Advantages of the Immediate Loading Basal Dental Implants – prosthesis is fixed within 72 hrs. of implant surgery saving time and costs considerably. In case of conventional implants associated with bone augmentation / grafting procedures, the total treatment time will be about 6 months to 1 year. The need for interim dentures / provisionals are totally eliminated, in addition to avoidance of a second surgery for implant exposure in order to fix the abutment over the implant.
Fast, Safe & Painless Dental Implant procedures with unique advantages of:
- Immediate loading
- Avoidance of bone grafting
- Single piece implantology
- Basal / Cortical bone support
- Minimally invasive (‘key hole’ impantology)
- Solutions for unfavorable bone situations
- Extremely low failure rates
- Virtually no incidence of Peri-implantitis…
To view an online presentation on the advantages please click on the link below:
• Single piece implantology – Basal implants are one piece implants in which the implant and the abutment are fused into one single piece. This minimizes failure of implants due to interface problems between the connections which exist in conventional two and three piece implants.
• Basal – cortical bone support – most of these implants take support from the basal bone which are a lot more resistant to resorption, very much unlike the conventional implants which mostly take support from the crestal bone. Basal cortical bone also has a much faster and stable repairing capacity.
• Minimally invasive, minimal surgical complications – in most edentulous situations, the single piece screw type implants can be inserted in a minimally invasive fashion – often flapless (“Keyhole implants”) and involving minimum bone cutting. The implants are self tapping and condense bone around the implant during insertion. Being minimally invasive, they are also associated with minimum post operative edema and healing at the procedure sites are rapid and often non-eventful. Additional surgical risks and complications are eliminated in addition to cost savings.
• Works very well even in the most unfavorable bone situations – Avoidance of bone augmentation / grafting, sinus lifts and nerve trans-positioning – These implants are unique in that they can be made to utilize the available bone in the best possible manner to avoid bone augmentation procedures. With conventional implants, the available bone is modified (by using bone – grafts, bone substitute grafts etc.) to suit the implants. With the basal implants, implants are selected or adapted to suit the patient’s own available bone – with respect to quality and quantity. Bone augmentation, if needed, is only required for esthetic reasons and not for improving the anchorage of the implant in bone.
Atrophied Mandible: In the lower jaw (mandible) which has severe bone deficiency, implants can be placed transversely (mainly the BOI implants are used here) above the mandibular canal taking the horizontal bone support or bicortical implants can be placed bypassing the mandibular nerve, engaging the lower cortical border of the mandible. Thus, bone augmentation / grafting procedures and complex procedures such as inferior alveolar nerve trans-positioning are almost completely eliminated.
Atrophied Maxilla: In the case of the upper jaw (maxilla) with an unfavorable maxillary sinus situation for implants, the sinus is bypassed with the basal implants, taking support from the bone anterior and posterior to the maxillary sinus (tubero-pterygoid implants), thereby eliminating the need for bone augmentation and sinus lifts, almost completely.
• Minimal foreign material – basal implants displace up to 60% less bone substance in comparison with conventional implants. Bone integrity and perfusion (blood supply) are barely affected. As a result, the post operative swelling is minimal in addition to facilitating a fast recovery for the patient after the implant surgery.
• Facilitate implant placement immediately after multiple extractions in single stage anesthesia – Basal implants work fine in patients with severe gum disease (acute destructive periodontitis etc.) where the mobile teeth have little or no bone support at all by facilitating implant placement and immediate loading soon after extractions.
• Advantageous distribution of masticatory forces – As basal implants are anchored in high quality basal bone, the biomechanical loads (masticatory forces etc.) are distributed to the cortical bone regions which are highly resistant to resorption and have very high repairing capacity. The force distribution is away from the bone areas surrounding the implant which are prone to bacterial invasion and hence these implants survive very well even in very unfavorable conditions. This sort of force distribution also helps in the prevention of “facial collapse” owing to bone resorption in the areas where there is no masticatory stimulation.
• Revolutionary designs and features of the basal implants help the implantologist in treating a wide variety of cases which cannot be attempted with the conventional two / three – piece crestal implants. Many of the implants have smooth surface designs which do not permit bacterial colonization on the implant surfaces which in turn brings down the incidence of peri-implantitis considerably.
• Peri-implantitis incidence – Peri-implantitis is the single most common cause for failure of conventional implants. This happens mostly because of the rough implant surface as well as the interface problems between the multiple parts of the implant. Judicious use of monobloc, smooth surface basal implants eliminate the threat of peri-implantitis by almost 98%.
• Medically compromised situations – Basal implants work fine in controlled diabetics, in smokers, in patients suffering from chronic destructive periodontitis and in patients who have little or no bone for conventional implants.
Diabetes Mellitus – Conventional dental implants are generally contra-indicated in diabetes patients. This is because, diabetes is associated with co-morbidities, including increased susceptibility to infection, impaired wound healing and gum diseases (gingivitis, periodontitis etc.) However, basal implants work absolutely well in controlled diabetic patients because they are smooth surface implants which do not permit bacterial colonization on the implant surfaces. In addition, the fact that these implants take support from the basal bone is an added advantage as the load bearing areas of the implant (Basal cortical bone areas) are far away from the areas where bacteria attempt to invade (crestal alveolar bone).
Smoking is known to negatively affect the implant procedure because it cuts down the blood flow to the oral tissue like the gums, teeth and bone, which in turn results in slower healing of the implant site. Smokers have a high risk of gingivitis and gingival recession which in turn will lead to infection around the implant (peri-implantitis) leading to their failure. Smoking soon after the implant surgery will lead to impaired healing of the surgery site which can subsequently get infected too. In smokers, the osseo-integration (the bone-implant connection, which is the most crucial for the success of an implant) may be compromised, leading to the failure of the entire process. In case of basal implants, since the load bearing areas are far away from the areas of the mouth affected by smoking, they take up well. However, it should be borne in mind that smoking immediately after implant surgery will be unfavorable for wound healing even in the case of basal implants.
Acute Destructive Periodontitis – dental implants are contra indicated in patients with acute periodontitis and those with history of destructive gums diseases (often hereditary and run in families). This is because of the high risk of the patient to contract gingival infections leading to failure of the implants. These patients often present with multiple mobile teeth and painful, inflammed gums which bleed easily. However, smooth surface basal implants work wonderfully well in such patients owing to the fact that they are less prone to bacterial attack (the load bearing area is far away from the area prone to infections in the gum regions and the smooth surface implants do not permit bacterial colonization and multiplication). The fascinating part with basal implants is such that even in hopeless cases of acute periodontitis, after complete extractions of the afflicted teeth, basal implantation procedures can be carried out. Even in these cases, immediate fixation of prostheses is carried out within a matter of 72 hours of implantation.
• Post treatment care – there are no excessive oral hygiene requirements which patients need to observe
• Cost savings – Avoidance of the bone grafts and second stage surgery, in addition to the phenomenal reduction in the total treatment time helps save costs in a big way.
To view an online presentation on the advantages please click on the link below:
“For me, implantology starts where others gave up. Basal implants also offer a unique opportunity for the implantologist to treat cases which cannot be treated with the conventional implant systems.” – – Prof. Dr. Stefan Ihde, Chairman, DrIhde Dental, Switzerland.
Thus, with Basal Implants,
* Every patient can get fixed teeth almost immediately after implantation, without undergoing bone grafting / augmentations / sinus lifts etc. & without waiting periods for healing of the implant surgery sites (which can take upto 1 year after implant surgery with bone grafting & conventional implants). There is no requirement of intermediate dentures too.
* Basal implant specialists utilize cortical / basal bone in all areas of the facial skeleton. This bone is resorption-stable and strong. This reason why basal implants permit fixation of bridges soon after surgery by splinting the basal implants.
* Specialized dental technicians helps provide safe and sound bite through the basal implant supported bridges.
* The patient can start chewing / eating soon after the bridges are installed!