Dr. Scortecci, inventor of Diskimplant and holder of several associated patents, together with his 16 collaborators, drafted a book entitled Basal Implantology which explains the principles that underlie the use of basal implants.Diskimplants have been used in oral implantology for over 30 years as an alternative to more invasive procedures in desperate clinical situations and may represent a last chance for an oral invalid to have fixed teeth once again.This book is a guide to the practical application of biological, mechanical, and prosthetic principles of basal implantology and osseointegration (BIO concept), from simple solutions to complex clinical situations without the need for prior bone grafting.The book is divided into three parts with fifteen chapters.Part I, Fundamental Basis, has five chapters and explains the basic principles, biological aspects, biomechanics, evidence-based basal implantology and initial bone bed activation.Part II, Step-by-Step Basal Implantology, has a more practical approach and in four chapters explains the indications and contraindications, how to establish treatment planning, surgery procedures and prosthetic stages.Finally, Clinical Applications and Complications, in six chapters exemplifies single-tooth replacement in the esthetic zone and posterior sectors, how to approach partial edentulism, completely edentulous, atrophic jaws and extreme clinical situations, presents multicenter clinical applications, complications and postimplantation neuropathies.The book is a practical guide for implant surgeons and helps them find simple solutions to complex and highly demanding clinical situations.To facilitate understanding it is abundantly illustrated with pictures from clinical cases, CT's and radiographs.Basal Implantology was written to support implantologists to successfully perform oral rehabilitation without more invasive procedures.
Treatment of patients with extremely resorbed jaws is a major public health challenge. Anatomo-physiological Diskimplants (APD) and microthreaded, self-tapping, smooth surface root-form implants (APR) were developed in the early 2000s to overcome these difficulties. Used with an immediate functional loading procedure, patients can be equipped with fixed teeth 48 hr. post-op. Application of bone matrix Osseotensors to activate the patient’s own stem cells improves both the initial bone quality and neoangiogenesis, thereby reinforcing the highly atrophic recipient bone sites for placement of these implants. This combined approach allows the surgeon to manage completely resorbed jaws in a much simpler and safer manner than previously thought possible.
The original version of this book was revised to include the “Conflict of interest statement” in all chapters. The erratum to this book can be found at https://doi.org/10.1007/978-3-319-44873-2_16
Alveolar corticotomy has proven effective in shortening orthodontic treatments in adults. A new non-invasive and flapless surgical approach has, however, yielded the same results. This technique, based on prior osteogenic alveoli preparation, entails neither anatomical risk nor post-op pain. The present article describes this new protocol and uses a case report to illustrate it.
La technique de la corticotomie alvéolaire a permis d’accélérer les traitements orthodontiques chez l’adulte. Une nouvelle approche chirurgicale non invasive et sans élévation de lambeau, grâce à une préparation ostéogénique des alvéoles, permet d’obtenir les mêmes résultats. Cette technique ne comporte aucun risque anatomique et n’occasionne pas de douleur postopératoire. Nous nous proposons de décrire ce nouveau protocole et de l’illustrer par un cas clinique.
Rehabilitation of severely atrophic jaws is facilitated when basal disk implants are used after activation of the future bony implant bed with a purpose-designed instrument (Osteotensor) 45 to 90 days before implant surgery. Fabrication of a highly rigid, screw-secured fixed prosthesis that acts as an external orthopedic fixator permits immediate functional loading. This protocol also represents a second chance for patients who have experienced complete implant loss and/or bone graft failure.
The authors describe a case of squamous cell carcinoma of the oral cavity managed by ablative surgery, mandibular reconstruction with a fibula free flap, and implant placement during the same session. Immediate functional implant loading, respecting the principles of basal implantology, was performed 48 hours later using a highly rigid, screw-secured fixed prosthesis that served as an external fixator for the implants and grafted bone. Implant loading before external beam radiotherapy improves flap stability, bone consolidation, and quality of life. Functional and esthetic outcomes were evaluated 2 years after radiotherapy was completed.