Basal Bicortical Implantology uses innovative immediate placement and loading with Biolock Screw Retained Technology to avoid Screw loosening and making the Implant abutment junction strong and secure . Basal Bicortical Implantology (TTPHIL – ALL TILT® ) principles are similar to Orthopedics and Traumatology.
The Basal bone provides excellent quality cortical bone for the retention of these unique and highly advanced hybrid basal cortical implants. Basal Implantology is also known as Cortical Implantology. This basal bone is more resistant to resorption and Infections. Hence Basal Bicortical engagement is better than an implant tip engaging the trabecular bone (which is softer) which does not have enough capacity to accept the loads. Inplant apex engaging basal cortical bone have better load and stress transfer giving better Biomechanics and Biology for long term success of Dental Implants.
What is a Basal Implant
Basal Implants are not much different. Basal implants are longer implants where the Implant Apex engages the basal bone instead of alveolar soft trabecular bone. We use Hybrid implants greater ranging from 10mm to 60mm in most of the cases ( TTPHIL ® ALL TILT PROTOCOL), which engages the Basal bone that is more mineralized and has more density depending on case to case.
Basal Bicortical Dental Implantology is an advanced dental Implantology which utilizes Basal bone and the cortical portion of the jaw bones for retention of the dental implants. ( Basal Cortical Fixation like Pterygoid Bone, Nasal Bone, Zygomatic Bone, Body of the Mandible etc;)
The basal bone is more resistant to resorption. Hence Basal Bicortical engagement is better than an implant tip engaging the trabecular bone, which is softer and does not have enough capacity to accept the loads.
“Bone Quality is good in Cortical Basal Bone compared to the Trabecular bone” that is the key reason why we are able to do immediate implantation and loading/function for most of our patients across the world.
At the Dental Specialists we utilize tthe latest advanced screw-retained technology, which is available in the crestal or axial two-piece implants. This technology helps in retrievability of the prosthesis ( Your teeth- Crown and Bridge) in cases of any complications like food lodgment, Gum shrinkage, Halitosis, Implant failure itself etc. We need to understand anything can happen any time. Complications can always occur at various stages: Surgical, Prosthetic, Laboratory, Esthetic, by the Surgeon, Restorative dentist or technician. We should be able to repair at your convenience. That’s the advantage of going for screw retained technology.
There are several disadvantages to using a single piece implant. Dental implant treatment has three parts Implant Fixture, Implant Abutment and Implant crown. Single piece implants can be used only in limited cases where the load or stress is less especially in the front lower teeth.
If you are considering a single piece implant, you must read 15 reasons why we do not use single piece implants in most situations
The video below shows the key difference between Single piece and Two-piece dental implants.
TTPHIL Technique – Permanent Teeth in 2-9 Days
The dental implantation procedure is the best treatment option among those for the replacement of teeth. But conventional Dental Implant procedure’s biggest disadvantage is the waiting duration after placement of the implant (between 3 months-12 months) depending on case to case. Patients undergoing these conventional procedures have to wait for a very long time before they can enjoy the benefits of Smiling, improved Esthetics, Speech and Chewing.TTPHIL technique is the perfect solution to overcome this. Read more about TTPHIL Dental Implants
Difference between Basal Implants and TTPHIL Technique for Implants
||Single Piece Basal Implants ( BCS/KOS)
|Number of visits
||Single 2-day visit to Hyderabad, India. CAD CAP Ceramic or Zirconia with screw access holes. ( Depends on case to case)
Inhouse CBCT facility to do precise Flapless 3DGuided Surgery
|Permanent teeth in 3 Days? . Not always. First visit with metal acrylic teeth and later ceramic or Zirconia after few months. These polished basal implants take long time to Integrate? Does it Integrate is a million dollar question? Forced to load even if you dont get predictable primary stability.
||2 visits or Single visit. First visit for taking CT to prepare surgical guide. 2nd visit after 4 to 6 weeks for permanent teeth.
|Cost of implant procedure
||Affordable dental implant procedure. Customized CAD-CAM, CAD-CAP designed screw access abutments and Zirconia or CAD-CAM PFM crowns.
we do not recommend cemntable bridge for full mouth prosthesis.
|Abutments come with implants. Cheap because it’s acrylic or cemented bridge. Repairs are very expensive. Have to change the whole prosthesis since its cemented.
||Expensive depending on prosthesis chosen. because of CT scan and surgical guide preparation and multiple visits.
|Type of prosthesis
||Ceramic or Zirconia. The lab prepares in 1-2 days depends on case with CAD-CAM technology. Precise dental crown and bridges fabricated. We recommend zirconia if we have strong metal base like malo bridge. Zirconia do not have strength so can break in long term.
||Mostly Metal Acrylic or Composite sometimes Ceramic or zirconia. No CAD CAM abutments possible.Tissue Colapse. Hence esthetics compromised. Metal ceramic Zirconia also given but no use because they have to be cut and repeated.
||Acrylic/plastic- After 3 months replaced with Ceramic or Zirconia
|Type of implants
||Active design implants with a combination of basal and pterygoid for immediate loading, no screw loosening because of Q-lock Morse connection(aircraft technology)
||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
||CAD-CAM Temporaries are given on day of implant placement.
||Given on day of implant placement Only manually possible because of direct impressions.
||Given on day of implant placement. Only manually done.
||Given on the 2nd day
||Given on 3rd day
||Given after 2-3 months
||Done with surgical template. Hence more precise. Tall and Tilted implants increasing the surface area for better osseointegration.
||Thin and narrow implants, Surface area of implants very less compared to TTPHIL Active design implants.
||Non Active design
||No because of Q lock Morse connection abutments used.
||No because implant comes with abutment
||Yes. Chances are there.
||No because Tall and Tilted implants are used to bypass sinus walls or nerves.
||No. Small implants are used. Longevity questionable?
||Bone grafting done
||No because Tilted implants and Pterygoid implants are placed.
||No- Sinus Lifting is done but waiting time for 3 to 6 months
|Relative risk of failure
||No risk, lifetime warranty ( more than 4000 implants are placed for immediate loading)
||Smaller implants used hence less chance of integration
||Smaller implants are placed. Waiting period for 3 to 6 months
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