Basal implants: an alternate treatment modality for the hopeless- a review article

Author: 
Harish Kumar.A., Simran Kaur., Ruchika Raj and Sachin Sunda

Basal implants were developed primarily for immediate use in the atrophied jawbone. There are no difficult or impossible cases for implantologists familiar with basal implants, and their use leads in all cases straight to the desired treatment result. As the use of Basal implants can help avoid risky and expensive bone augmentation procedures, these implants are the therapy of first choice in moderately or severely atrophied jaws as well as in those cases, where immediate loading or cheaper treatments are desired by the patient. Neither, intraoperative nor preoperative infection will normally threaten the treatment result, since suppuration from the osteotomy slot is usually uninhibited at all times. With respect to the principle of “primum nihil hocere”, i.e limiting treatment, basal implants should be devices of first choice, whenever unpredictable augmentations are part of an alternative treatment plan.
Aim: The purpose of this review is to evaluate the biomechanical aspects of Basal and Conventional implant designs on the quality and strength of osseintegration, bone- implant interface and their relationships to the long term success of the prosthesis.
Study design: A systemic along with a manual search of articles was conducted in Pubmed, Google scholar and major journals published from 1987 to 2017 on basal and conventional osseointegrated implants. The era was divided into three decades and the number of ideal cases for the study irrespective of the pre- prosthetic surgeries were taken into consideration.
Results: The technique of basal implantology solves all problems related with conventional implantology and is a customer oriented therapy meeting patients’ demands successfully. Within the duration of this study it was indicated that the restoration of atrophic ridges by basal osseointegrated implants is efficient and a good alternative to conventional implants as the treatment is simpler, quicker and requires no bone augmentation procedures.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.15654.2865
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