Comparative evaluation of soft and hard tissue changes following endosseous implant placement using flap and flapless techniques in the posterior edentulous areas of the mandible—a randomized controlled trial

Kumar, Dewesh; Sivaram, G; Shivakumar, B; Kumar, Tamil Selvan

doi:10.1007/s10006-018-0695-9

Cited by 14 publications

(7 citation statements)

References 36 publications

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“…Besides, the lack of use of customized sealing abutment, clashes with our results as these are interpreted by the surgical procedure, which includes non‐flapless cases as well as premolars indication. Indeed, it was demonstrated that detachment of the periosteum following a tooth extraction leads to an additional osteoclastic resorption and causes bone loss 33‐38 . In the current study oral surgeons performed minimally invasive extractions in all cases, which were exclusively molars, so as to optimize integrity of hard tissues, during post extraction healing processes.…”

Section: Discussionmentioning

confidence: 79%

Immediate implant in the posterior region combined with alveolar ridge preservation and sealing socket abutment: A retrospective 3D radiographic analysis

Alexopoulou

Knafo

Popelut

et al. 2021

Clin Implant Dent Rel Res

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Background Customized sealing socket abutment (SSA) has been claimed to optimize the peri‐implant hard and soft tissues in type 1 implant placement. However, the evidence to claim the benefits of this technique over the use a conventional healing abutment remains weak. Purpose The aim of this retrospective study was to provide a 3D‐radiographic evaluation of hard tissues changes following immediate implant placement in molar sites combined to ARP technique and installation of SSA. Materials and Methods Baseline and follow‐up (FU) CBCTs (from 1 to 5 years) of 26 patients were collected and included in the study. Baseline and FU CBCTs were superimposed and horizontal and vertical bone changes were assessed. Results A total of 26 patients and 27 implants were included. Horizontal bone remodeling was not significant in any of the measured areas except in the most cervical level, where a mean bone remodeling of 0.73 mm was found. Proximal and buccal vertical bone changes were not significant. Conclusions Within the limits of a retrospective study, dimensional alveolar ridge changes 1 to 5 years after immediate implant placement in molar sites with simultaneous ARP technique and installation of SSA seem to be very limited.

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Section: Discussionmentioning

confidence: 79%

Immediate implant in the posterior region combined with alveolar ridge preservation and sealing socket abutment: A retrospective 3D radiographic analysis

Alexopoulou

Knafo

Popelut

et al. 2021

Clin Implant Dent Rel Res

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“…[28][29][30][31][32][33]52,53 In the studies of Malo et al, 49 and Pisoni et al, 51 marginal bone loss was higher in the flapless group, however Malo et al, 49 reported no statistical analysis for comparison between two groups and Pisoni et al 51 showed no significant difference between the two groups. In the RCTs by Bömicke et al 55 and Kumar et al 57 marginal bone loss was significantly lower in the flapless group.…”

Section: Alveolar Bone Lossmentioning

confidence: 85%

Dental implant placement with flapless and flapped technique: A systematic review

et al. 2018

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Aim: This study was aimed to systematically review and compare implant treatment outcome including success and survival rates, marginal bone loss and post-operative pain between flapped and flapless techniques of implant insertion. Material and Methods: An internet search was performed in PubMed and Cochrane Library in June 2018 using relevant keywords limited to human studies and English language. Clinical studies evaluating the survival rate, marginal bone loss (MBL) and rate of complications between flapped and flapless techniques for implant insertion were included. The review process was performed by two reviewers and the relevant data was extracted from the included studies. Data was compared in a qualitative manner. Results: Electronic search resulted in 1872 studies out of which 32 (21 RCTs) were selected based on the inclusion and exclusion criteria including 1528 patients and 3047 implants. No significant difference was found between success and survival rate of implants using two techniques except for one study that reported higher success rate in flapless group. Twelve studies reported higher MBL in the flapped groups while two studies showed higher MBL in the flapless group. Less pain following flapless technique was reported in 9 studies. One study, however, showed more pain in flapless technique. Conclusion: Implant survival rate using flapped and flapless technique is comparable. Also, MBL using flapless technique is similar or less than flapped technique. Concerning post-operative complications, flapless technique would probably have less post-operative pain.

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“…Second, minimal dissection preserves the periosteum, therefore, less bone resorption. Third, reduced bleeding results in minimal postoperative discomfort, and better satisfaction of the patient with the procedure (27). Forth, most importantly, is the use of the interchangeable surgical guide, which helps to guide the osteotomy precisely and meanwhile aids an accurate placement of dental implants.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Interchangeable Guide in Minimally Invasive Ridge Splitting With Simultaneous Implant Placement (A Prospective Clinical Study)

Elkholy

2021

Alexandria Dental Journal

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BACKGROUND:The conventional ridge splitting technique offers a feasible and more consistent approach for the challenging narrow alveolar ridge. However, this entails raising of a complete flap to allow an adequate visibility of the osseous defect resulting in disturbance of vascular supply and risk of bone resorption. Stereolithography helps the manufacture of surgical guides using 3D generated models for an accurate placement of implants with minimal invasiveness thus preserving the periosteum. OBJECTIVES: To assess the precision of dental implant placement in narrow ridges after ridge splitting minimally invasive technique using an interchangeable guide. MATERIALS AND METHODS: A prospective study was including 5 patients with anterior maxillary narrow ridge. All patients were selected to suit the proposed inclusion and exclusion criteria. Ridge split procedure was performed for all selected subjects assisted with the surgical guide with simultaneous placement of implants. Patients were evaluated by clinical and radiographical assessments with an average of 6 months follow up. RESULTS: 8 implants were placed. Angular deviations with an average of 2.61 ± 1.46 degrees. The mean values of the horizontal deviation at the coronal and apex sides of the implant were 0.70 ± 0.46 mm and 0.98 ± 0.35 mm. While the Vertical deviations (V) with an average of 0.39 ± 0.29 mm. There were statistically significant differences between preoperative, immediate postoperative and 6 months postoperative values of bone width and density. CONCLUSIONS: Alveolar ridge split technique assisted with an interchangeable surgical guide is a feasible and reliable method for placement of dental implants.

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Comparative evaluation of soft and hard tissue changes following endosseous implant placement using flap and flapless techniques in the posterior edentulous areas of the mandible—a randomized controlled trial

Abstract: Although the flapless technique of endosseous implant placement had statistically significant less PD, bone loss, and pain than the flap technique, the difference was found to have uncertain clinical significance.

Cited by 14 publications

References 36 publications

Immediate implant in the posterior region combined with alveolar ridge preservation and sealing socket abutment: A retrospective 3D radiographic analysis

Immediate implant in the posterior region combined with alveolar ridge preservation and sealing socket abutment: A retrospective 3D radiographic analysis

Dental implant placement with flapless and flapped technique: A systematic review

Evaluation of Interchangeable Guide in Minimally Invasive Ridge Splitting With Simultaneous Implant Placement (A Prospective Clinical Study)

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