Should new implant be one or two stage process?

Old implant failed because dentist used synthetic material. New dental cleaned debris and grafted human bone. Would two staged implant be more successful?

Doctor Answers 4

Is two stages more successful

Placing the implant as a single stage or two stage is dependent upon the
quality of the bone and how tight the implant is when it is placed.  I prefer
a single stage if possible so that you do not need to come back for
another surgery.  If the bone graft procedure regenerated enough solid bone
and you get anchorage equal to the manufacturers recommended specifications
then have the procedure done as a single stage.


New York Dentist
5.0 out of 5 stars 3 reviews

One or two stage implant surgery

The number of stages is not as important as the surgeon who performs the surgery. Most implant surgeries today are ONE stage. Two stage is rarely indicated anymore unless there is a simultaneous bone graft done and the area needs to heal undisturbed under the gums for 4-6 months. Make sure you have a periodontist or an oral surgeon doing this treatment for you for best and most predicable results. Someone who's ideally BOARD CERTIFIED in periodontics or oral surgery (not in implant surgery as there is no such recognized specialty as of yet). 

Herbert Veisman, DDS
Toronto Periodontist
5.0 out of 5 stars 9 reviews

Implant procedure

traditionally implants were placed 2 staged.  That means after implant placement  surgery the surgein would cover the implant with gum tissue. Then After 4-6 months of healing, the implant would be exposed surgically by peeling the gum away. 


if implant has a good stability in the bone at the time of surgery, it could be left exposed to avoid second stage surgery. 


2 stage surgery is safer, as risk of infevtion and complications caused by premature pressures on implant is lower. 


However, these days implant surface design and materials have improved compared to the early days. So one stage surgery has a very high success rate as well. 

whichever procedure your surgeon chooses for you, just make sure you follow the post op instructions closely.This will improve your healing, ,reduces  complications , gives you best results. 



Good luck 

Elly Tehrani, DMD, MSD
Toronto Periodontist
5.0 out of 5 stars 30 reviews

2 stage implant

I prefer a two stage process 
Let bone graft heal. Then place implant, let that integrate for 3 months. Then restore implant with a post and crown 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.