What does “First-stage implant surgery” mean?
First-stage implant surgery is the surgical stage in which the implant body is placed in the jawbone.
Planning the position before surgery
Placement is planned with the final prosthesis position and surrounding teeth, bone, nerves, and maxillary sinus in mind. Examination and radiographs assess bone quantity and anatomy; grafting may be performed first or simultaneously in some cases.
Fixture placement and management of the gum
After anesthesia, a space is prepared in the bone and the implant body inserted. The gum may be closed with sutures or a healing abutment left exposed. Incision extent and suturing depend on the plan and actual tissue condition.
A separate stage from completing the tooth
After placement, time is needed to assess wound and bone healing. In a two-stage approach, the body is exposed later, followed by impressions and prosthesis fabrication. Placement on extraction day and connecting a prosthesis for chewing that day are separate decisions.
Frequently Asked Questions
Is the tooth completed during first-stage surgery?
Healing and prosthetic stages usually follow placement. A temporary prosthesis may be connected early in some cases, but separate requirements such as primary stability and force control must be met.
Is bone grafting always performed at the same time?
No. The assessment checks whether adequate bone exists at the required position; the size and shape of any deficiency determine simultaneous or prior grafting.
Questions about first-stage implant surgery
Learn what the term means and how it relates to your dental condition.
- Sufficient understanding
Where and in what sequence will the implant be placed?
Explanation and evidenceBone quantity, nearby structures, and final prosthesis position determine the sequence of placement and grafting.
Cambridge University Hospitals · Insertion of Dental Implants - A choice suited to your condition
What will the next treatment involve, and when?
Explanation and evidenceThe need for second-stage surgery and prosthetic preparation differs according to whether the implant is covered by the gum or left exposed.
Guy’s and St Thomas’ · Having a Dental Implant
