Regardless of the disagreements with the Basal implants, few people are compelled to opt for Basal implants as they are

1. Immediate loading.
2. Do not require sinus lift and bone grafts.
3. Basal implants avoid peri implantitis.

What if there is a possibility to obtain the benefits of both Basal implants and universally acclaimed Conventional implants along with its benefits like OsseoIntegration of the implants with bone, Screw retained prosthesis apart from added benefits where the implants are suitable for Diabetic, Hypertensive and for people with smoking habits. Dr.K. A. Reddy, a certified Implantologist with expertise in both Basal and Conventional Implants places both the Implant systems with equal ease, but given a chance prefers Conventional implants over Basal Implants on account of several benefits it has to offer and also due to its long lasting nature. Dr.K.A.Reddy has been consistently managing Implants in cases that are rejected by other doctors due to lack of bone with his patented CPBCCI PROTOCOL™ (CRESTAL POLISHED ICORTICAL CONVENTIONAL IMPLANTS) and fixed teeth immediately in less than a week. The characteristic features of CPBCCI PROTOCOL™ being

1. Immediate loading of conventional implants.
2. Bi cortical engagement of conventional implants.
3. No more waiting for months to get fixed teeth, get permanent teeth in less than a week.
4. Screw retained prosthesis.
5. No additional surgeries like sinus lift required.
6. No Bone grafts required, Implants will be placed in the patients native bone irrespective of the amount of Bone loss by tilting the Implants.
7. Approved Globally.
8. Prosthesis without cantilevers.

Sl.No	Features	Basal Implants	Conventional Implants	Conventional Implants With CPBCCI PROTOCOL ™
1	US FDA Approval	Not approved in US and prohibited in few countries	Universally accepted	Universally accepted
2	Design of the implant	Single piece	Two piece	Two piece
3	Implant type	Smooth surface	Rough surface	Smooth and rough surface are incorporated into a single implant
4	Prosthetic retrievability	Very Difficult as the bridge is cemented	Easy as it is Screw Retained	Easy as it is Screw Retained
5	Additional surgical Procedures	Not required	Required	Not required
6	Bone used to engage the Implants (type of bone)	Basal bone (highly mineralized)	Alveolar bone (less mineralized)	Basal bone (bi-cortical engagement)
7	Fusion with bone (bone used)	Osseo fixation	Osseo integration	Both Osseo fixation and Osseo integration
8	Number of sittings	Single visit of 1 week	Multiple visits spread over 3 to 6 months	Single visit of 1 week
9	Patient eligibility	Anybody above 18 years of age	Not suitable for diabetic patients and smokers	Anybody above 18 years of age
10	Teeth loading	No waiting, teeth loaded immediately	3-8 months before teeth can be loaded	No waiting, teeth can be loaded immediately
11	Mode of fixation	Cement retained prosthesis	Screw retained	Screw retained
12	Cost	Affordable	Expensive	Affordable

General causes of Implant failure :

An implant usually fails due to

1. Infections which usually arises at the gum and implants junction called peri implantitis which usually happens due to tartar deposition leading to bone loss and loosening of the implant.
2. The other reason being improper fusion of the implant with the bone.

To avoid infection from effecting the implant, we need a smooth surface implant and for proper OsseoIntegration of the implant with the bone, we need rough surface implant. But implants are either smooth or rough surfaced making it tough for an Implantologist to opt for an infection free treatment or an implant that offers proper OsseoIntegration with the bone. However the implants used under our CPBCCI PROTOCOL™ has both smooth and rough surface incorporated in the same implant providing both the advantages of an infection free and long lasting implant. The portion of the implant at the gum and tooth interface has a smooth surface, avoiding peri implantitis where as the remaining 2/3 portion of the implant that is embedded in the bone is rough surface engaging the bone for proper Osseointegration. The next obstacle with the Conventional implant being, delayed loading of teeth as, these Implants are engaged in the cancellous bone which is less mineralized when compared to the basal bone and therefore take time to Osseo integrate with the bone leading to months of waiting for the patients before they can get fixed teeth on implants. Implants used under CPBCCI PROTOCOL™ are engaged in the hard rigid Basal bone and this Bicortical engagement results in immediate osseofixation and OsseoIntegration over a period, providing both mechanical and physical bonding of the Implants with the bone. In cases where the upper jaw bone is badly resorbed, there will be no bone left under the sinus to place an implant, this is when additional invasive surgeries like sinus lift are advised, which not only delay the treatment time but also increase the cost of the procedure, but we under our CPBCCI PROTOCOL™ tilt the implants and place them at an angle to avoid important anatomical structures like sinus and nerve positions and there by place an Implant suitable to your jaw size and not compromise on the treatment by placing very small sized implants in the what so available cancellous bone.