ANTERIOR MAXILLARY REHABILITATION WITH BASAL IMPLANTS AND IMMEDIATE LOADING – A CASE SERIES

Background: Osseointegration, first proposed by Dr. Brånemark, revolutionized dental implantology. However,
traditional implants often present challenges in cases of severe bone atrophy, sinus enlargement, or systemic
conditions such as uncontrolled diabetes. Basal or cortical implants, with their unique design enabling anchorage in
the basal cortical bone, eliminate the need for bone augmentation and allow immediate functional loading.
Objectives: To present a case series demonstrating the clinical application and outcomes of basal implant placement
with immediate loading in patients with compromised bone conditions.
Results: Two female patients aged 24 and 25 years underwent basal implant placement with immediate loading. The
procedures, including socket preparation, implant placement, impression taking, and crown fabrication, were
completed with minimal invasiveness and rapid recovery. Multi-cortical engagement principles were applied,
achieving stable anchorage and functional restoration without bone grafting. Both cases demonstrated successful
outcomes with immediate function and patient satisfaction.
Conclusion: Basal implantology, based on multi-cortical engagement and immediate loading, provides a timeefficient, cost-effective, and reliable solution for dental rehabilitation in patients with inadequate bone volume for
conventional implants. This approach offers predictable results even in anatomically or medically compromised
cases.