International Journal of Research and Reports in Dentistry

Basal Implant as an Alternative Treatment in Atrophic Posterior Ridge

Gauri Bargoti *

Department of Oral and Maxillofacial Surgery, ITS-CDSR, Ghaziabad, India.

Prabhat Saxena

Department of Conservative and Endodontics, ITS-CDSR, Ghaziabad, India.

Amit Gupta

Department of Oral and Maxillofacial Surgery, ITS-CDSR, Ghaziabad, India.

Vidya Iyer

Department of Oral and Maxillofacial Surgery, ITS-CDSR, Ghaziabad, India.

*Author to whom correspondence should be addressed.

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Abstract

Need for Study and Background: Since basal implant usage is on a rise, this case report will show the usage of basal implants in posteriorly atrophied ridge. Basal implantology works on the concept that the jaw bone comprises of two parts one is tooth bearing alveolus or crestal part and the basal bone, the basal bone is heavily corticated and is rarely subject to infections and resorption and hence it offers excellent support to the implants as it is densely corticated and at the same time the load bearing capacity of the basal bone is many times higher than that offered by the spongy crestal bone.  A 50 years old female patient reported to the department of implantology with chief complaint of missing teeth in lower left back region of jaw since 5 years and wanted treatment for same. After taking thorough history she gave history of traumatic extraction from the same region. Past medical history was non-contributory.

Aim: This case report aims at suitable rehabilitation of atrophied posterior ridge of mandible with basal implant.

Methodology: The surgical procedure began by locating the drilling point for 35 and to start the drilling, the only used was 2.0 *17 mm drill at the speed of 4000 rpm under copious irrigation and was stopped when lingual perforation with the drill was felt. The implant was taken with the help of regular driver and tightened in the site prepared. At last provisional restoration was provided to check for occlusion, phonetics and esthetic implications. Since enough bone was present in fourth quadrant, conventional implant was considered in that arch and rehabilitation was done in accordance to that.

Conclusion: Basal implant have various advantages over conventional implants as it decreases patient’s discomfort due to the flapless procedures which often doesn’t require sutures for flap approximation. Basal implantology cases should be meticulously planned and through knowledge of anatomical structure and bone morphology should be known to operator for its success.

Keywords: Tooth bearing alveolus, atrophied edentulous, rehabilitation, bicortical implants, basal implants and atrophic posterior ridge

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References

Rathee M, Malik S, Jain P, Kaushik S. Basal implants: An alternative treatment modality for geriatric patients-A case report. J West Bengal Univ Health Sci. 2020;1(1):85-9.

Ghalaut P, Shekhawat H, Meena B. Full-mouth rehabilitation with immediate loading basal implants: A case report. National Journal of Maxillofacial Surgery. 2019 Jan 1;10(1):91-4.

Prasad S, Pandey A, Bagchi G. Basal implants: An alternative treatment modality to conventional dental implants. INIDA. 2018;34(1):12-17.

Ali SM, Othman KS, Samad AA, Mahmud PK. Comparison between basal and conventional implants as a treatment modality in atrophied ridges. Journal of Dental Implant Research. 2019 Sep 30;38(2):48-54.

Shaikh TA, Bhanotia D, Pacharne AP. Bicortical Implants: An Alternative Treatment Modality for the Hopeless: A Case Report. Journal of Advanced Medical and Dental Sciences Research. 2022 Nov 1;10(11):23-7.

Ghalaut P, Shekhawat H, Meena B. Full-mouth rehabilitation with immediate loading basal implants: A case report. National Journal of Maxillofacial Surgery. 2019 Jan 1;10(1):91-4.

Mustilwar R, Fatima N, Ahmed CZ, Bagde H, Johnson L, Khan FA. Basal Implantology-A Review. Neuro Quantology. 2022;20(11):1425.

Patel K, Madan S, Mehta D, Shah SP, Trivedi V, Seta H. Basal implants: An asset for rehabilitation of atrophied resorbed maxillary and mandibular jaw–A prospective study. Annals of Maxillofacial Surgery. 2021 Jan 1;11(1):64-9.

Anuradha M, Babaji HV, Hiremath NV, Usha VA, Kumar A, Nandkeoliar T, Verma S. Assessment of basal implants in compromised ridges. Journal of Family Medicine and Primary Care. 2020 Apr 1;9(4):2067-70.

Gupta AD, Verma A, Dubey T, Thakur S. Basal osseointegrated implants: classification and review. Int J Contemp Med Res. 2017;4(11):2329-35.