What Is The Difference?
The basal implantation technique can be summarized in five points:
- All patients who request the implants can be treated, without exception, regardless of the extent of bone loss or the presence of absence of residual teeth.
- Only a single surgical intervention is required. Basal implants are loaded and splinted immediately or early, using long-term provisional bridges. In some cases it is possible to provide the definitive bridge right away, in other cases (e.g. when man teeth are extracted in the visible zone) the first bridge serves as a long-term temporary.
- The low number of surgical and other treatment steps reduces overall cost. Rapid and effective measures can be taken should complications occur.
- Basal implants hardly interfere with the blood supply to the host bone, at any rate much less than comparable conventional implants.
- Because basal implants can be immediately loaded, patients can quickly resume their normal lives.
Before the advent of basal implants, all patients with an insufficient bone supply for (immediate) placement of implants were forced to undergo the following extensive treatment:
- Removal of all teeth (unles extractions were done earlier); removal of all granulation tissue, cysts and other undesirable residue from the bone.
- Bone augmentation approximately 2 months later (with potential problems at the recipient and the donor site), followed by a 3- 6-month waiting period.
- Insertion of axial implants (tradtional screw implants)
- Finally, after another 3- 6 months, insertion of the bridge or other prosthetic superstructure.
In addition to this already tedious treatment plan, soft-tissue corrective measures frequency have often to be taken. Surgical risks accumulate throughout this multi-step treatment phase: Despite all efforts and despite all the published claims, the clinical success of traditional dental implantological treatments (even with expensive two-stage systems such as offered by large companies like Strauman, Nobel Biocare, etc.) becomes completely unpredictable as soon as bone augmentation is required.
The conventional axial implant procedure created a paradoxical situation for most patients: For many months they were forced to do exactly what they were trying so hard to avoid, namely to wear a removable denture. And in many cases things were even worse: There were often times when not even the removable denture could be worn, specifically after the bone augmentation procedure and/or following the insertion of the implants, during the first phase of the waiting period.
Comparision between “Permanent teeth in 3 days* and “teeth in a day” and “teeth in an hour”
|Fix teeth in 3 days*||Teeth in a day||Teeth in an hour|
|Number of visits||Single 3 day visit||2visits. First visit for taking CT to prepare surgical guide. 2ndvisit after 2-3 weeks for the 1 day procedure.||2visits. First visit for taking CT to prepare surgical guide. 2ndvisit after 2-3 weeks for the 1 hour procedure.|
|Cost of implant procedure||Affordable dental implant procedure||Expensive because of CT scan and surgical guide preparation and multiple visits.||Expensive because of CT scan and surgical guide preparation and multiple visits.|
|Type of prosthesis||Ceramic or zirconia. The lab prepares in 3 days.||Acrylic/plastic||Acrylic/plastic|
|Type of implants||Combination of Single piece Implants, Basal Implants and Pterygoid Implants are used. No screw loosening and no crestal bone loss.||Screw based implants used. Screw loosening is a problem||Screw based implants used. Screw loosening is a problem|
|Temporary crown||Given on day of implant placement||Given on day of implant placement||Given on day of implant placement|
|Permanent crown||Given on 3rd day||Given after 2-3 months||Given after 2-3 months|
Comparision between “fix teeth in 3 daysTM” and “All-on-4” and “All-on-6”
|Fix teeth in 3 daysTM||All-on-4||All-on-6||Zygomatic implant|
|Relative risk of failure||Very low risk,||If one implant fails, then all the implants fail.||Less risky||Risk to sinus infection|
|Cantilevers||No cantilevers placed||Cantilevers placed- reason for high failure rate||Cantilevers placed- reason for high failure rate||Cantilevers placed- reason for high failure rate|
|Type of prosthesis||Acrylic/Hybrid/composite/Ceramic/zirconia||Acrylic/plastic||Acrylic/plastic||Acrylic/plastic|
|Type of implants||Single piece Implants. Combination of compression screw, Basal Implants and Pterygoid Implants are used. No screw loosening and no crestal bone loss.||Screw based implants used. Screw loosening is a problem||Screw based implants used. Screw loosening is a problem||Screw based implants used. Screw loosening is a problem|
|Infections||No peri-implantitis when Basal Implants used||Peri-implantitis||Peri-implantitis||High risk of Sinusitis|
|No of implants||8-10 for lower jaw. 8-10 for upper jaw.||4 implants||6 implants||4-8 for upper jaw|
|No of teeth||14 teeth in each jaw. Teeth replaced till second molar||10 teeth||10 teeth||10 teeth|
|No of trips||One trip, as permanent ceramic crown or bridge is placed in 3 days||Two trips. Permanent teeth fixed after 3 months of implant placement.||Two trips. Permanent teeth fixed after 3 months of implant placement.||Two trips. Permanent teeth fixed after 3 months of implant placement.|