Basal Implantology

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Today dental implants are one of the most accepted dental treatment modalities for the rehabilitation of lost teeth and their function. A clinician offers different treatment plans and the patients can decide between the options available and suitable for them. Most treatment providers do not have a full overview of the treatment possibilities currently available; so most patients still do not get the desired treatment today.

Two-stage dental implant systems are the mainstream devices in most countries. The protocol includes several steps and a long waiting (healing) time. The patients have to wait for a long period before the prosthesis is fabricated and inserted.

Today an alternative to conventional implantology is available and is widely accepted as a treatment modality in the field of dental implantology i.e. ‘BASAL IMPLANTS’. The term was generated under the aspect that basal implants utilize the cortical bone and create multi-cortical anchorage for load transmission. The cortical bone is dense, stable, less reactive and has a strong tendency to repair.

This field follows the principle of orthopaedic surgery (traumatology)2,3.

BASAL IMPLANTS consist of axial and lateral implants being smooth or surface treated. Surface-treated axial implants (e.g. KOS) are used in combination with basal implants. These implants corticalise spongious bone, i.e. they are placed in cancellous bone (alveolar bone).

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KOS single piece dental implant

Smooth-surfaced basal implants are available as axial and lateral implants. Axial-polished basal implants (e.g BCS) feature aggressive threads at apical area and they allow cortical engagement in the second cortical.
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BCS single piece dental implant

Lateral basal implants (e.g. BOI) utilise a lateral path of insertion and they use the same bicortical engagement (in the vestibular and lingual/palatal cortical).
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Single piece lateral basal implant

When using traditional dental implants a considerable group of patients are refused implant treatment either due to severe atrophy of jaws or due to compromised medical condition. Thus, those patients who would require dental implant treatment most, are left untreated.

Today “basal implantology” is well able to address and solve all the mentioned issues and provided help for the most compromised patient group.

Basal implants belong to the group of osseointegrated implants. Their common features are:

  • Cortical positioning of load transmitting implant areas.
  • Thin and polished vertical implant parts for mucosal penetration.
  • The usage of resorption stable bone areas for anchorage.
  • The possibility of immediate loading.
  • Macro-mechanical anchorage.
  • Immediate cortical osseo-integration in the case of screwable basal implants (e.g. BCS).
  • Gradual biologic osseo-integration (under immediate load conditions) in the case of lateral basal implants (e.g. BOI). Thus these implants when placed in their strategic positions can be loaded immediately and the patient can get their teeth fixed in strategic 72 hours.

Basal implantology offers straightforward treatment results and avoids long waiting period and the shortfalls, which are seen in conventional implants. The fully informed patient will therefore always choose this treatment option. Thus the patient can be successfully restored in strategic 72 hours protocols with immediate functional loading of basal implants.