Basal Implants
Basal implants (also known as cortical or bicortical implants) are single-piece titanium implants with immediate loading, which allow missing teeth to be restored within 3 to 5 days. They are most commonly used in cases of partial or complete edentulism, advanced bone loss, periodontitis, or when the patient wants fixed teeth without a long wait and without bone augmentation.
Unlike conventional implants, basal implants are anchored in the denser cortical zones of the jawbone, ensuring stability even with limited bone volume. This is precisely what makes them a suitable solution for patients for whom traditional implant treatment would require additional surgical procedures.
At Dentatime Clinic, basal implants are used as part of strategic implantology for rapid, fixed and aesthetic restoration. We work with the latest generation of implants, which restore the confidence that comes with a beautiful smile in the quickest and most pain-free way for our patients.
Characteristics of basal implants
Basal (bicortical) implants are single-piece titanium implants made from a highly fracture-resistant, biocompatible titanium alloy, Ti6AL4V ELI, known as ‘Class 5’. It is distinguished by its superior mechanical and chemical properties, is highly corrosion-resistant, and provides 25% greater stability than pure titanium.
Treatment for complete tooth loss
Treatment for missing segments
Basal implantology offers treatment for patients with complete or partial edentulism and allows the restoration of entire jaws or segments of missing teeth in just 4 steps over 3 to 5 days.
The surface of basal implants is smooth with a special coating that prevents the retention of bacteria and the development of peri-implantitis. This significantly reduces the risk of inflammation around the implants.
This type of implant is used for patients at risk of losing a large number of teeth over time, or even all their teeth, such as in cases of severe periodontitis. They are also suitable for restoring individual missing tooth segments.
4-visit treatment system
Visit 1
The basal implants are placed via surgery immediately after tooth extraction, and an impression is taken to fabricate bridges on the implants. The entire surgical stage of implantation is performed using a minimally invasive technique.
Visit 2
A trial fitting of the metal framework on the implants is carried out – 48 hours after implantation.
Visit 3
A trial fitting of the structures with ceramic placed on the metal framework is carried out; the contacts between the crowns, and the colour and shape of the ceramic crowns are checked.
Visit 4
The bridges (crowns) are cemented within 72 hours of implantation and the patient can eat immediately. For this reason, they are also known as immediate implants with immediate loading for 3 days. A post-implantation check-up is scheduled after the procedure.
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Advantages of basal implants
The proven success of basal implants is due to the capabilities of strategic implantology to overcome the limitations of conventional implantology.
For patients requiring extensive dental treatment, Swiss basal immediate-load implants are a particularly sought-after and preferred treatment system because they offer a number of advantages.
They are used in patients who smoke.
Smoking reduces the quality of blood supply to the jawbones, which is an obstacle to recovery with dental implants. This leads to a delay in the healing process and a higher risk of gingivitis and gingival recession, which in turn leads to peri-implantitis. In smokers, osseointegration may be compromised, which can jeopardise the overall restoration.
With immediate-load basal implants, fixation occurs in the deep, hard parts of the bone, which are less well-supplied with blood and therefore less affected by the influence of nicotine and other harmful factors associated with smoking.
Nevertheless, at Dentatime Clinic we advise our patients not to smoke during the first few days of the recovery period following implant placement.
They are used in patients with periodontitis (periodontal disease)
“Periodontitis and implants” is another widely discussed topic. In patients with severe gum disease – periodontitis – treatment with conventional (two-piece and rough-surfaced) dental implants may be unsuccessful.
This is mainly due to the higher risk of gum infections around the implants, leading to peri-implantitis and, in the final stage, to the loss of conventional implants.
The main symptoms and consequences of developing periodontitis experienced by patients include bleeding and pain in the gums and mouth in general, difficulty eating, noticeable bone loss, loosening and wobbling of the teeth, and eventually their complete loss. This inevitably leads to a number of risks for the body and the patient’s overall health.
Firstly, periodontitis can increase the risk of cardiovascular disease, as well as create conditions conducive to a range of lung infections. It is precisely in such patients that immediate basal implants are used with great success.
During this procedure, all of the patient’s teeth that are a source of infection are removed and immediately replaced with smooth-surfaced implants.
Within just 3 days of the procedure, patients have new teeth (crowns) on basal implants and can smile and eat normally. If necessary, gum reshaping is also performed.
Suitable for patients with diabetes
Conventional dental implants are usually contraindicated for treatment in patients with diabetes. The main reason is that diabetes is associated with comorbidities, including increased susceptibility to infections, impaired wound healing, gingivitis, periodontitis and other disorders of the masticatory system and gums.
Basal implants, however, yield very good results in patients with controlled diabetes, because their smooth surface reduces the likelihood of a bacterial infection developing over time. Furthermore, the bearing surface is located in the deep cortical bone, which is far from the areas of the crestal alveolar bone where bacteria usually attempt to invade.
Disadvantages and risks of basal implants
When it comes to the disadvantages of basal implants, the financial aspect is a key consideration. As an implant procedure, basal implants are more expensive compared to removable dentures. However, the long-term benefits and comfort justify the investment in high-quality treatment.
The risks associated with basal implants are minimal, but in some individual cases, even the possibilities of strategic implantology and the placement of basal implants are not feasible.
Problems with basal implants may arise, for example, in patients taking bisphosphonates – medicines used to treat bone loss. The risk of complications with basal implants in such cases requires an individual approach and a detailed assessment by the specialist before treatment begins. Another factor is teeth grinding (bruxism).
At Dentatime, every patient receives a personalised treatment plan, drawn up following a thorough professional assessment of the specific clinical case.
Before and after photos of patients following basal implant placement:
The before and after photos show the actual results of treatment with basal implants at the Dentatime clinic. They clearly demonstrate the aesthetic improvement and how patients regain their full dental health and quality of life.
Patient 1
Before
After
Patient 2
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After
Patient 3
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After
Patient 4
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After
Why choose the Dentatime Clinic?
Dentatime Clinic is a leading implantology clinic specialising in the treatment of partial and complete edentulism using basal implants. The success of implant treatment is a combination of technological precision and the surgeon’s experience.
With over 25 years’ experience in oral surgery, Dr Radoslav Simeonov is an experienced surgeon who has helped thousands of patients regain their quality of life. His approach combines biological principles with the latest digital technologies, ensuring predictability even in complex cases of bone resorption. He has performed over 800 full-arch restorations using basal implants.
At Dentatime Clinic, we work with single-piece and two-piece dental implants from leading global manufacturers. Our clinic is equipped with state-of-the-art dental technology and equipment to ensure our patients receive high-quality dental implant treatment.
Our dental services include comprehensive planning and delivery of implant treatment. Our team is at your disposal to discuss every decision – from the right choice to comprehensive care for your dental health.
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(+359) 892 600 602Frequently asked questions
The entire process, from the surgical procedure to the final cementing of the bridges, takes between 3 and 5 days. Patients leave the clinic with functional and aesthetic teeth within this short timeframe.
Following the placement of basal implants, a follow-up check-up is scheduled, the frequency of which is determined individually by the treating specialist. Regular check-ups are an important part of long-term dental health care and ensuring the durability of the results.
Yes, basal implantology is designed specifically for patients with partial or complete edentulism. The system allows for the complete restoration of an entire jaw or individual segments where teeth are missing in just 3 to 5 days.
At Dentatime Clinic, we work with both basal (single-piece) and classic two-piece dental implants. The specific choice of implants depends on the clinical case and is determined following an examination and professional assessment by the implantologist.