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Efficacy of basal implants in compromised ridge - A prospective study
Gaurav Mittal1, Anjali Kundu1, R Abhilash1
1Department of Oral and Maxillofacial Surgery, IDST, Kadarabad, Modinagar, Uttar Pradesh, India.
National Journal of Maxillofacial Surgery
|July 9, 2026
Summary
Immediately loaded basal implants show promise for patients with poor bone quality, offering a viable alternative to bone augmentation procedures. Despite a few early failures, this approach can restore function effectively.
Area of Science:
- Dental Implantology
- Oral Surgery
- Biomaterials Science
Background:
- Conventional endosseous dental implants are widely used but pose challenges for patients with insufficient alveolar bone.
- Bone augmentation procedures are often required for conventional implants, increasing treatment time and cost.
- Basal implants present an alternative for immediate loading, potentially reducing treatment complexity.
Purpose of the Study:
- To evaluate the clinical, radiographic, and functional outcomes of immediately loaded basal implants in patients with compromised alveolar bone ridges.
- To assess the success rate and complications associated with basal implants in challenging bone conditions.
Main Methods:
- Ten systemically healthy patients with poor bone quality/quantity received 35 basal implants.
- Implants were functionally loaded within 72 hours.
- Outcomes including stability, pain, marginal bone loss (CBCT), and complications were monitored for 6 months.
Main Results:
- Three out of 35 implants failed within the first 3 days post-placement.
- The study suggests basal implants are a promising solution for compromised alveolar ridges.
- This approach may avoid the need for bone augmentation often required for conventional implants.
Conclusions:
- Basal implants provide a viable treatment option for patients with insufficient bone volume.
- Immediate loading of basal implants can be successful, reducing overall treatment duration.
- Further research is warranted to optimize outcomes and long-term success rates.
