Basal Implants

They are used in patients who smoke.

Smoking reduces the quality of blood supply to the jaw bones, 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 compromise the overall restoration.

With immediate loading basal implants, the fixation is performed in the deep, hard parts of the bone, which are less supplied with blood and, accordingly, less affected by the influence of nicotine and other harmful factors from smoking.

However, at Dentatime Clinic, we advise our patients not to smoke during the first few days of the recovery period after 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 (periodontosis)—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 that occur in patients are characterized by bleeding and pain in the gums and mouth in general, difficulty eating, noticeable bone loss, mobility and loosening of the teeth, as well as their complete loss at some point. This inevitably leads to a number of risks for the body and the overall health of the patient.

Firstly, periodontitis can increase the risk of cardiovascular disease and create conditions conducive to a number 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 three days after the procedure, patients have new teeth (crowns) on basal implants and can smile and eat normally. If necessary, gum plastic surgery is also performed.

Used in 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 apparatus and gums.

Basal implants, however, give very good results in patients with controlled diabetes because their smooth surface reduces the likelihood of prolonged bacterial infection. Furthermore, the bearing surface is located in the deep cortical bone, which is far from the areas of the crystalline alveolar bone where bacteria usually try to invade.

Disadvantages and risks of basal implants

When it comes to the disadvantages of basal implants, the financial aspect is taken into account. As an implant procedure, basal implants are more expensive than removable prostheses. However, the long-term benefits and comfort justify the investment in 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 possible.

Problems with basal implants may arise, for example, in patients taking bisphosphonates – drugs used to treat bone loss. The likelihood of complications with basal implants in such cases requires an individual approach and detailed assessment by a specialist before starting treatment.