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ABSTRACT:
Basal implants are dental implants that employ the basal cortical portion of the jaw for implant retention. These implants are specially designed for gaining anchorage from basal cortical bone. Aesthetically emerging profiles can also be achieved using basal implants for single and multiple teeth replacement immediately after the extraction. In the present case report - A 38 year old female reported with the chief complaint of missing left upper front tooth which she wants to be removed and replaced. After careful examination and treatment planning immediate implant treatment was initiated. The tooth was extracted and the implant was placed into the extraction socket. Basal implants are used for single and multiple teeth replacement. They can be placed immediately into the extraction socket and also in the healed site. These implants can be used as a better alternative for conventional implants to achieve good aesthetics.
Keywords: Basal Implants, Aesthetic Smile Correction, Emerging Profile, Gingival Aesthetics, Single Tooth Replacement
INTRODUCTION
Implant placement in severely atrophic jaws is especially challenging because of the poor quality and quantity of the future implant bed. Although various bone augmentation procedure like ridge augmentation, sinus lift these procedures are possible today, but it may lead to surgical morbidity they increase the risks and costs of dental implant treatment as well as the number of necessary operations. Also, sometimes the patient is not agreeing for such extensive surgical procedures, according to the well-known implantological rules for dental restorations, crestal implants are indicated in situations when an adequate vertical bone supply is given but single piece dental implant (basal implants) is a viable treatment option derives support from the basal bone area which usually remains free from the infection and less prone to resorption.1 Rehabilitation the edentulous maxilla or mandible with implants has become a normal predictable treatment today but successful implant placement needs sufficient bone to be available (at least 13 - 15 mm length and 5 - 7 mm width). Implant placement in severely atrophic jaws is especially challenging because of the poor quality and quantity of the future implant bed. Calvarial or iliac bone grafts, mental nerve displacement, all on four, nerve bypass and sinus lift procedures are often used to overcome the initially unfavourable anatomical and mechanical conditions.2...