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Full-mouth rehabilitation with immediate loading basal implants: A case report
Pankaj Ghalaut1, Himanshu Shekhawat2, Babita Meena3
1Department of Prosthodontics, PGIDS, Rohtak, Haryana, India.
This case report demonstrates successful full mouth rehabilitation using 18 basal implants in a severely periodontally compromised patient. Immediate functional loading resulted in excellent outcomes with minimal bone loss over six months.
Area of Science:
- Dentistry
- Periodontology
- Implantology
Background:
- Full mouth rehabilitation is challenging in severely periodontally compromised patients.
- Conventional implantology often requires bone augmentation, which can be unpredictable.
- Basal implants offer an alternative for immediate loading in deficient bone.
Observation:
- A case report details the rehabilitation of a patient with severe periodontal compromise.
- Eighteen single-piece basal implants were placed in the maxilla and mandible.
- Implants were immediately loaded with cement-retained fixed partial dentures.
Findings:
- Excellent functional and aesthetic results were achieved with immediate loading.
- Bone loss was measured immediately after placement and at 6 months, showing minimal changes.
- Basal implants demonstrated stability and efficacy in compromised bone sites.
Implications:
- Basal implantology provides a viable solution for complex full mouth reconstructions.
- This technique bypasses the need for extensive bone augmentation in many cases.
- It offers predictable outcomes for patients with severe periodontal disease and bone deficiency.
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