Dr. K Sharada Reddy, Author
Senior Dentist & Full Mouth Rehabilitation Expert
Dental implants have transformed the way we restore missing teeth, and among the different techniques, basal implants also referred to as single-piece or cortical implants were initially introduced as a quick, graft less implants solution for patients with compromised bone support. Marketed as a savior for those with severe bone loss, basal implants became popular due to their promise of immediate loading implants and minimal surgical intervention. However, with time, a growing number of patients have begun to experience complications and failed basal implants procedures. If you’re one of them, suffering from issues like mobility, pain, swelling, speech difficulty, poor aesthetics, or chewing problems, you’re not alone and expert revision is possible, especially in India, where advanced implant centers are offering safe and permanent solutions.
The key reason for many basal implant failures lies in the fundamental difference between basal implants vs conventional implants. Basal implants rely on osseofixation, which is purely mechanical stabilization in the basal or cortical bone, unlike conventional two-piece implants that rely on OsseoIntegration, where the bone biologically fuses with the implant surface. This lack of biological integration means basal implants are more vulnerable over time to mechanical stress, micro movements, and infections. Since basal implants are designed as single-piece structures, any required angulation correction must happen at the neck of the implant, which sits at the gum level. This makes prosthetic alignment extremely challenging, often resulting in unaesthetic or functionally compromised prostheses.
Another critical drawback is the type of prosthesis, basal implants typically support cement-retained bridges. While cemented solutions may initially seem simpler, they pose serious long-term risks. During prosthesis placement, excess cement can seep into gum crevices, especially in deep sub gingival margins, leading to chronic gum inflammation, peri-implantitis, and ultimately basal implant failure. Furthermore, if any problem arises with the prosthesis such as chipping, loosening, or bite adjustment the entire bridge has to be cut and removed, since there is no screw access. This can damage the underlying implants and sometimes lead to irreversible implant loss.
These issues are further compounded when basal implants are placed without proper planning or in clinics lacking surgical and prosthetic expertise. Sadly, many patients come to India or abroad for low-cost implant options and return with failed treatments within a few years. That’s why choosing the right center for basal implant revision is absolutely critical.
One of India’s most reputable and experienced clinics for failed basal implant revision is LBR Dental & Implant Center in Hyderabad, headed by Dr. K. A. Reddy, a pioneer in full-mouth implant rehabilitation. The clinic, considered as the best dental implant clinic in india is globally recognized for its expertise in the CPBCCI Protocol (Crestal Polished Bicortical Conventional Implants) which combines the benefits of OsseoIntegration with mechanical stability, ensuring longterm success even in complex revision cases. Unlike basal implants, the CPBCCI protocol enables the placement of tilted implants which as the name suggests helps place implants in a angulation so as to utilize the available bone, avoid important anatomical landmarks like sinus, avoiding invasive procedures like sinus lifts and also increase the bone to implant contact ratio engaging the implant properly in the bone so as to improve the stability and torque , this works in favour of failed basal implants cases as the bone surrounding the failed basal implants will be lost leaving very little available bone for fresh implant placement and also the implants used under the CPBCCI protocol engage the hard corticol bone present at the base of the upper and lower jaws to attain the desired stability or torque required for immediate functional loading of teeth added to these benefits the implants are FDA approved implants and used globally, also supporting the use of screw-retained prostheses, which are retrievable, hygienic, and adjustable, eliminating many of the problems associated with cement-retained designs.The implants used under this protocol have a smooth polished collar preventing any infection in the future course and the rough surfaced body allows for proper integration in the bone, this dual features make these implants safe in diabetic patients and also the individuals who have the habit of smoking. Dr. Reddy’s approach often includes Pterygoid implants in the upper arch irrespective of the amount of bone present as these implants engage the hard corticol bone present behind the third molars in the upper arch providing the required stability and avoiding cantilevers in the prosthesis, in no bone cases the Zygomatic implants come to the rescue , Dr. Reddy is considered as the best Zygomatic implant specialist in India.
The clinic’s protocol emphasizes 3D digital planning, customized prosthetic design, and minimally invasive surgery, which ensures optimal function, aesthetics, and long-term comfort. LBR Dental has treated hundreds of international patients who had problems with basal implants and restored their smiles with permanent, comfortable, and hygienic solutions.
In conclusion, while basal implants may seem appealing at first glance, they come with significant long-term risks due to their mechanical nature, prosthetic limitations, and lack of biological integration. If you’re experiencing problems with basal implants, it’s essential to act early and seek help from a clinic that specializes in complex revisions and advanced implantology. LBR Dental & Implant Center in Hyderabad stands out as a top choice in India for such cases offering trusted care, advanced protocols, and life-changing results.
Frequently Asked Questions (FAQs)
LBR Dental & Implant Center, located in Hyderabad, is one of the most reputed centers for failed basal implant revision in India. Headed by Dr. K. A. Reddy, considered as the top dental implant specialist, the clinic specializes in advanced full-mouth rehabilitation using the CPBCCI protocol (Crestal Polished Bicortical Conventional Implants). The protocol combines mechanical stability with true osseointegration, unlike traditional basal implants which rely solely on mechanical fixation.
Basal implants are typically single-piece and are fixed mechanically into the cortical bone. However, they do not OsseoIntegrate like conventional implants, making them more prone to early loosening, gum inflammation, or prosthetic failure. Additionally, if the prosthesis fails, the entire cement-retained bridge may need to be cut, further risking implant loss.
The CPBCCI protocol stands for Crestal Polished Bicortical Conventional Implants. It uses two cortical fixations along with osseointegration, making the implants more stable, biocompatible, and long-lasting. These are conventional multi-piece implants, allowing for better angulation adjustment and easy prosthetic maintenance.
Yes, failed basal implants can be successfully removed and replaced with CPBCCI or conventional bicortical implants. Clinics like LBR Dental in Hyderabad specialize in such revision procedures even in challenging cases with poor bone support.
Using the immediate loading implants technique with CPBCCI implants, fixed teeth in 5 days can be delivered, even after removing failed basal implants. This protocol ensures mechanical stability and long-term success with minimal downtime.
Yes, CPBCCI implants are ideal for diabetic, smokers, or medically compromised patients because they offer bacterial resistance, minimal surgical trauma, and rapid healing due to their polished crestal design and bicortical anchorage.
Common signs include:
Mobility or loosening of the implant
Persistent pain or discomfort
Swelling or pus near the gums
Difficulty chewing or biting
Breakage of bridge/prosthesis
If any of these occur, immediate evaluation by a qualified implantologist is essential.
You can schedule a free virtual or in-person consultation by visiting www.lbrdentalimplants.com or calling their Hyderabad center directly. Dr. K. A. Reddy, expert in immediate loading implants will personally evaluate the case using 3D scans to suggest the most effective revision strategy.
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Author
Dr. K Sharada Reddy
Senior Dentist & Full Mouth Rehabilitation Expert
