NO MORE SINUS LIFT:
Basal osteointegrated implants are shortly called as BOI or Basal Implants. Because of its unique disc shape this is also known as Disc implants or Blade Implants.
There are three varieties of Basal Implants available in market:
These Implants crosses the middle soft bone and taking support from Hard Peripheral bone known as cortical bone. It takes anchorage from minimum three cortical bones so the strength and stability is unmatchable.
These Implants are designed in such a way that this does not require much of bone height so these Implants can be done in compromised bone conditions like:
Specialties OF BOI
CANAL BYPASSING TECHNIQUE OF BOI:
For some patients the mandibular canal can be present at the crustal level where no other implant system can be done without bone grafting
But the advance basal implant’s canal bypassing technique allows us to place
The disc below the canal and provides implant supported teeth without bone grafting.
Trance sinus placement of BOI
Since these implants are resistance to infection. It can be placed inside the sinus. Which will get the stability from both end on sinus wall.
Basal Implants Better Than Zygomatic Implants
Zygoma Implants are more invasive and less predictable whereas the basal Implants are less
Invasive and more predictable. The difference between Basal Implants and Zygomatic Implants are
Explained below in the table
Basal Implants Vs. Zygomatic implants
The advantage of basal implants over zygomatic implants
|Basal implant||Zygomatic implant|
|Type of implants||Single piece Implants is used. No screw loosening and no crestal bone loss.||Screw based implants used. Screw loosening is a problem|
|Cantilevers||No cantilevers placed||Molars if given are placed as cantilevers, which decrease the life of the bridge and cause screw loosening on the implant.|
|Criteria||No contraindications||Symptom free and pathologically free sinus|
|Relative risk of failure||Since sinus is not involved, no risk of sinusitis||Risk of sinus infection|
|Permanent bridge||Permanent ceramic bridge on 3rd day of implant placement, as the implant engages hard cortical bone.||Acrylic/plastic for first 4 months. Then cantilever permanent ceramic bridge given after 4 months.|
|CT scan||Not needed.||Compulsorily needed|
|Surgical guide||Not needed||Compulsorily needed|
|Anesthesia||Local anesthesia with or without sedation||General anesthesia|
|Cost of implant||Being regular sized single piece implant it is relatively cheap.||Zygomatic implants are very long manufactured specifically for the purpose, hence very expensive. Cost of the technique is more as CT scan and surgical guide is used.|
|No of implants for full upper jaw||6-8 for upper jaw.||8 -10 for upper jaw|
|No of teeth||14 teeth are given. Teeth replaced till second molar||10 teeth or 12 teeth given. 2nd molar is not given.|
|No of trips||One trip, as permanent ceramic crown or bridge is placed in 3 days||Two trips. Permanent teeth fixed after 3 months of implant placement.|
|Warranty||Lifetime warranty on implant||No warranty|