Versatility of Basal Cortical Screw Implants with Immediate Functional Loading.

Area of Science:

• Dental Implantology
• Prosthodontics
• Oral Surgery

Background:

• The basal cortical screw (BCS) implant system is utilized for dental rehabilitation.
• Immediate functional loading protocols are increasingly adopted in implant dentistry.
• Evaluation of implant survival in both healed edentulous ridges and extraction sockets is crucial.

Purpose of the Study:

• To assess the survival rate of the BCS implant system.
• To evaluate outcomes in patients receiving immediate functional loading.
• To compare results in healed edentulous ridges versus extraction sockets.

Main Methods:

• 125 BCS implants were placed in 14 patients and immediately loaded.
• Implants were placed in healed edentulous ridges (94) and extraction sockets (31).
• Evaluations included bone loss, soft tissue changes, quality of life (QOL), and survival at 1 year.

Main Results:

• A high implant survival rate of 96.8% (121/125) was observed.
• Average 1-year bone loss was 0.33 mm in healed ridges and -1.57 mm in extraction sockets.
• Complications were minimal, with no peri-implantitis reported.

Conclusions:

• The BCS implant system with immediate functional loading is a versatile option for full-arch rehabilitation.
• This protocol demonstrates a high success rate and minimal complications in diverse clinical situations.
• The study provides unique data on marginal bone loss, soft tissue changes, and QOL with BCS implants.