BASAL IMPLANTOLOGY – ADVANTAGES
UNIQUE FEATURES OF BASAL IMPLANTS
successful,
precise,
flapless,
Painless
Immediate loading
ADVANTAGES
- Basal / Cortical bone support
§
Single piece implantology
§
‘key hole’ impantology
§
No bone graft
§
No sinus lift
§ Used in medically compromised conditions
§
Used for unfavourable bone conditions
BASAL – CORTICAL BONE SUPPORT –
The implants
take support from the basal bone which is more resistant to resorption,
SINGLE PIECE IMPLANTOLOGY –
The single
piece type implants can be inserted
often flapless (“Keyhole implants”) and involving minimum bone cutting.
·
No need of bone augmentation / grafting, sinus lifts and nerve
trans-positioning
·
Basal implants are selected to suit the patient’s own available bone –
with respect to quality and quantity.
IMMEDIATE LOADING
·
With single stage anesthesia implant placement can
be done immediately after multiple extractions in single stage anesthesia –
Distribution of masticatory forces – (RESISTANT TO RESORPTION)
·
The 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
Peri-implantitis
incidence –
·
Peri-implantitis is the single most common cause for failure of
conventional implants. smooth surface basal implants eliminate the threat of
peri-implantitis by almost 98%.
Medically compromised situations –
Basal implants suitable for
Controlled
diabetes
Smokers
Chronic
destructive periodontitis and
Having
little or no bone for conventional implants.
Diabetes Mellitus –
·
Conventional dental implants are contra-indicated in diabetes patients.
·
This is because, diabetes is associated with
Increased susceptibility to
infection,
Impaired wound healing and gum
diseases (gingivitis, periodontitis etc.)
·
Basal implants are smooth surface implants which do not permit
bacterial colonization on the implant surfaces.
Smoking
·
Smokers are prone to gingivitis and gingival recession
which cause infection around the implant (peri-implantitis) leading to their
failure.
·
Smoking affect the blood flow to the oral tissue like the gums,
teeth and bone, which in turn results in slower healing of the implant site.
·
The basal implants,
since the load bearing areas are far away from the areas of the mouth affected
by smoking, they take up well.
·
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 present with multiple mobile teeth and painful, inflammed gums which bleed easily.
- · Smooth surface basal implants work wonderfully well in such patients that they are resistant to bacterial attack.
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