Portal de Periódicos da CAPES

Evaluation of basal dental implant placement in basal bone of atrophic alveolar ridge

2022; Volume: 25; Issue: 1 Linguagem: Inglês

10.21608/ajdsm.2020.47735.1130

2682-3314

Salah Saad yousif, Wael Elmohandes, Ahmed Samir Hosny,

dental development and anomalies

Objectives: This study was designed for radiographic and clinical evaluation of basal dental implant placement in atrophic alveolar ridge.Subjects and methods: The present study was conducted on twenty implants for individuals presented with sever bony defect and seeking for dental implant.Preoperative clinical evaluation was carried out; both medical and dental histories were taken and investigated.Evaluation of the interocclusal space for the placement of the prosthesis.Panoramic radiograph and CBCT scan for ridge evaluation and planning, Measuring height and width of residual alveolar ridge was performed in CBCT.Surgical stent were fabricated with aid of CBCT to act as a guide for simple and accurate orientation and angulation during implant placement and to preserve vital structures.The surgical guide was seated in the patient mouth at its position, the implant site was drilled through the holes designed in the surgical stent and implant then positioned.After surgery, initial stability was estimated by periotest, immediate postsurgical panoramic and CBCT radiograph to evaluate position of the implant.Follow up after 6 months was done to denote stability and marginal bone loss.Results: Periotest readings refer to excellent stability immediately after implant and also at six months later.Conclusion: Good stability in basal implants is related to its design permitting cortical bone engagement.Furthermore, it is a compression screw thus it corticalizes the spongious bone around the implant.Basal implant can be used successfully in severely atrophied ridge and compromised bone.Basal implants are used to avoid any extra surgical procedures, because these implants anchor reliably in resorption stable cortical bone and they are loaded immediatly after surgery.