a pictorial presentation on basal implants

1. PROSTHETIC
REHABILITATION BY
BASAL IMPLANTS
Dr. Bhupendra Rizal

2. Implantology starts where others gave up. Basal implants also offer a
unique opportunity for the implantologist to treat cases which cannot
be treated with the conventional implant systems.
Dr. Bhupendra Rizal

3. • “Basal Implant” is a term used in reference to the principles of utilizing
basal bone areas which is free of infection and resorption, and the
employing of the cortical bone areas. The load bearing tolerance of the
cortical bone is many times higher than that of the spongious bone
BASAL IMPLANTS
Dr. Bhupendra Rizal

4. COMPARISON BETWEEN CONVENTIONAL CRESTAL AND BASAL IMPLANTS
Dr. Bhupendra Rizal

5. There are four basic types of basal implants available
II Disk Form.
IV Other Forms.
Both of the types can be further categorized into-
I. Screw Form
a. Compression Screw Design (KOS Implant)
b. Bi-Cortical Screw Design (BCS Implant)
c. Compression Screw + Bi-Cortical Screw Design (KOS Plus Implant)
Dr. Bhupendra Rizal

6. Triple disc BOI implants with or without beveling ,
larger disc at the bottom
Dr. Bhupendra Rizal

7. Basal Disk Implant / Basal Osseointegrated Implant (BOI);
Bi-Cortical Screw (BCS) Implant
KOS Implant with Compression Screws; b. KOS+ Implant with
Compression and Bicortical Screws
Dr. Bhupendra Rizal

8. a) Basal Osseo-integrated Implant (BOI)
b) Trans-Osseous Implant (TOI)
c) Lateral Implant
3) Plate Form
a) BOI-BAC Implant
b) BOI-BAC2 Implant
4) Other Forms
a) TPG Implant (Tuberopterygoid)
b) ZSI Implant (Zygoma Screw)
Dr. Bhupendra Rizal

9. Dr. Bhupendra Rizal

10. BOI and BCS Implant Morphology
Disk of dimension of 9 mm × 12 mm or
10 mm × 14 mm with lengths 10–13.5
mm. The disk is usually 0.6 mm in height
The BCS has been developed up to 12
mm diameter and can be inserted
immediately into extraction socket.
Dr.
Bhupendra
Rizal

11. KOS and KOS Plus Implant Morphology
• These implants are designed like
compression screws, i.e.; these
implants when screwed into the
bone will compress the cancellous
bone surrounding the implant to
form more compact and dense bone
Dr.
Bhupendra
Rizal

12. Advantages of basal implants
 Immediate loading
 Avoidance of bone grafting
 Single piece implantology
 Basal / Cortical bone support
 Minimally invasive (‘key hole’ implantology)
 Solutions for unfavourable bone situations
 Extremely low failure rates
 Virtually no incidence of Peri-implantitis…
Dr.
Bhupendra
Rizal

13. • BOI(Lateral basal implants):-
is inserted from the lateral aspect
of the jaw bone and it require
minimum bone height of 3 mm.
• Peri-implantitis incidence :Peri-implantitis
is the single most common cause for failure of
conventional implants. Judicious use of
monobloc, smooth surface basal implants
eliminate the threat of peri-implantitis by
almost 98%.
Dr.
Bhupendra
Rizal

14. Revolutionary designs and features of the basal implants help the implantologist in treating a wide
variety of cases which cannot be attempted with the conventional two / three – piece crestal implants.
Many of the implants have smooth surface designs which do not permit bacterial colonization on the
implant surfaces which in turn brings down the incidence of peri-implantitis considerably.
Dr.
Bhupendra
Rizal

15. Prosthetic Rehabilitation
• The aim of prosthetic rehabilitation is to provide esthetics, enable
hygiene practice and mainly to avoid overload osteolysis.
• Esthetics is taken care of by following the three FPs given by Dr. Carl
E. Misch. Overload osteolysis is prevented by providing appropriate
occlusal schemes which can be bilateral balanced, group function,
mutually protected and lingualized occlusion.
Dr.
Bhupendra
Rizal

16. COMPONENTS
Dr.
Bhupendra
Rizal

17. Dr. Bhupendra Rizal

18. Maxillary arch - Prefabricated
complete denture
Lower arch – thin crest of
residual ridge and worn out
Dr.
Bhupendra
Rizal

19. Mandibular arch-8
Implant placed
OPG after implant
placement
Dr.
Bhupendra
Rizal

20. Abutments are bent to
make them almost parallel
and TRA – transfer caps
used to take closed tray pick
up impression
Only putty used to pickup the
TRA , Light body not used as it
may get left behind in
extraction sockets
Dr.
Bhupendra
Rizal

21. Wax may be used to seal the
drag lines if needed
Model for provisional
prosthesis using dental
stone
Dr.
Bhupendra
Rizal

22. Modifications done to the PFP on the mounted
casts proper positioning for occlusion , function
and aesthetic
Dr.
Bhupendra
Rizal

23. BOP or TRA , then placed intraorally.
They will be picked up by resin in the
PFP, by intraoral reline procedure,
while PFP is kept in place by occ;uding
against upper teeth prosthesis
Dr.
Bhupendra
Rizal

24. Basal implant placed , Care is taken
to engage the apex of the implant in
cortical bone. One Tubero Pterygoid
implant cortical implant is placed on
each side
Residual maxillary ridge
Dr.
Bhupendra
Rizal

25. TRA- transfer caps used to take closed
tray pickup impression
Light body and putty used for pickup
impression
Dr.
Bhupendra
Rizal

26. Dr.
Bhupendra
Rizal

27. Dr.
Bhupendra
Rizal

28. Dr.
Bhupendra
Rizal

29. Dr.
Bhupendra
Rizal

30. Dr.
Bhupendra
Rizal

31. Dr.
Bhupendra
Rizal

32. Dr.
Bhupendra
Rizal

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Bhupendra
Rizal

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Bhupendra
Rizal

35. Dr.
Bhupendra
Rizal

36. Dr.
Bhupendra
Rizal