surgery basal implants
The treatment for the placement of aย basal implantย and itsย fixed prosthesisย is completed in justย 5 days, with patients ready to return home on theย 7th day. Unlike traditional dental implants,ย only one stepย is required, and the basal implant isย immediately loaded, providing both functionality and comfort without delay.
The success of the treatment relies on strictly followingย 6 phases, which are essential to ensure proper implant integration, prosthesis stability, and the prevention of complications. Below is theย classic procedureย for the installation of basal implants and their fixed prosthesis (bridge):
This streamlined protocol ensures efficiency while maintaining the highest standards of care.
Basal dental implants, step by step procedure
Theย panoramic X-rayย andย 3D dental scanย are performed before the consultation, enabling the digital reconstruction of theย dento-maxillary arches. Based on theseย theย treatment strategy is determinedย and theย size and shape of the basal implant.
During the consultation, theย treatment plan is confirmed, while the prosthetist helps select theย shape, color, and sizeย of the teeth. For those opting forย general anesthesiaย orย sedation, the anesthetist ensures compatibility with their health.
Atย Anveli Dental, a freeย preoperative expertiseย minimizes changes to the treatment plan, withย morphological simulationย ensuring high-precision dental surgery.
The surgical operation, which consists of placing the basal implants, begins with the extraction of the teeth. After a gingival plasty (treatment of the soft tissues avoiding the retraction of the gum) the dental surgeon places each basal implant at the locations predefined by the dento-maxillary study.
The placement of the new generation of basal dental implants is a relatively painless but lengthy procedure. To ensure maximum comfort, we offer the option of general anesthesia or unconscious sedation. While local anesthesia is available, the sights and sounds of the procedure may be stressful for some patients, making sedation or general anesthesia a preferred choice for a smoother experience.
The basal implant is aย minimally invasive solution, utilizing aย 1-millimeter drillย for precise placement withย minimal trauma to bone tissue. Itsย elliptical designย allows it to self-implant like a self-tapping screw,ย eliminating the need for gum detachmentย in most cases. Securely anchored into theย cortical boneย (using the bi-cortical technique), it offersย exceptional stability and long-lasting durability, seamlessly integrating into the dental socket even after extractions. Thisย cutting-edge approachย ensures aย pain-free, quick, and virtually bloodless procedure, enablingย faster recoveryย andย minimal patient discomfort.
The basal dental implant (Bi-cortical Implant), thanks to its elliptical shape will self-implant with a minimum of trauma on the bone tissue. On the same principle as a self-drilling screw, it will follow the micro-perforation which serves as a guide. If there have been no extractions, the gum does not present any postoperative lesions. If there has been extraction of the tooth, the implant will come s’ implant in the dental socket.
In most cases, it is not necessary to detach the gum tissue. The basal implant reaches the second layer of theย cortical boneย (hence its name bi-cortical implant). Bone cortex is present everywhere, but it is found in larger quantities on the upper jaw, under the septum nasal and zygomatic zone (at the level of the wisdom teeth of the upper jaw). On the lower jaw, it is present mainly in the frontal zone.
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During the placement of aย basal implant,ย gingival plastyย may be performed (in cases of extraction) to reduce the risk ofย gingival resorptionย and prevent gaps between the bridge and the gum. This procedure involvesย regularizing the post-extraction ridgesย with sutures to accelerate theย natural healing process, achieving up toย 90% healing within 48 hours of extractions and implant placement. Additionally, the gum tissue is thoroughly cleaned, and anyย infections or periodontal pocketsย are treated through curettage.
For patients with significantย gingival loss, the dental bridge can include a thin layer ofย false gumย (1mm) that closely mimics the natural gingiva, ensuring a seamless connection between the bridge and gum. This customization is discussed and finalized with the dental technician on a case-by-case basis.
Placement of the fixed prosthesis
Prosthesis over basal dental implantsย is a crucial component in the success ofย last-generation of implantology. It ย must be securely fixed withinย 72 hoursย of the dental surgery. This prosthesis ensures the properย distribution of chewing forcesย across all basal implants, enhancing stability and durability. The success of the entire treatment largely depends on theย precise execution of the fixed prosthesis, making it an indispensable step in basal implantology.
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The measurements taken after the placement of the basal implant require great precision. During the hours following the operation, the technicians in our laboratories, using equipment such as a 3D scanner, carry out a modeling of the jaws in order to guarantee precise balancing of the occlusion.
After selecting theย shape, size, and colorย of their new teeth, patients preview the crowns in their mouth the day after theย basal implantsย are placed. Developed by theย International Implant Foundation, this process allows real-time adjustments to theย shape, inclination, and placementย based on patient preferences and facial structure.
Once the aesthetics are approved, theย final bridgeย is crafted withinย 48 hours, ensuring a personalized result. This innovative approach eliminates surprises, unlike traditional methods ย were limited after completion.
After 3 tests and corrections and numerous precise measurements of the occlusion and the junction with the gingiva, the prosthesis is fixed on the basal implants. The patient can eat normally the same evening.
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