A technique designed to avoid bone grafts

The cortex is the hard outer layer of bone. Inside is a spongier layer. Corticobasal implants seek to anchor in a cortical wall, which may be some distance from where the teeth were.

The amount of gum you can see does not reveal where that support exists. A smile photo cannot answer that question either. A dental CT scan, a three-dimensional image, helps the doctor study the anatomy. The doctor interprets it alongside an examination and medical history.

The number and position of implants cannot be chosen from a general rule on this page. The individual plan is to be confirmed. According to the doctors at the partner clinics, vitamin D and alkaline phosphatase blood tests are required. A panoramic X-ray or CT scan is requested if possible. If vitamin D or alkaline phosphatase levels are low, the doctor may prescribe supplements about a week before surgery. Not all cases qualify. The doctor decides at the evaluation with your test results.

When comparing proposals, ask each professional to explain where they would place the implants. Ask what a graft is meant to address and why they consider each option necessary or possible.

Other techniques are available for people with limited bone. Some use implants supported in different areas. Choosing among them requires comparing risks, the surgery involved, and later maintenance. We do not recommend one technique for everyone who visits this page.

Ask what would happen if the evaluation changed the initial plan. Check the evaluation fee and deposit terms before booking treatment.

Surgery and the prosthesis still need planning and checkups. The 2024 review by Habash and colleagues notes limits in the quality of evidence about basal implants. It also describes difficulties replacing them if they fail.

That review does not establish that this technique is better than conventional implants. Avoiding one step does not make an option the best choice for every patient. The doctor’s explanation should cover possible complications of the whole plan.

Ask the clinic which records it needs and how to send them through a suitable channel. Prepare your questions and a list of treatments or medications to discuss with the doctor. Hexa Smile does not interpret X-rays or decide whether you can have surgery.

If you are asking from the United States, request a plan that explains where follow-up visits would take place. Patients living in the Dominican Republic also need to know who handles a problem between appointments. The schedule and clinical contact are to be confirmed.

You can ask for a copy of the proposed plan to discuss with another professional before deciding. Ask what alternative the clinic offers if the doctor finds that corticobasal implants are not suitable for you.