Title: Cortico-basal Implants – The Ultimate Rescuer

Authors: Dr Nandan Rudra Paul, Dr Amrita Samanta, Dr Shyamanand C.

 DOI: https://dx.doi.org/10.18535/jmscr/v12i03.12

Abstract

Immediately loaded, implant supported prosthesis is a novel advancement in oral implantology. Cortico-basal implants has the versatility and durability with reduced treatment time. These implants work on the principle of osseo-fixation, however, osseointegration of the implants eventually happens over a time period.

Cortico-basal implant supported prostheses came to the rescue, in our following cases, where a cortico-basal implant was placed in between 2 fractured, well osseo-integrated conventional implants. Another case with large periapical cyst encroaching into the right maxillary sinus floor eneucleated with the involved teeth leading to an oro-antral communication, closed surgically. Cortico-basal implants were placed bypassing the right sinus floor to restore the function. In another case of failed multiple endodontically restored teeth and even endosseous implants, cortico-basal immediate loading prostheses were placed to successfully restore both the jaws.

Cortico-basal implant supported prostheses is a graft less procedure with minimized chair side time, having optimum peri-implant soft tissue health, durable, with high success rate and are gradually emerging as a promising alternative in dental rehabilitation cases. Strategic implant placement of the cortico-basal implants has proved to be the ultimate rescuers in certain circumstances.

Keywords: Corticobasal, Endosseous, Implants, Osseofixation, Osseointegration.

References

  1. Awadalkreem F, Khalifa N, Satti A, et al. Rehabilitation of Patients with Compromised Ridge Support Using Immediately Loaded Corticobasal Implant-supported Prostheses: A Prospective Observational Study. J Contemp Dent Pract 2022;23(10):971–978.
  2. Chakranarayan A, Soni P, Kapri A, Kumar R. Effectiveness of strategic corticobasal implants in the management of edentulism. IP Ann Prosthodont Restor Dent 2020;6(2):77-86.
  3. Ihde S. Indications and treatment modalities with corticobasal jaw implants. Ann Maxillofac Surg 2019;9:379-86.
  4. Antonina I, Lazarov A, Gaur V, Lysenko V, Konstantinovic V, Grombkötö G, et al. Consensus regarding 16 recognized and clinically proven methods and sub-methods for placing corticobasal® oral implants. Ann Maxillofac Surg 2020;10:457-62.
  5. Patel K, Madan S, Mehta D, Shah SP, Trivedi V, Seta H. Basal implants: An asset for rehabilitation of atrophied resorbed maxillary and mandibular jaw – A prospective study. Ann Maxillofac Surg 2021;11:64-9.
  6. Pathania N, Gill HS, Nagpal A, Vaidya S, Sailo JL. Basal implants – A blessing for atrophied ridges. IP Ann Prosthodont Restor Dent 2021;7(1):16-21.

Corresponding Author

Dr Nandan Rudra Paul

Associate Professor, Department of Oral and Maxillofacial Surgery and Implantology, 10TH Milestone, Hosur Road,  Bommanahalli, Bangalore -560068, India