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settles; depends on swelling, discomfort and whether a temporary denture is worn."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any biological or prosthetic complication within 1-2 years; attachment wear and denture adjustments most common; serious ones under 5%"},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes) impairing healing","IV bisphosphonate/antiresorptive therapy; relative, specialist assessment","Prior jaw radiotherapy (relative, specialist assessment)","Insufficient uncorrectable bone at planned implant sites","Active oral infection or untreated periodontal disease","Heavy smoking or poor oral hygiene (relative)","Severe bruxism, especially fixed on two implants (relative)","Pregnancy or medical unfitness for oral surgery (typically deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Implant placement under local anesthesia is normally done as an outpatient procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity first; strenuous exercise once swelling and bleeding risk have resolved, per surgeon."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to osseointegration and definitive attachments; mandible is usually faster than maxilla and depends on bone quality."},"fly_home_after_days":{"min":3,"max":5,"unit":"days","qualifier":"After wound check; depends on swelling, bleeding control and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":3,"max":5,"unit":"days","qualifier":"Before departure; checks swelling, bleeding and denture fit."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if non-dissolvable sutures used; can be done locally."},"requirement":"conditional"},{"purpose":"assessment","after":{"min":90,"max":180,"unit":"days","qualifier":"Osseointegration check before attachments, usually at second trip."},"requirement":"routine"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of attachments, denture fit and hygiene after loading."},"requirement":"routine"}],"indications":["Edentulous arch or hopeless teeth needing full-arch replacement","Seeking better stability than a conventional denture","Sufficient anterior bone volume and quality for two implants","'All-on-2' means removable overdenture or fixed bridge; not interchangeable."],"main_risks":["Bleeding, swelling, bruising and post-operative pain","Infection or peri-implantitis","Failure of osseointegration and implant loss","Two-implant overload: attachment wear, denture fracture, screw loosening","Nerve injury (mandibular region) causing numbness or altered sensation","Sinus involvement if the maxilla is treated","Need for further prosthetic adjustment or relining over time"],"pain":"Procedure is done under local anesthesia and is not painful. Mild to moderate soreness, swelling and bruising are usual for several days after surgery and are controlled with standard analgesics.","preparation":["Clinical exam with panoramic imaging and usually CBCT","Planning prosthetic design: removable overdenture or fixed bridge","Treatment of active dental or periodontal disease","Medical history review and optimization of chronic conditions","Smoking cessation advised","Clinic instructions on eating and medication beforehand"],"recovery_timeline":[{"phase":"First days after surgery","description":"Swelling, mild discomfort and minor oozing are common. Soft diet and careful oral hygiene.","restrictions":["Avoid chewing on the surgical area","Avoid strenuous exertion","Follow clinic instructions on denture wear"]},{"phase":"Healing and osseointegration","description":"Implants integrate with bone over a period that depends on the loading protocol and the bone. Prosthesis timing and type depend on the chosen design.","restrictions":["Follow clinic-specified diet and denture or prosthesis instructions"]},{"phase":"Final prosthesis and maintenance","description":"Definitive prosthesis is delivered according to the design, followed by regular hygiene and maintenance reviews.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to normal eating and function on soft diet; depends on swelling and denture adaptation."},"result_longevity":"Implants often last 10-20 years or more with good hygiene and maintenance. Overdenture attachments typically need replacement every 1-2 years, and the denture may need relining.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Implant loss or surgical re-intervention within 5 years; excludes routine attachment replacement and relining"},"scars":"No visible external scars. Small gum incisions or punctures heal intraorally, and minor gingival scarring is possible.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Surgery visit plus one or two prosthetic visits for attachments or final denture."},"stages":[{"code":"implant_placement","label":"Two-implant placement under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"First procedure day."}},{"code":"healing_osseointegration","label":"Healing and osseointegration period","after":{"min":7,"max":90,"unit":"days","qualifier":"Spent at home; length depends on loading protocol and bone."}},{"code":"attachment_prosthesis_delivery","label":"Attachment connection and final prosthesis delivery","after":{"min":90,"max":180,"unit":"days","qualifier":"Second trip after osseointegration is confirmed."}}],"qualifier":"Two-trip protocol: surgery, healing at home, then prosthetic completion."},"success":{"metric":"Implant survival with mandibular two-implant overdenture","value":95,"unit":"percent","horizon":"5 years","population":"Edentulous adults with adequate mandibular bone, removable overdenture design","evidence_status":"proven"},"techniques":[{"name":"Two-implant removable overdenture (e.g., mandibular, on ball or locator attachments)","suits_whom":"Edentulous patients, especially in the mandible, seeking improved retention over a conventional denture. This is the established design.","recovery":"Prosthesis is removable. Loading timing varies by protocol and bone quality."},{"name":"Fixed full-arch bridge supported by two implants","suits_whom":"Carefully selected patients with good bone and low occlusal load, with limited supporting evidence. Not a routine alternative to four or more implants.","recovery":"Immediate provisional loading is not routine. The protocol and healing period are determined by the treating team."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Surgical placement of two implants; attachment visit is shorter."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of upper or lower jaw","Intraoral photos of both arches","Photos of smile and face profile","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Implant surgery then healing before final prosthesis; second trip for attachments or bridge. Each stay about 3-7 days."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=san-paulu/procedure=implantacia-zubov-po-tehnologii-all-on-2-vse-na-dvuh/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}