Full-mouth rehabilitation with immediate loading basal implants

Rehabilitation of partially and completely edentulous patients with implant-supported prosthesis has become a widely accepted treatment option.

Basal implantology is also known as bicortical implantology or just cortical implantology. It is a modern implantology system which utilizes the basal cortical portion of the jaw bones for retention of the dental implants which are uniquely designed to be accommodated in the basal cortical bone areas. The basal bone provides excellent quality cortical bone for retention of these unique and highly advanced implants. Because basal implantology includes the application of the rules of orthopedic surgery, the basal implants are also called as “orthopedic implant” to mark a clear distinction between them and the well-known term “dental implant.” These basal implants are also called as lateral implants or disk implants.

 Rationale of using basal implants

Teeth are present in less dense bone portions of the jaw bones called the alveolar bone. This is also known as the crestal bone of the jaw. The less dense alveolar or crestal bone gradually starts getting resorbed and recedes once the teeth are lost. The bone which ultimately remains after regression of the alveolar bone following loss of teeth is the basal bone which lies below the alveolar bone.

This basal bone is less prone to bone resorption and infections. It is highly dense, corticalized, and offers excellent support to implants. The conventional implants are placed in the crestal alveolar bone which comprises bone of less quality and is more prone to resorption.

The basal bone is less prone to bone resorption because of its highly dense structure. The implants which take support from the basal bone offer an excellent and long-lasting solution for tooth loss. At the same time, load-bearing capacities of the cortical bone are many times higher than those of the spongious bone.

INDICATION

1 All kinds of situations when several teeth are missing or have to be extracted

2 When the procedure of two-stage implant placement or bone augmentation has failed

3 All kinds of bone atrophy i.e. in case of very thin ridges, insufficient buccolingual thickness and insufficient bone height

THE STEP BY STEP PROCEDURE OF BASAL IMPLANT PLACEMENT :

Clinical and radiographic diagnosis(CBCT)

Treatment planning

STEP 1

Under Local Anesthesia, Dr Ruchit Thakar & his Team of Drs will place Basal Implants, without incising the gums i.e flapless surgery which will minimize recovery time and risk of infection.
In cases where teeth extraction is required, the placement of Basal implants is performed immediately after the extraction of teeth therefore minimizing bone loss. A typical full jaw implantation will require between 10 to 12 implants and will take less than 2 hours

STEP 2

Once the placement of the implants is completed an impression is taken to prepare Final Prosthesis.
Metal framework is placed, other imprints taken to finalize the manufacturing of the final prosthesis.

STEP 3

Final prosthesis is loaded and permanently cemented to the implants. Patient immediately receive a perfect set of teeth which can function naturally with a beautiful smile. Patient can start chewing on the teeth on same day.