What Are Basal Implants?

Basal implants are a less commonly discussed type of dental implant.

Basal implants (also called cortical implants or bicortical implants) are a type of dental implant designed to anchor into the basal bone β€” the dense, cortical layer of the jawbone β€” rather than the softer alveolar bone where regular implants are placed.

  • How they are different:
  • Regular implants rely on the alveolar bone (the ridge that holds tooth sockets)
  • Basal implants are placed into the dense, deeper layers of bone
  • They have a smooth surface (rather than the rough surface of regular implants)
  • They are designed to be immediately load-bearing (you can put teeth on them right away)
  • Key features:
  • Can be placed even when there is significant bone loss
  • Single-piece design (the abutment and implant post are one piece)
  • Immediate loading is often possible
  • No bone grafting required in many cases
  • The smooth surface is designed to resist bacterial infection

Who Might Benefit

  • Basal implants are typically used for:
  • Patients with severe bone loss who cannot have regular implants
  • Patients who want immediate teeth (same day)
  • Patients who have experienced peri-implantitis (infection around regular implants)
  • Patients who want to avoid bone grafting

Clinical Guidance