Basal implantation: what is it? Pros and cons of basal implantation

A beautiful smile is half the success of any business. So many people think and try to give their teeth the most aesthetic appearance. The overwhelming majority of us face for one reason or another with a loss of teeth. Whether it happened as a result of caries, periodontal disease or due to trauma - the fact remains. The empty space in the dentition looks unaesthetic and further leads to the appearance of dental problems.

What is basal implantation?

One way to correct the situation with the loss of beauty of a smile is basal implantation. What is it, knows not everyone. This procedure has a number of contraindications. Therefore, before deciding on this method of implantation, you need to learn all about it.

This technique appeared in the West in the 60s of the XX century. The development and testing of this dental manipulation is associated with an American professor with Russian roots Leonid Linkov. Since the appearance of this method a lot of disputes arose. Basal implantation, for and against which a lot of opinions are expressed, is now widely used in dental practice. She has her supporters and opponents. In order to objectively judge this procedure, let's take a closer look at what the basal method of implantation is.

Features of this method

The main feature of this method is that the pin is installed by the dental surgeon in the basal (deep) bone layers. Their density is much higher than in the spongy part, into which implant classical implants. That is why basal devices are longer.

The great advantage that basal implantation has (patient feedback confirms this) is the ability to install all implantable components in a single step. The entire treatment period is no more than five days. For comparison: classical implants require from 2 to 6 months for the process of patient adaptation. Only after this rehabilitation period does the doctor begin to install prostheses.

Despite the fact that this method has been successfully used for more than 50 years, experts are unconcerned about it. Russian dentists express their opinion on this method as obsolete and unacceptable for modern practice. Western specialists speak about basal implantation in a positive way and prove this by brilliant results of the work.

Therefore, the patient must decide for himself which way to choose. For this you need to know what is basal implantation, for and against this method, indications and contraindications. Before making a decision, you need to listen to the advice of a competent doctor, hand over all the necessary tests. Only in this case the chosen method will not disappoint with its results. The ability to insert all the teeth at the same time looks very attractive, but do not forget about the risks and complications.

Stages of work

Basal implantation of teeth is conditionally divided into the following stages:

• Patient preparation, diagnosis.
• Modeling. Orientation to individual circumstances.
• Immediate installation of basal implants.
• Prosthetics.

The first stage, which is diagnostics, usually does not take much time. In most cases, it takes no more than 2 days. For the dentist, the goal of this stage is to thoroughly examine the patient, to assess the actual condition of the bone tissue and the overall position in the oral cavity. As a rule, X-ray and tomographic studies are performed.

Also, at the preparatory stage, the doctor details how the basal implantation is performed. What it is, what consequences there may be - all this information must necessarily be stipulated in advance.

The patient, in turn, should inform the doctor about the transferred and existing diseases, about the sensitivity to the drugs, as much as possible to respond to all questions that are of interest to the specialist. Also it is necessary to give blood for analysis. If all these factors are observed, the probability of treatment success is close to 100%.

Stage one. Preparation

At the planning stage, the orthopedist and dentist surgeon jointly decide on how basal implantation will be performed. What is it, the two experts know best. Due to modern communicative technologies, even doctors living on different continents can consult.

Stage two. Modeling

The next stage is the stage of modeling. It is based on data obtained from diagnostic studies. After a detailed study of the patient's bone tissue, the dentist selects implants according to individual parameters, which are ideal for the patient. The peculiarities of the arrangement of the dentition are necessarily taken into account in the compilation of the jaw model.

Stage three. Implantation

In the next stage, the basal implantation of the teeth is performed directly. Dentists' comments on the nuances of this stage allow us to conclude that the puncture method allows the least traumatic and without any suturing to perform all necessary manipulations. This method is ideal for patients suffering from a significant loss of bone tissue and its atrophy.

Stage four. Prosthetics

The final stage of basal implantation is prosthetics. From the moment of installation of the implanted pins, at least 2-3 days must pass. During this period, the primary load is formed. Prosthesis is made on the basis of casts taken from the patient's jaws. All implants installed are also imprinted quite clearly. The dental technician studies the spatial relationship of these elements and makes a suitable prosthesis in the dental laboratory. This is the aesthetic side of the moment, which is famous for basal implantation. The pros and cons of this procedure are based on its features. Here, a lot depends on the professionalism of the dentist-surgeon. Basal implants differ from the classical ones in that after their installation the correction is almost impossible. If the dental surgeon has established it crookedly, the dental technician will not be able to correct the situation.

Benefits

Modern basal implantation of teeth, reviews about which positive, certainly, has a lot of advantages:

• The number of visits to the clinic is minimized.
• There are few contraindications to this procedure.
• The possibility of use in smokers.
• After 3-5 days from the moment of implant installation, you can already chew your food yourself with the help of prostheses.
• The implantation of structural elements is carried out during one operation.
• Affordable price of the service.
• This method is applicable even for patients with severe jaw bone atrophy.
• Relatively fast healing of bone tissue thanks to a gentle technique.
• The implant can be delivered instead of the removed tooth immediately, until the hole has healed.

However, this method of correcting the teeth at the proper level can not be offered by every dentistry. Basal implantation can be carried out in the condition of a full-fledged clinic, where surgeons, orthopedists, and other specialized specialists work. The key factor here is the professionalism of doctors and the high quality of the materials used. Unfortunately, to date, there are quite a few private dental offices with a low level of professionalism of staff and the questionable quality of the services provided. The purpose of the cabinets of this level is to obtain a quick profit. Such basal implantation reviews of patients have negative, and it is quite deserved. Agree, it is rather attractive to get a decent amount in just a few days, and not for six months, as in the case with the classical version of implantable devices. However, the method of basal implantation of teeth does not tolerate the dilettante approach and the urgent desire to get rich. Therefore, when choosing a dental clinic, be careful and scrupulously study the reviews about it.

disadvantages

Despite the fact that many have heard about such a concept as basal implantation, what it is, not everyone knows it thoroughly. Unfortunately, this high-tech way to achieve the beauty of teeth has its drawbacks. They are quite substantial and can alert any patient to dentistry.

Basal implantation, the disadvantages of which are connected with the human factor, can bring the patient disappointment and great inconvenience if performed unprofessionally. Therefore, the shortcomings of this method can be called the following facts:

• The process is rather labor intensive for specialists engaged in the implantation process. In addition, the inserted implant is no longer subject to correction, which creates difficulties in the work of doctors and inconvenience to the patient in the future.
• There is a rather high probability that, as a result, the formed row of teeth will look unaesthetic. A crocheted inserted implant becomes the base for further uneven prosthesis, which does not fit well enough to the soft tissues of the periodontal and looks unnatural.
• In certain cases, damage to the bone and gums during implantation of the pins can be quite significant.
• There is a probability of rejection of the implant. In this case, a large loss of bone tissue occurs. This phenomenon requires mandatory correction in the form of a sinus-lifting. This measure is reduced to artificial growth of the lost bone tissue in the patient's jaw.

Human factor

The basal implantation method, like other surgical interventions, has its own indications and contraindications. All aspects of the patient's health must be taken into account by the dentist. Only an experienced specialist is able to assess the acceptability of this method of prosthetics in each specific case. The level of professionalism of a doctor is assessed in the ability of an individual approach to solving a problem.

Sometimes a doctor, despite the presence of contraindications, can take risks and, contrary to common sense, carry out a basal implantation to the patient. Failure and possible complications in this situation are the result of unprofessionalism of the dentist. Based on this principle, basal implantation reviews of patients deserve unflattering, and it is deserved.

Who can do basal implantation?

Indications for this dental procedure are:

• The justified necessity to restore the patient's ability to chew food in a short time.
• It is necessary to restore the damaged jawbone and teeth (the number of them must be at least 3).
• The need to restore the aesthetic appearance of the oral cavity in view of the complete absence of teeth.
• Serious periodontal disease.
• Bone loss on the upper or lower jaw (complete or partial).
• Presence of contraindications to the procedure of sinus-lifting.
• Smoking.
• Hypersensitivity to acrylic plastics.

Contraindications

However, in the presence of special circumstances, dentists do not recommend resorting to such methods as basal implantation. Contraindications to this procedure are absolute. To them it is possible to carry:

• Alveolar ridge with a width of less than 5 mm.
• Presence in a patient of tumors of benign or malignant type.
• The need to restore one or two teeth.
• Disease of the circulatory system.
• Disturbance of regenerative function of bone tissue.
• The presence of CNS disorders.
• Diseases of a chronic nature (insulin-dependent diabetes, tuberculosis and others).

Relative contraindications to the procedure of basal implantation can be:

• Pregnancy and lactation.
• Biphosphate therapy.
• Diabetes mellitus is of decompensated type.
• Neuroses and mental disorders.
• Arthritis in acute form.

Features of the work of doctors

It is worth noting that the specialist in maxillofacial surgery will never proceed to the procedure of implantation if the oral cavity is not properly prepared. First, the patient will need to visit the dentist-therapist to treat the teeth to be restored. You will also need to pay a visit to the doctor of the surgical profile in order to remove the roots and moving elements of the series.

The removal of the teeth can be performed by the doctor himself, whose specialization is basal implantation. The experts' comments on this feature make it clear to us that it is much easier to implant the pin into a fresh hole.

Care of implants and prostheses

Implants and dentures installed on them need special daily care. The quality of these procedures directly depends on their service life. However, this special care does not require any special skills and knowledge. It will be enough to brush your teeth with a soft brush and paste. Also, it is superfluous to rinse the mouth with an antibacterial solution.

If a patient has difficulty in accessing certain areas (for example, between prostheses), which can not be picked up with the help of ordinary hygiene products, then a specialized interdental brush or irrigation agent will help in this situation. It is a device for removing plaque, food residues from teeth and direct gum massage with a pressurized water jet.

It is mandatory to visit the dentist's office twice a year to assess the integrity of the implants. If damage is detected, it is necessary to eliminate them in a timely manner. It is also necessary to follow the following tips:

• Avoid injury to the jaw and face.
• Maintain immunity.
• In time to diagnose the condition of the body and promptly treat existing diseases. It is proved that many ailments affect the condition of the implants.

If you comply with all these recommendations, you will enjoy a decent quality of life for more than one decade and make others happy with a beautiful and healthy smile.