Bi-cortical screw implant (BCS) also known as strategic implant, is contemporary implantology system which is uniquely made to utilize the cortical bone of jaws. The aim of the study was to analyze osseo-fixed immediately loaded basal implants and also to determine patient satisfaction. Not even a single patient was rejected neither for “lack of the bone” (all kinds of bone atrophy and trauma to the jaw which damages not only the teeth but also the alveolar bone) nor for “many diseases are carried”. All the patients were immediately restored with interim prosthesis within three hours and replaced with functional loading fixed prosthesis within seven days after bending up to 15 degrees of Implant abutment. Basal Cortical Screw (BCS) implant is a definitive option for the rehabilitation of missing teeth of patients regardless of the available alveolar bone without additional augmentation (grafts) procedures. Immediate functional loading using Osseo-fixed BCS implants shows a high implant survival rate without any infection; 'Peri-implantitis’ and have a positive impact on oral health and highly increased patient satisfaction.