Losing a tooth raises an immediate question: how to replace it and how long it will take. Monophase implants often come up in this conversation because of their reputation for being a quick solution, but it is important to understand that they are not suitable for every mouth. Whether or not they are the best option depends on the bone and each patient’s individual characteristics, and this can only be determined after an individual assessment.
Monophase implants: What are they?
With a conventional implant, two components are used: the implant itself, which is placed in the bone, and the abutment, which is screwed in later to support the crown. A monophase implant combines both into a single piece. The lower part sits inside the bone, while the upper part extends above the gum, ready to support the prosthesis.
This eliminates the connecting screw and the small gap between the two components, a space where plaque can accumulate. It also shortens the treatment, as there is no second stage to place the abutment.
The downside is that the implant is designed with its final position and angle from the outset, leaving no room to adjust them afterwards. This is why it requires very precise planning.
Structural comparison between a traditional two-piece implant and a single-piece monophase implant.
When are they recommended?
The key factor is the bone: its quality and volume. Since the implant cannot be repositioned once it has integrated, the bone must provide good anchorage from day one. In addition to the bone, other factors are also assessed:
- Gum health.
- The position of neighbouring teeth.
- The patient’s bite.
To check this, a study using digital radiology and 3D planning is carried out. This makes it possible to calculate the exact position of the implant and confirm whether a monophase implant is the right option or whether another system would be more suitable.
Once this assessment has been completed, these are the cases in which they are usually recommended:
- Replacing one or several teeth in areas with sufficient bone volume.
- Restorations where the aim is to fit a temporary prosthesis within a short period of time.
- Supporting fixed prostheses in people who have lost many teeth.
Advantages of monophase implants
The advantages of this type of implant are as follows:
1. A simple procedure
Since there is no abutment to place in a second stage, the surgery is simpler. In selected cases, there is less manipulation of the tissues and the recovery period is more comfortable. Many patients also appreciate having to undergo surgery only once for this part of the treatment.
2. Fewer visits to the clinic
Without the abutment connection stage, fewer appointments are needed to complete the restoration. This is particularly convenient for people with limited time or those who live far away. Follow-up appointments are still necessary, but they are limited to checking that the implant is integrating properly and that the prosthesis is working as it should.
3. Stability from day one
As it is a single piece, the implant is secured to the bone from the moment it is placed and does not depend on any subsequent connection. This stability makes it possible, when the case allows, to fit a temporary prosthesis soon after the procedure. The patient can regain the function and appearance of their smile without having to spend as much time with a gap.
4. Easier cleaning
With fewer components and no joints, there are fewer areas where food debris and bacteria can accumulate. This makes daily hygiene easier, helps keep the gums healthy and makes brushing more comfortable, as it is easier to reach the entire surface.
5. Care after placement
Easier cleaning does not mean that the implant requires no care. You should follow the hygiene instructions provided by your dentist and use the toothbrushes and other cleaning aids they recommend. During the first few weeks, it is advisable to avoid chewing forcefully on the operated area.
Regular check-ups complete the care routine. They help monitor the condition of the gums and bone and detect any warning signs before they develop into a more serious problem.
Dental implants in Málaga and Torremolinos
At Gross Dentistas Málaga, we have been carrying out dental implant treatments for years. Every case begins with a digital 3D assessment and personalised planning, so before the procedure, we know where and how each implant will be placed. Based on this diagnosis, we explain the options available to you and whether monophase implants are the most suitable choice for your needs.
If the Torremolinos area is more convenient for you, you can also visit our dental clinic in Torremolinos. You can book a free initial assessment to get a second opinion or start treatment. We will provide you with a clear treatment plan and, if needed, interest-free financing options. If you would like more information about dental implants, book an appointment and we will assess your case.
Sources and references
- PubMed — Long-term outcome of one-piece implants. Part I: implant characteristics and loading protocols. A systematic literature review with meta-analysis
- Cochrane — Interventions for replacing missing teeth: different times for loading dental implants
- Journal of Clinical Periodontology (Wiley) — Prevention and treatment of peri-implant diseases: the EFP S3 level clinical practice guideline (Herrera et al., 2023)
- European Federation of Periodontology (EFP) — Peri-implant disease: Prevention
- International Team for Implantology (ITI) — Cone Beam Computed Tomography (CBCT): Consensus Statements
Odontóloga en Gross Dentistas. Ortodoncista especializada en el sistema de ortodoncia invisible, extensa trayectoria profesional y un gran número de pacientes satisfechos con los resultados obtenidos tras la finalización de su tratamiento.
Áreas de dedicación: Ortodoncia · Alineadores transparentes · Salud bucodental
Perfil profesional: Doctoralia · Masquemédicos · Topdoctors
