Assessment of Quality of Life and Clinical Performance of Immediately Loaded Basal Implants in Prosthetic Rehabilitation of Resorbed Ridges: A Clinico-Radiographic Study

Author(s): Sumit Aggarwal*

Basal implants are dental implants that employ the basal cortical portion of the jaws for implant retention. These implants are uniquely and specifically designed for the sole purpose of gaining anchorage from the basal cortical bone and have gone through several changes and modifications in the past several decades. The modern basal implant has a sophisticated yet simple design, surgical protocols and is a prosthetic friendly system. These properties have led several practitioners around the globe to include basal implantology in their practices and so far, this system has delivered fairly successful results. Although the use of basal implant supported prosthesis has been documented as an alternative treatment for patients with severe ridge resorption, there is a paucity of knowledge on how this treatment affects patients’ satisfaction and quality of life compared with their previous prosthetic treatment. Majority of the patients whose answer was ‘never’ force were related to inability to function (80.02%) followed by unsatisfactory (71.56%) and generally was satisfied in life (69.56%).

Aim: The aim of this present clinical research was to assess quality of life and clinical performance of immediately loaded basal implants in prosthetic rehabilitation of resorbed edentulous maxillomandibular sites and ridges.

Methods and materials: The study design included the patients desirous of replacement of missing teeth were selected from the OPD of subharti dental college, Swami Vivekanand subharti university. Meerut. BCS implants and BCS-EX implants from simpladent implant solutions, Pvt Ltd, India , surgical starter kit for basal implants, advanced handgrip surgical kit, addition silicone elastomeric impression material (3 M ESPE India), physiodispenser (NSK), metal cutting carbide burs, articulating papers (30 G, 18 G Bausch) were used in this study.

Statistical analysis used: All the values obtained during the study were expressed in the form of mean, Standard deviation and standard error of mean. The parameters were compared between groups using paired t-test for intragroup comparison at a similar time i.e., baseline, 1 month and 3 months. The data collected was comprehensively analysed using SPSS software.

Results: A total of 11 study participants (6 males and 5 females) with resorbed alveolar bone were included in the study. A total of 58 implants were placed of which 32 implants were placed in maxilla and 26 implants in mandible. In 2 patients, full arch implants were placed. In 1 patient, full mouth implant rehabilitation was done and in 3 patients, 4 implants were placed in posterior segment and in 5 patients, implants were placed in anterior maxilla and mandible. All patients were satisfied with respect to chewing ability, speech and aesthetics.

Conclusions: The influence of basal implants on patients’ oral health related to quality of life as depicted by (OHIP-14) and patients’ perceptions and expectations may guide the clinician in providing the best basal implant services. Basal implant supported prosthesis in edentulous and partially edentulous patients have a positive impact on patient satisfaction and hence enhance the quality of life. They can play a vital role in rehabilitation of patient, where compromised quality and quantity of bone is present.


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