Implant placement in severly atrophic jaws is specially challenging because of the poor quality and quantity of the future implant bed. (Scortecci et al., 2001) Calvarial or iliac bone grafts, mental nerve displacement, and sinus lift procedures are often used to overcome the initially unfavourable anatomical and mechanical conditions. (Misch et al., 1999) Furthermore, patients are sometimes reluctant to undergo such procedures. Recent studies reported that basal Implants can be installed in which the vertical bone supply is reduced. The present case report highlights the placement of four basal implants (BCS-Basal cortical screw) in atrophic maxillary area with flapless technique. All the implants were immediately loaded and followed up for a period of 1 year.