Assessment of basal implants in compromised ridges

Abstract

Aim: The aim of the present study was to evaluate clinically, radiographically, and functionally the outcomes of immediately loaded basal implants when placed in patients with compromised bone/alveolar ridges. Materials and Methods: A total of 18 systemically healthy (9 male and 9 female) subjects with compromised bone with poor quantity or quality were included in the study. A total number of 57 implants was placed, out of which 26 implants were placed in maxilla and 31 implants in mandible. There were 6 patients in which single implants were placed and in rest of the 12 patients, multiple implants were placed, out of which full mouth rehabilitation was done in one patient. In 10 patients, implants were placed immediately in fresh extraction socket and in 7 patients, implants were placed in healed edentulous site. In all the patients, loading was done immediately within 72 h of implant placement. All patients were evaluated for primary and secondary stability, pain, periimplant bone levels using IOPA with grid and CBCT, bleeding, suppuration, sulcular bleeding index, prosthetic complications, and patient satisfaction at specified time intervals. Result: All the values obtained during the study were expressed in the form of mean, standard deviation, and standard error of the mean. The parameters were compared between groups using Paired t -test for intragroup comparison at a similar time, i.e., baseline, 1 month, and 3 months. The data collected was comprehensively analyzed using SPSS software. All implants were successful, with no incidence of infection, nil mobility at the end of the study period of 6 months. Conclusion: Thus, it can be concluded from the present study, that Basal implants can play a vital role in the rehabilitation of patients, where compromised quality and/or quantity of bone is present and additional augmentation procedures would be required for the placement of conventional root form implants.

An Evaluation of the Efficacy and Acceptability of Basal Implants in Traumatically Deficient Ridges of the Maxilla and the Mandible

“…Basal implants and abutments are deemed to be biologically inert, with no adverse or unfavorable reaction with host tissues, due to which there is reduced gingival inflammation and hence a reduction in gingival index score [ 10 ]. Anuradha et al [ 11 ] found that the sulcular bleeding index value at baseline was 1.92 ±0.29, which decreased to 1.49 ±0.28 at one month and to 1.107 ±0.25 at the end of three months postoperatively. In our study, the average marginal bone loss was 1.480 ±38 mm, whereas the average crestal bone loss was 1.060 ±30 mm.…”

Esthetic Rehabilitation of a Young Patient With Immediately Loaded Single-Piece Basal Implants Following a Trauma Involving the Anterior Maxilla: Case Report With Five-Year Follow-Up

“…The design of basal implants to achieve cortical bone anchorage indicates their use in challenging clinical scenarios, including rehabilitation of atrophic ridges. Basal implants can play a vital role in the rehabilitation of patients, where compromised quality and/or quantity of bones is present [ 9 ].…”