A 73-year-old male patient presented to the clinic with the complaint of mobility and pain with respect to his teeth in the lower jaw resulting in discomfort while chewing food. On intraoral examination, it was noticed that the lower jaw had few missing teeth and the teeth which were present had severe periodontal issues, were decayed, and were causing all the pain and discomfort.

The patient was very fond of having a variety of food but the condition of his teeth kept him away from this. Hence he was willing to a fixed long-term treatment to all these problems at the earliest, causing the least possible trauma making the procedure as painless as possible.

After having a thorough discussion with the patient, and explaining to him the different treatment options decision was made of rehabilitating his mouth with Basal implants which are supported by fixed prosthesis, this process does not require any cuts or any requirement for bone grafting making the procedure more atraumatic.

Brief About Basal Implants:

Basal implant procedure refers to the principles of utilizing basal bone which is free of infection and resorption. The basal implant is a new broad indication and has almost no limitations.

It could be categorized to be an “Oral Division of Orthopedic surgery as per Basal Implant Center in Mumbai at Mumbai Dental Solutions.” We were one of the first providers of the Immediate Basal Implant system in Mumbai, India.

Here are a few advantages & benefits of Basal implants:

• Flapless implants, which means the treatment will involve no cuts, and bleeding will be minimal.
• No bone grafting is required.
• Faster recovery.
• Basal implants are also called immediate loading implants because they are loaded in 72 hours.

After a thorough review of the patient’s medical and dental history, a comprehensive dental examination is completed, including a proper radiographic assessment which confirmed the diagnosis of severe periodontitis along with the involvement of periapical infection with the decayed, unrestorable teeth. Hence all the teeth in the lower jaw causing the trouble were extracted. The following image presents the preoperative image of the lower jaw after complete extraction.

Radiographs are useful for general evaluation, including assessment of the presence or absence of dental or bony pathology, the presence and extent of edentulous areas, their potential to support implants, or other anatomical limitations. The following image presents the preoperative image post-extraction. The radiograph also presents the decay in a few of his teeth in the upper jaw which the patient was not willing of getting treated as of now.

After completing the radiographic assessment and careful examination placement of 9 smooth and rough surface implants (AKA Basal Implants ) was done immediately. The entire procedure was flapless i.e. without the involvement of any cuts, making the procedure atraumatic and to the patient's comfort.

Here is the immediate post-operative OPG, confirming the proper placement of the implants.

The following image represents the finished and polished lower prosthesis fabricated after a number of laboratory steps along with the intra-oral try-in procedure done for confirming the proper fit of the prosthesis.

After confirming the appropriate fit the final prosthesis was placed in-situ intraorally. Also, proper care has been taken to provide bilateral balanced occlusion maintaining the required functionality as well as an aesthetic form of the prosthesis. The entire procedure was completely hassle-free and was completed in the time frame of just three days.

The patient was very much happy and satisfied with the end results 0f the treatment, when asked for feedback he commented as follows;

“I met Dr. Rohan Virani regarding the lower jaw teeth problem. He examined my teeth personally after going through OPG and CBCT images. He suggested full basal implants on my lower jaw. His assistant Dr. Chaitali removed my all defective teeth. Dr. Rohan himself placed the implants followed by the placement of fixed ceramic teeth.  Now I am perfectly fine and eat with normal comfort. My sincere thanks to Dr. Rohan Virani for having relieved me from years of discomfort. I take this opportunity to thank Dr. Chaitali as well. Also would like to appreciate and say a big thank you to the entire cordial staff at Mumbai Dental Solutions.”