Ovidental Editorial Team
hola@ovidentalgo.com
Monophasic implantology, also known as one-phase implantology, is an innovative technique in the field of dentistry that provides efficient solutions for oral rehabilitation.
This method involves the use of implants that integrate both the implant body and the prosthetic abutment in a single unit, enabling immediate prosthetic loading and reducing treatment time.
Differences Between Monophasic and Biphasic Implantology
The primary distinction between monophasic and biphasic implantology lies in the implant structure and surgical protocol:
- Monophasic Implants
These consist of a single-piece structure that combines the implant and abutment.
They are inserted into the bone in a single surgical phase, allowing for immediate prosthetic placement.
This technique is minimally invasive, as it often avoids large incisions and sutures, reducing postoperative pain and inflammation.
- Biphasic Implants
These consist of two separate parts: the implant (inserted into the bone) and the abutment (connected later).
This method requires two interventions: one for implant placement and another, after the osseointegration period, to attach the abutment and prosthesis.
Although it is the traditional approach, it involves a longer treatment period and may require additional procedures, such as bone grafting.
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Monophasic Implant Placement Procedure
The installation of monophasic implants follows these steps:
1. Clinical Evaluation and Diagnosis
A comprehensive assessment, including medical history, clinical examination, radiographs, and computed tomography (CT) scans, is performed to determine bone quality and volume and plan the optimal implant position.
2. Treatment Planning
Using digital planning software, the exact implant placement is determined, considering aesthetic and functional factors.
3. Surgical Procedure
Under local anesthesia, a minimal incision is made, or a flapless technique (without gum incision) is used.
The monophasic implant is inserted directly into the bone, ensuring primary stability suitable for immediate loading.
4. Provisional Prosthesis Placement
Immediately after surgery, a temporary prosthesis is adapted to restore masticatory function and aesthetics.
5. Follow-up and Definitive Rehabilitation
After a healing and osseointegration period, the temporary prosthesis is replaced with a definitive one, made from high-strength and aesthetic materials.
Advantages of Monophasic Implantology
- Shorter Treatment Time
Immediate loading significantly reduces the total rehabilitation time.
- Minimally Invasive
The technique minimizes surgical trauma, avoiding large incisions and sutures, resulting in faster and more comfortable recovery for the patient.
- Optimal Primary Stability
The design of the monophasic implant ensures excellent initial stability, essential for successful immediate loading.
- Simplified Surgical Protocol
By integrating the implant and abutment into a single unit, the number of components and procedural steps are reduced, facilitating the process.
Disadvantages and Considerations
- Limitations in Cases of Severe Bone Loss
Patients with significant bone atrophy may require additional techniques or alternative solutions, as primary stability might be compromised.
- Prosthetic Adaptation
The fixed position of the abutment can pose challenges in prosthetic alignment, necessitating meticulous planning for optimal aesthetic and functional results.
Statistics and Global Adoption
The global dental implant market has shown steady growth. It is projected to reach $4.94 billion in 2024, with a compound annual growth rate (CAGR) of 7.80% until 2029.
Regarding monophasic implantology, while specific statistical data by country is limited, its adoption has been notable in regions such as Eastern Europe and Asia, where there is high demand for fast and effective solutions.
Countries like Turkey have emerged as prominent destinations for monophasic implantology procedures, attracting international patients due to the combination of quality and competitive costs.
Leading Companies in Monophasic Implant Manufacturing
Several companies stand out in producing high-quality monophasic implants:
- Straumann AG
A Swiss company recognized for its innovation in implantology solutions, offering a range of monophasic implants designed for various clinical indications.
- Dentsply Sirona
Based in the USA, this company provides monophasic implant systems incorporating advanced technology to facilitate immediate loading procedures.
- Nobel Biocare
A global leader in dental implantology, developing cutting-edge solutions for both monophasic and biphasic implants.
- Ihde Dental AG
A Swiss company specializing in immediate-loading implants, with a strong focus on monophasic implantology for complex cases.
Future of Monophasic Implantology
The future of monophasic implantology looks promising, driven by technological advancements and increasing demand for quick and effective oral rehabilitation solutions.
Nanotechnology is being incorporated into implant surfaces to accelerate osseointegration, further reducing treatment times.
Additionally, the integration of digital technologies, such as 3D printing and CAD/CAM systems, allows for more precise and personalized planning, improving aesthetic and functional outcomes.
Conclusion
Monophasic implantology has proven to be a highly effective and efficient solution for dental rehabilitation.
Its advantages, including reduced treatment time, minimal invasiveness, and immediate loading capabilities, make it an attractive option for both patients and dental professionals.
As technology continues to evolve, monophasic implants will likely become an even more prevalent and reliable choice in modern dentistry.
