Basal dental implants
Basal dental implants are a revolutionary and completely new method of dental rehabilitation that does not require bone replacement even in the worst cases. They are made of a biocompatible titanium alloy. They are one-piece implants (implant and abutment are monolithically connected).
What is basal implantology?
Bone consists of an inner soft (spongy) part that is covered with a dense bone layer (cortical). Each basal implant is placed in at least two places in the cortical bone(bi-cortical). The cortical bone that is used to place basal implants is highly mineralized and with a high degree of regeneration. This ensures the integration of dental implants and allows their immediate loading. They differ from classical (two-part) implants in the way they are placed, in the way of redistribution of forces, but especially in the planning and implementation of the prosthetic structure and the postoperative regime.
• Basal dental implants are the first choice in moderate or severe atrophy of the jaws, as well as in cases where patients want an immediate return to chewing function.
• Basal implants are suitable for placement even in cases of severe bone atrophy, that is, in patients with “insufficient” bone.
• There is no need for bone displacement (bone augmentation) and sinus lift before implant placement.
• Basal implants are placed in one visit by a less traumatic method than the traditional (two-part) implants.
• Primary load – on the third day after implantation, the prosthetic construction is cemented.
• Placing is appropriate in the absence of one or more teeth, even in the cases of total edentulous patients (lacking teeth completely)
• Single crowns can also be placed on single basal implants. They load immediately only in certain situations.
• Possible complications of implantation are minimal because placement is associated with less invasive surgical intervention, implants are placed in the deep layers of the bone. This reduces the risk of infection several times compared to the classical (two-part) implants.
• There is no risk of peri-implantitis and other infections because the implants are made of polished titanium and there is no plaque accumulation on the surface creating the inflammation.
• Severe and hopeless periodontal conditions can be treated with basal implants in one visit. After the removal of periodontal compromised soft tissues and teeth, the patient is ready for implants placement.
• Basic implants are a good choice for smokers and diabetics. Implant care includes perfect oral hygiene (tooth brushing, teeth use, mouthwash) and regular prophylactic examinations.
Steps for immediate loading of the basal implants :
1. First day
• On the first visit, X-ray (OPG) or computed tomography (3D) is performed, analyzed and a treatment plan is prepared, that is discussed with the patient.
• An informed consent is signed with the detailed treatment plan by the patient and the dental practitioner
• The patient is consulted by a cardiologist or anesthesiologist and, if necessary, is prescribed premedication (correction of blood pressure, pulse, blood sugar, allergies, antibiotic)
• Photo preparation before the procedure; preparation of the oral cavity for the intervention
• The implants selected are tailored to the specifics of the patient
• Intervention is conducted under local dental anesthesia
• The teeth are extracted according to the treatment plan, immediately implants are placed. Control X-rays are made
• After inserting the implants, plastic surgery is made on the soft and hard tissue around the implants. This achieves an equal foundation on which the future metal-ceramic structure will lie
• The dentist takes impressions for the dental laboratory
2. Second day
• On the second day the metal skeleton of the future construction is fabricated. On this day, the patient can approve the shape, size and length of the teeth and gain an insight into their future vision. The color of the construction is selected and metal skeleton is sent back to the dental laboratory
3. Third day
• On the third day the ceramic part of the prosthetic construction is fabricated. On this day the patient can see his new smile, with his approval and the dentist’s regarding the color, shape and size – the prosthetic construction is cemented constantly.
Execution time of one jaw – three days