Single Piece Implants vs Two Piece Implants

Single Piece Implants vs Two Piece Implants : Choosing the right dental implant can be confusing, especially when it comes to deciding between single piece implants and two-piece implants. Many people feel unsure about which option to go for.

To help you understand the differences better, let’s compare these two types of implants.

Single piece implants are implants where the implant and abutment are combined into one unit they are also known as basal implants.

On the other hand, two-piece implants have separate implant and abutment parts they are known as conventional implants. They are approved by US FDA (United States Food & Drug Authority)

We will look at important factors and explain how these implants are different. This will make it easier for you to make a choice based on what’s best for your dental needs. Take a look at the table below that compares the key aspects of single piece implants and two-piece implants. It will help you see the advantages and disadvantages of each option.

One Piece Implant vs Two Piece Implant

Aspect	Single Piece Implants	Two-Piece Implants
Design	Consist of a single integrated unit, placed at the same time	Two units first implant post is placed and then abutment is placed
Surgical Procedure	Requires a single-stage surgery	Generally involves a two-stage surgery
Healing Time	15 days wound healing No bone integration time, needed with implant as implant is simply jammed in the bone	15 days. Bone integration time needed as bone grows around Implants and implant becomes part of bone. 3-4 months typically
Stability	Generally provide good initial stability	Allows for greater control over implant stability
Final Teeth	Forced to be given immediately as abutment is visible about gums. No options for customization or changing angulation of final teeth as single piece.	Temporary teeth given immediately final teeth given after bone integration. A lot of flexibility because second piece is yet to come. Final teeth angle, shape size, can be changed easily as.
Adjacent Tooth Preservation	May require removal of adjacent teeth	Preserves adjacent teeth by utilizing abutment
Peri-implant Infections	Potentially more difficult to treat infections	Easier to address infections with separate components, simply remove the top portion and treat infection.
Bone Loss	Results in marginal bone loss over time	Helps minimize bone loss around the implant site
Esthetics	Severe limitations in achieving optimal esthetics	Provides enhanced esthetic outcomes with separate parts
Complication Management	If implants fails, complex surgery to remove it	Potential complications can be addressed separately, very simple to take out implant, unscrew it.

What Should I choose Single Piece Implants vs Two Piece Implants

In conclusion, if you have severe bone loss and only hard basal bone remains, single piece implants should be considered as the last option for fixed teeth.

It is important to note that single piece implants are typically utilized in cases where traditional implant placement may not be feasible due to limited bone availability.

There are certain challenges to be aware of. Basal implants, for instance, may not have approval from the US FDA, and their long-term success is not well-documented.

On the other hand, conventional two piece implants have been approved by the US FDA and have a history of over five decades with extensive documentation.

In the unfortunate event of implant failure, removing basal implants can pose significant challenges. Therefore, it is recommended to consult with your dental professional and consider these factors when making a decision about the most suitable implant option for your specific needs.