{"id":5574,"date":"2020-08-20T21:26:47","date_gmt":"2020-08-20T21:26:47","guid":{"rendered":"https:\/\/becausesoundmatters.ca\/?p=5574"},"modified":"2020-11-27T19:02:31","modified_gmt":"2020-11-27T19:02:31","slug":"bahs-implant-procedure-step-by-step","status":"publish","type":"post","link":"https:\/\/becausesoundmatters.ca\/fr\/bahs-implant-procedure-step-by-step","title":{"rendered":"Parlons de chirurgie et d\u2019implants!"},"content":{"rendered":"<p>La chirurgie est souvent l\u2019\u00e9l\u00e9ment qui fait h\u00e9siter les candidats dans leur choix d\u2019aller de l\u2019avant avec un syst\u00e8me \u00e0 ancrage osseux. Le but de cet article est de vous donner les informations n\u00e9cessaires afin de prendre une d\u00e9cision \u00e9clair\u00e9e.<\/p>\n<p><strong>Avant l\u2019intervention<\/strong><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone  wp-image-5577\" src=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_1.png\" alt=\"\" width=\"555\" height=\"354\" srcset=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_1.png 728w, https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_1-300x191.png 300w, https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_1-600x382.png 600w\" sizes=\"(max-width: 555px) 100vw, 555px\" \/><\/p>\n<p>Voici quelques conseils pour vous pr\u00e9parer la veille de l\u2019intervention:<\/p>\n<ul>\n<li>Suivez \u00e0 la lettre les instructions que vous aura remises votre m\u00e9decin.<\/li>\n<li>Assurez-vous d\u2019avoir une bonne nuit de sommeil.<\/li>\n<li>C\u2019est normal d\u2019\u00eatre nerveux avant une intervention chirurgicale. Partagez vos craintes avec votre m\u00e9decin, il pourra y apporter des r\u00e9ponses ou conseils.<\/li>\n<li>Demandez \u00e0 un membre de votre famille ou \u00e0 un ami de venir vous chercher \u00e0 la maison, de vous d\u00e9poser \u00e0 l\u2019h\u00f4pital et de rester avec vous.<\/li>\n<\/ul>\n<p><strong>Types d\u2019implants<\/strong><\/p>\n<p>Dans la plupart des cas, apr\u00e8s avoir fait l\u2019essai de l\u2019appareil sur un bandeau, les gens d\u00e9cident d\u2019aller vers une solution plus permanente qui implique la pose d\u2019un implant int\u00e9gr\u00e9 \u00e0 l\u2019os. Le type d\u2019implant le plus commun est une solution appel\u00e9e percutan\u00e9e. Une composante interne, l\u2019implant, est ins\u00e9r\u00e9e dans l\u2019os et \u00e0 cela s\u2019attache un pilier qui d\u00e9passe de la peau. Le processeur de son, qui contient le vibreur, est accroch\u00e9 sur le pilier et n\u2019est pas en contact avec la peau.<\/p>\n<p>D\u2019autres types d\u2019implants impliquent l\u2019utilisation d\u2019aimants qui attachent le processeur de son externe sur la portion interne. Cette option se divise en 2 types. Dans la premi\u00e8re, le vibreur est implant\u00e9 dans l\u2019os, tout comme l\u2019est l\u2019aimant. Le processeur est quant \u00e0 lui \u00e0 l\u2019ext\u00e9rieur et est retenu sur la peau par sa partie aimant\u00e9e. La deuxi\u00e8me utilise encore un aimant, mais cette fois-ci c\u2019est la seule partie qui est implant\u00e9e. Le vibreur est \u00e0 l\u2019ext\u00e9rieur dans le processeur et le son, sous sa forme de vibrations doit traverser la peau. Cette solution est l\u2019\u00e9quivalent du bandeau, mais sous une forme implant\u00e9e.<\/p>\n<p>Cet article explore la solution percutan\u00e9e, puisque c\u2019est la plus r\u00e9pandue. Il s\u2019agit d\u2019une solution de transmission directe de son. Pour en apprendre plus sur les autres solutions de conduction osseuse, cliquez ici.<\/p>\n<p><strong>MIPS<\/strong><\/p>\n<p>Un de ces types de proc\u00e9dures, d\u00e9velopp\u00e9 par Oticon Medical, est le MIPS (Minimally Invasive Ponto Surgery). Gr\u00e2ce \u00e0 cette technique, l\u2019intervention prend environ 15 minutes et n\u00e9cessite uniquement une anesth\u00e9sie locale. Le MIPS est une chirurgie \u00e0 une \u00e9tape. Cette technique permet donc de r\u00e9duire les risques de complication. De plus, elle ne n\u00e9cessite qu\u2019une petite incision sans points de sutures, ce qui permet une meilleure gu\u00e9rison de la peau.<\/p>\n<p>Lors d\u2019une intervention MIPS, un m\u00e9decin oto-rhino-laryngologiste (ORL) r\u00e9alisera les \u00e9tapes suivantes:<\/p>\n<ol>\n<li>Raser une petite r\u00e9gion des cheveux derri\u00e8re l\u2019oreille (1 \u00e0 2 cm).<br \/><img decoding=\"async\" class=\"alignnone  wp-image-5578\" src=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_2.jpg\" alt=\"\" width=\"182\" height=\"150\" \/><\/li>\n<li>Indiquer l\u2019emplacement de l\u2019implant (g\u00e9n\u00e9ralement 50 \u00e0 55mm depuis le conduit auditif externe derni\u00e8re l\u2019oreille).<\/li>\n<li>Mesurer l\u2019\u00e9paisseur de peau afin de d\u00e9terminer la taille du pilier \u00e0 utiliser.<br \/><img decoding=\"async\" class=\"alignnone  wp-image-5579\" src=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_3.jpg\" alt=\"\" width=\"181\" height=\"150\" \/><\/li>\n<li>C\u2019est \u00e0 cette \u00e9tape que vous aurez l\u2019anesth\u00e9sie locale afin que vous ne ressentiez aucune douleur pendant l\u2019intervention.<\/li>\n<li>Faire un petit trou dans la peau (5mm de diam\u00e8tre) avec un poin\u00e7on \u00e0 biopsy. Une canule sera ensuite ins\u00e9r\u00e9e dans ce trou et servira de guide et de protection tout au long de la chirurgie.<br \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-5580\" src=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_4.jpg\" alt=\"\" width=\"181\" height=\"150\" \/><\/li>\n<li>Faire un trou dans l\u2019os en passant la fraise (instrument chirurgical) dans la canule.<\/li>\n<li>Ins\u00e9rer un implant en titane dans le trou dans l\u2019os. Un pilier est accroch\u00e9 sur l\u2019implant. C\u2019est la partie qui d\u00e9passe de la peau et permet d\u2019y accrocher le processeur de son.<br \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-5581\" src=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_5.jpg\" alt=\"\" width=\"182\" height=\"150\" \/><\/li>\n<li>Mettre un capuchon de cicatrisation afin de s\u2019assurer de la bonne gu\u00e9rison de la peau. Celui-ci peut \u00eatre retir\u00e9 10 \u00e0 14 jours apr\u00e8s l\u2019intervention, selon les instructions du chirurgien.<br \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-5582\" src=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/So_you_wanna_talk_6.jpg\" alt=\"\" width=\"181\" height=\"150\" \/><\/li>\n<li>Avec le temps, l\u2019os va progressivement ancrer l\u2019implant. C\u2019est ce qu\u2019on appelle l\u2019oss\u00e9o-int\u00e9gration.<\/li>\n<li>Apr\u00e8s quelque temps (peut aller de 4 semaines \u00e0 3 mois selon le processus de gu\u00e9rison individuel), le processeur de son peut \u00eatre attach\u00e9 au pilier et programm\u00e9 par l\u2019audiologiste.<\/li>\n<\/ol>\n<p><strong>L\u2019incision lin\u00e9aire<\/strong><\/p>\n<p>Cette technique est assez similaire au MIPS. Par contre, au lieu de faire un petit trou puis d\u2019y ins\u00e9rer une canule, le chirurgien fait une incision droite et plus longue. Il utilise ensuite des pinces pour \u00e9carter la peau et avoir acc\u00e8s \u00e0 l\u2019os. Cela lui permettra ensuite de faire un trou dans l\u2019os et d\u2019ins\u00e9rer l\u2019implant.<\/p>\n<p>Une fois l\u2019implant en place, le chirurgien utilisera un poin\u00e7on \u00e0 biopsie pour faire un petit trou pour y faire passer le pilier. Des points de suture sont utilis\u00e9s pour refermer l\u2019incision. Un capuchon de st\u00e9rilisation peut aussi \u00eatre utilis\u00e9.<\/p>\n<p><strong>Proc\u00e9dure en deux \u00e9tapes<\/strong><\/p>\n<p>La proc\u00e9dure en deux \u00e9tapes est g\u00e9n\u00e9ralement pr\u00e9conis\u00e9e pour les jeunes enfants, les personnes avec un os du cr\u00e2ne fin ou de moins bonne qualit\u00e9 ou bien pour toute autre personne qui ne pourrait pas subir une intervention unique en raison de conditions m\u00e9dicales sp\u00e9cifiques. Pour ces patients, le pilier n\u2019est pas attach\u00e9 \u00e0 l\u2019implant au moment de le placer dans l\u2019os du cr\u00e2ne. L\u2019implant est mis en place puis il y aura une p\u00e9riode d\u2019environ 3 \u00e0 6 mois avant d\u2019y attacher le pilier. Cela permettra \u00e0 l\u2019implant de bien s\u2019osseo-int\u00e9grer. Au moment de mettre le pilier, une petite incision puis quelques points de suture seront faits.<\/p>\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>The implant procedure is often the biggest barrier when it comes to discussing Bone Anchored Hearing Systems (BAHS) as a treatment option. The goal of this article is to provide you with all the necessary information to make an informed decision about BAHS and prepare for your quick 15-30 minutes implant procedure. Before Your Procedure Here are some tips to prepare yourself the day before: Follow all necessary instructions from your doctor before the procedure. Make sure to have a good night\u2019s sleep and stay hydrated. It is natural to be nervous before the procedure, sharing your concerns with your doctor may ease your concerns. Have a family member\/friend pick you up and drop you off or stay with you for support. Types of Implants In most cases, after trialing the device on a softband, people choose to go for a more permanent solution which involves an implant that integrates into the bone. The most common type of implanted BAHS is a percutaneous solution. The internal component is embedded into the skull and is attached to a piece that sticks slightly out of the skin called an abutment. The sound processor which contains the vibrating component is then clipped on the abutment and is not in contact with the skin. Other implants involve using magnets to attach the external sound processor with the internal component. In one option, the vibrating piece is implanted (along with a magnet) and the sound processor is attached to the skin by a magnet. The other option still has an internal magnet; however, the vibrating piece remains in the external sound processor. In the latter, the sound must travel across the skin in the same way it does when wearing the device on a softband. This article will explore the first type of implant surgery. The direct drive percutaneous solution. To learn more about the other bone conduction solutions, click here. MIPS One type of procedure used by Oticon Medical is called MIPS (Minimally Invasive Ponto Surgery). It takes about 15 &#8211; 30 minutes to perform and often only requires local anesthesia. MIPS is a single stage procedure that reduces the risk of complications as it does not require a major incision or stitching afterwards. This minimizes scarring and encourages faster healing. During MIPS, an otolaryngologist or Ear-Nose and Throat (ENT) doctor will do the following: Shave a very small area of hair behind the ear (1cm to 2 cm). Indicate the area where the implant will be placed, typically 50-55mm from the ear canal in the direction behind the ear. Measure skin thickness to determine abutment length. Receive a local anesthesia. Make a round hole with a skin (biopsy) punch about 5mm in diameter. Place the cannula to help guide the drill and minimize trauma to the surrounding area. A cannula is a thin tube inserted into a body cavity to help with the insertion of a surgical instrument. Drill a hole through the cannula into the skull bone. Screw a titanium implant into the bone. The implant is often attached to an abutment that sticks out through the skin. This is where the external part of the device will attach once the site is healed. Place a healing cap to ensure quick healing. It can be removed after 10-14 days or according to your surgeon\u2019s instruction. Over time, the titanium implant integrates with the bone. After 4 weeks to 3 months (depending on healing process) the sound processor can then be attached onto the abutment and programmed by your audiologist. Linear Incision This procedure is similar to that of MIPS however instead of using a biopsy skin punch, a linear incision behind the ear is made. A retractor pulls the skin apart to clear the way for the drilling of the hole and placement of the implant and abutment (typically already attached together for single stage). Once the implant is in place, the surgeon will use the biopsy punch to punch a hole in the skin over where the abutment will poke through. The skin is then gently eased overtop of the abutment (lining up the hole with the abutment). The incision will then be sutured, and a healing cap placed. Two-Stage Procedure Two stage procedures are often chosen for young children, individuals with thin or frail bone quality, or individuals with other medical conditions that may be contraindications for a single-stage procedure. In these cases, the abutment is not already attached to the implant when the implant is placed into the skull. Instead, a cover screw is attached to the implant and the incision site is sutured. After 3- 6 months allowing for appropriate osseointegration of the implant into the bone, the incision is opened, the cover screw is removed, and the abutment is installed. The incision is once again sutured, and a healing cap is placed.<\/p>","protected":false},"author":2,"featured_media":5576,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[75],"tags":[161,139,138,137,144,147,146,193,143],"class_list":["post-5574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bone-conduction","tag-abutment","tag-baha","tag-bahi","tag-bahs","tag-implant","tag-linear-surgery","tag-mips","tag-resources","tag-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>So You Want to Talk About Implants? - because sound matters<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/becausesoundmatters.ca\/fr\/bahs-implant-procedure-step-by-step\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"So You Want to Talk About Implants? - because sound matters\" \/>\n<meta property=\"og:description\" content=\"The implant procedure is often the biggest barrier when it comes to discussing Bone Anchored Hearing Systems (BAHS) as a treatment option. The goal of this article is to provide you with all the necessary information to make an informed decision about BAHS and prepare for your quick 15-30 minutes implant procedure. Before Your Procedure Here are some tips to prepare yourself the day before: Follow all necessary instructions from your doctor before the procedure. Make sure to have a good night\u2019s sleep and stay hydrated. It is natural to be nervous before the procedure, sharing your concerns with your doctor may ease your concerns. Have a family member\/friend pick you up and drop you off or stay with you for support. Types of Implants In most cases, after trialing the device on a softband, people choose to go for a more permanent solution which involves an implant that integrates into the bone. The most common type of implanted BAHS is a percutaneous solution. The internal component is embedded into the skull and is attached to a piece that sticks slightly out of the skin called an abutment. The sound processor which contains the vibrating component is then clipped on the abutment and is not in contact with the skin. Other implants involve using magnets to attach the external sound processor with the internal component. In one option, the vibrating piece is implanted (along with a magnet) and the sound processor is attached to the skin by a magnet. The other option still has an internal magnet; however, the vibrating piece remains in the external sound processor. In the latter, the sound must travel across the skin in the same way it does when wearing the device on a softband. This article will explore the first type of implant surgery. The direct drive percutaneous solution. To learn more about the other bone conduction solutions, click here. MIPS One type of procedure used by Oticon Medical is called MIPS (Minimally Invasive Ponto Surgery). It takes about 15 &#8211; 30 minutes to perform and often only requires local anesthesia. MIPS is a single stage procedure that reduces the risk of complications as it does not require a major incision or stitching afterwards. This minimizes scarring and encourages faster healing. During MIPS, an otolaryngologist or Ear-Nose and Throat (ENT) doctor will do the following: Shave a very small area of hair behind the ear (1cm to 2 cm). Indicate the area where the implant will be placed, typically 50-55mm from the ear canal in the direction behind the ear. Measure skin thickness to determine abutment length. Receive a local anesthesia. Make a round hole with a skin (biopsy) punch about 5mm in diameter. Place the cannula to help guide the drill and minimize trauma to the surrounding area. A cannula is a thin tube inserted into a body cavity to help with the insertion of a surgical instrument. Drill a hole through the cannula into the skull bone. Screw a titanium implant into the bone. The implant is often attached to an abutment that sticks out through the skin. This is where the external part of the device will attach once the site is healed. Place a healing cap to ensure quick healing. It can be removed after 10-14 days or according to your surgeon\u2019s instruction. Over time, the titanium implant integrates with the bone. After 4 weeks to 3 months (depending on healing process) the sound processor can then be attached onto the abutment and programmed by your audiologist. Linear Incision This procedure is similar to that of MIPS however instead of using a biopsy skin punch, a linear incision behind the ear is made. A retractor pulls the skin apart to clear the way for the drilling of the hole and placement of the implant and abutment (typically already attached together for single stage). Once the implant is in place, the surgeon will use the biopsy punch to punch a hole in the skin over where the abutment will poke through. The skin is then gently eased overtop of the abutment (lining up the hole with the abutment). The incision will then be sutured, and a healing cap placed. Two-Stage Procedure Two stage procedures are often chosen for young children, individuals with thin or frail bone quality, or individuals with other medical conditions that may be contraindications for a single-stage procedure. In these cases, the abutment is not already attached to the implant when the implant is placed into the skull. Instead, a cover screw is attached to the implant and the incision site is sutured. After 3- 6 months allowing for appropriate osseointegration of the implant into the bone, the incision is opened, the cover screw is removed, and the abutment is installed. The incision is once again sutured, and a healing cap is placed.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/becausesoundmatters.ca\/fr\/bahs-implant-procedure-step-by-step\/\" \/>\n<meta property=\"og:site_name\" content=\"because sound matters\" \/>\n<meta property=\"article:published_time\" content=\"2020-08-20T21:26:47+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-11-27T19:02:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/surgeons-operating-in-operation-theater-GHSSPB4.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"1200\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"The Audiology Team\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"The Audiology Team\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step\",\"url\":\"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step\",\"name\":\"So You Want to Talk About Implants? 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- because sound matters","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/becausesoundmatters.ca\/fr\/bahs-implant-procedure-step-by-step\/","og_locale":"fr_FR","og_type":"article","og_title":"So You Want to Talk About Implants? - because sound matters","og_description":"The implant procedure is often the biggest barrier when it comes to discussing Bone Anchored Hearing Systems (BAHS) as a treatment option. The goal of this article is to provide you with all the necessary information to make an informed decision about BAHS and prepare for your quick 15-30 minutes implant procedure. Before Your Procedure Here are some tips to prepare yourself the day before: Follow all necessary instructions from your doctor before the procedure. Make sure to have a good night\u2019s sleep and stay hydrated. It is natural to be nervous before the procedure, sharing your concerns with your doctor may ease your concerns. Have a family member\/friend pick you up and drop you off or stay with you for support. Types of Implants In most cases, after trialing the device on a softband, people choose to go for a more permanent solution which involves an implant that integrates into the bone. The most common type of implanted BAHS is a percutaneous solution. The internal component is embedded into the skull and is attached to a piece that sticks slightly out of the skin called an abutment. The sound processor which contains the vibrating component is then clipped on the abutment and is not in contact with the skin. Other implants involve using magnets to attach the external sound processor with the internal component. In one option, the vibrating piece is implanted (along with a magnet) and the sound processor is attached to the skin by a magnet. The other option still has an internal magnet; however, the vibrating piece remains in the external sound processor. In the latter, the sound must travel across the skin in the same way it does when wearing the device on a softband. This article will explore the first type of implant surgery. The direct drive percutaneous solution. To learn more about the other bone conduction solutions, click here. MIPS One type of procedure used by Oticon Medical is called MIPS (Minimally Invasive Ponto Surgery). It takes about 15 &#8211; 30 minutes to perform and often only requires local anesthesia. MIPS is a single stage procedure that reduces the risk of complications as it does not require a major incision or stitching afterwards. This minimizes scarring and encourages faster healing. During MIPS, an otolaryngologist or Ear-Nose and Throat (ENT) doctor will do the following: Shave a very small area of hair behind the ear (1cm to 2 cm). Indicate the area where the implant will be placed, typically 50-55mm from the ear canal in the direction behind the ear. Measure skin thickness to determine abutment length. Receive a local anesthesia. Make a round hole with a skin (biopsy) punch about 5mm in diameter. Place the cannula to help guide the drill and minimize trauma to the surrounding area. A cannula is a thin tube inserted into a body cavity to help with the insertion of a surgical instrument. Drill a hole through the cannula into the skull bone. Screw a titanium implant into the bone. The implant is often attached to an abutment that sticks out through the skin. This is where the external part of the device will attach once the site is healed. Place a healing cap to ensure quick healing. It can be removed after 10-14 days or according to your surgeon\u2019s instruction. Over time, the titanium implant integrates with the bone. After 4 weeks to 3 months (depending on healing process) the sound processor can then be attached onto the abutment and programmed by your audiologist. Linear Incision This procedure is similar to that of MIPS however instead of using a biopsy skin punch, a linear incision behind the ear is made. A retractor pulls the skin apart to clear the way for the drilling of the hole and placement of the implant and abutment (typically already attached together for single stage). Once the implant is in place, the surgeon will use the biopsy punch to punch a hole in the skin over where the abutment will poke through. The skin is then gently eased overtop of the abutment (lining up the hole with the abutment). The incision will then be sutured, and a healing cap placed. Two-Stage Procedure Two stage procedures are often chosen for young children, individuals with thin or frail bone quality, or individuals with other medical conditions that may be contraindications for a single-stage procedure. In these cases, the abutment is not already attached to the implant when the implant is placed into the skull. Instead, a cover screw is attached to the implant and the incision site is sutured. After 3- 6 months allowing for appropriate osseointegration of the implant into the bone, the incision is opened, the cover screw is removed, and the abutment is installed. The incision is once again sutured, and a healing cap is placed.","og_url":"https:\/\/becausesoundmatters.ca\/fr\/bahs-implant-procedure-step-by-step\/","og_site_name":"because sound matters","article_published_time":"2020-08-20T21:26:47+00:00","article_modified_time":"2020-11-27T19:02:31+00:00","og_image":[{"width":1200,"height":1200,"url":"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/surgeons-operating-in-operation-theater-GHSSPB4.jpg","type":"image\/jpeg"}],"author":"The Audiology Team","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"The Audiology Team","Dur\u00e9e de lecture estim\u00e9e":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step","url":"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step","name":"So You Want to Talk About Implants? - because sound matters","isPartOf":{"@id":"https:\/\/becausesoundmatters.ca\/#website"},"primaryImageOfPage":{"@id":"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step#primaryimage"},"image":{"@id":"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step#primaryimage"},"thumbnailUrl":"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/surgeons-operating-in-operation-theater-GHSSPB4.jpg","datePublished":"2020-08-20T21:26:47+00:00","dateModified":"2020-11-27T19:02:31+00:00","author":{"@id":"https:\/\/becausesoundmatters.ca\/#\/schema\/person\/73567234a51148d3c6bec25ea238edc5"},"breadcrumb":{"@id":"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step#primaryimage","url":"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/surgeons-operating-in-operation-theater-GHSSPB4.jpg","contentUrl":"https:\/\/becausesoundmatters.ca\/wp\/wp-content\/uploads\/2020\/08\/surgeons-operating-in-operation-theater-GHSSPB4.jpg","width":1200,"height":1200},{"@type":"BreadcrumbList","@id":"https:\/\/becausesoundmatters.ca\/bahs-implant-procedure-step-by-step#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/becausesoundmatters.ca\/"},{"@type":"ListItem","position":2,"name":"So You Want to Talk About Implants?"}]},{"@type":"WebSite","@id":"https:\/\/becausesoundmatters.ca\/#website","url":"https:\/\/becausesoundmatters.ca\/","name":"because sound matters","description":"Juste un autre site WordPress","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/becausesoundmatters.ca\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Person","@id":"https:\/\/becausesoundmatters.ca\/#\/schema\/person\/73567234a51148d3c6bec25ea238edc5","name":"L'\u00e9quipe d'audiologie","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/becausesoundmatters.ca\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/09748ed75aa427cc75aa6555f270a187?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/09748ed75aa427cc75aa6555f270a187?s=96&d=mm&r=g","caption":"The Audiology Team"},"url":"https:\/\/becausesoundmatters.ca\/fr\/author\/admin"}]}},"_links":{"self":[{"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/posts\/5574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/comments?post=5574"}],"version-history":[{"count":8,"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/posts\/5574\/revisions"}],"predecessor-version":[{"id":6073,"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/posts\/5574\/revisions\/6073"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/media\/5576"}],"wp:attachment":[{"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/media?parent=5574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/categories?post=5574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/becausesoundmatters.ca\/fr\/wp-json\/wp\/v2\/tags?post=5574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}