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Versatility of Basal Cortical Screw Implants with Immediate Functional Loading.

Hrushikesh Gosai¹, Sonal Anchlia¹, Kiran Patel²

¹Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Asarwa, Ahmedabad, Gujarat India.

Journal of Maxillofacial and Oral Surgery

|October 24, 2022

Summary

The basal cortical screw (BCS) implant system shows a high survival rate (96.8%) for immediate functional loading in healed ridges and extraction sockets. This versatile dental implant solution offers a high success rate with minimal complications.

Keywords:

Basal cortical implants Immediate functional loading Marginal bone loss Quality of life improvement Soft tissue shrinkage

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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.