Basal Implants
Revolutionary and completely new method for dental implantation, where there is no need for bone augmentation even in the worst cases. They are made of biocompatible titanium alloy.Basal implants are one single unit / Implant and Abutment are monolithically connected /. What is basal implantation?. Bone is composed of an internal spongy / cancellous / portion which is covered with dense bone layer /corticalis / .Each basal implant is placed in at least two places in corticalis .The corticalis used for anchoring of the basal implants is highly mineralized, and with high rate of regeneration. This ensures the integration of dental implants and allows their immediate loading. Basal implants differ from crest / axial / implants in the manner of placing, the manner of force distribution , but primarily by the planning and execution of the prosthetic construction and post-operative regime. Design of implants Lateral basal implants (BOI ® brand) with a large horizontal plane and reduced vertical parts Basal compression screws (BCS ®) with a wide thread for cortical penetration. Lateral basal implants are placed from the side / lateral / aspects of the jaw. Existing bone height should be up to 3mm.The cortical anchor provides a safe distribution of chewing pressure and guaranteed osseointegration.
Screw basal implants are placed without flap( through the gum) without making any incision. Their placement is similar to a crest implant, but basal implants transmit pressure over cortical bone.
Characteristics basal implants and screws
• Basal implants have a special form that allows their placement even in cases of severe bone atrophy in patients with 'insufficient' bone level
• Basal implants are placed in one visit thus this method is less traumatic than the crest / axial / implants
• Can be used as an anchor for dentures and allow the patient to immediately restore masticatory function
• Their placement is indicated for three or more adjacent missing teeth, because it requires larger place in the bone Benefits
• Basal implants are indicated for almost all patients, even toothless
• Basal implants can be placed even in the presence of a little vertical bone height, if it is enough horizontal bone
• The usual aim of treatment includes a fixed structure / bridge / 12 teeth on each jaw
• Removable dentures can be placed over basal implants and thus improves the retention of dentures
• Single crowns can also be placed over basal implants. They are loaded immediately only in certain situations
• No intraoperative or preoperative infection can affect the outcome of treatment. There is no risk of periimplantitis and bone loss around the implants. The requirements for oral hygiene of the patient are less demanding because of the resistance of basal implants.
• Basal implants are first choice for moderate or severe atrophy of the jaw, and in cases where patients want immediate restoration of masticatory function.
• No substitute bone (bone augmentation) and sinus lift are necessary before placing the implants
• Placement is possible even in patients with periodontitis. Advanced, hopeless periodontal conditions can be treated with basal implants in one visit .After elimination of periodontal compromised soft tissues and teeth, the patient is immediately ready for placement of implants
• Basal implants can be placed immediately after extraction of teeth in one visit
• Potential complications of implantation are minimized because the placement is associated with less invasive surgery and implants are placed in the deep layers of sterile bone. This reduce the risk of infection several times compared to the crest / axial / implants
• Placement of basal implants has a lower price than the classical procedure because of the reduced treatment stages
• The risk of infection and rejection are minimal because the implants are resistant to infection
• Basal implants can be placed in smokers and patients with diabetes. The postoperative care for the implants includes perfect oral hygiene (brushing teeth, using dental floss, mouthwash) and regular check-ups. Otherwise, it is very likely to compromise implant and the implant to be lost.
STAGES:
• You have to make radiography .The surgeon makes an analysis and prepare a treatment plan that is discussed with the patient
• Preparation of the patient and the mouth for intervention
• Selection of individual implants / individual design /
•The placement of the implants is preceded by the administration of local anesthesia
• If extraction of teeth is required , implants are placed in their places and the abutments are fixed at the wrong angle to get parallelism with the other dental implants
• Orthopedic surgeon take an impression for the dental laboratory
• On the third day after surgery the permanent constructions over implants are fixed and the patient may burden them
• After surgery, the patient should make routine check-ups and panoramic radiography / about 6 months