • Appointment 7 (with restorative dentist) - Post seated permanently in the implant, and shaping refined.(Final impressions for the crown may be taken at this appointment.)

      • Temporary crown placed on post

    • Appointment 8 (with restorative dentist) - Final impression for crown taken

  • Phase Three - seating the crown
    • Appointment 9 (with restorative dentist) - Final crown seated and occlusion(bite) refined

There can be a number of variations in this treatment. Under ideal circumstances it may be possible to place the implant without reflecting the gum, using a small punch hole for access to the jaw. In these cases the healing cap may be placed at the surgical appointment, negating the need for the secondary implant exposure surgery. Conversely, surgery may reveal less bone than expected, and implant placement may be delayed while more bone is generated.

 
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