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One-piece implants: placement timing, surgical technique, loading protocol, and marginal bone loss.

D R Prithviraj¹, Vikas Gupta, Ninad Muley

¹Department of Prosthodontics, Govt. Dental College and Research Institute, Bangalore, India. prithvidr@yahoo.com

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists

|September 19, 2012

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This review compares one-piece dental implants to traditional two-piece designs, highlighting surgical techniques and outcomes. While immediate loading is common, results on hard and soft tissue effects are mixed.

Area of Science:

Dental Implantology
Biomaterials Science
Surgical Innovation

Background:

Osseointegration is established, shifting focus to implant design simplification and biomechanical success.
One-piece implants offer a simplified mechanical design compared to conventional two-piece implants.

Purpose of the Study:

To review the advantages and disadvantages of one-piece dental implants.
To compare one-piece implants with conventional two-piece implants.

Main Methods:

Literature search of PubMed using keywords: one-piece implant, single-piece implant, single-stage implant surgery, and two-piece implant.
Selection criteria included studies with at least 30 one-piece implants followed for a minimum of 1 year.
Data extraction focused on placement timing, surgical procedure, loading protocol, marginal bone loss, and success rates.

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Main Results:

Eleven of 19 clinical trials met the inclusion criteria.
Delayed placement is more common than immediate placement, with flap surgeries preferred over flapless.
Most one-piece implants were loaded immediately, but literature shows varied effects on surrounding tissues.

Conclusions:

One-piece implant systems present both benefits and drawbacks.
Further research is needed to fully understand the impact of one-piece implants on hard and soft tissues.
Surgical and loading protocols for one-piece implants are diverse.