Comparison of flap and flapless procedures for the stability of chemically modified SLA titanium implants: an experimental study in a canine model

Jeong, Seung Mi; Choi, Byung Ho; Kim, Ji Hun; Lee, Du‐Hyeong; Xuan, Feng; Mo, Dong Yub; Lee, Chun Ui

doi:10.1016/j.tripleo.2010.04.024

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…A importância da precisão cirúrgica, neste caso clínico, não foi só para o posicionamento ideal dos implantes, mas também pela proximidade com estruturas nobres, como o nervo alveolar inferior. O planejamento prévio e a confecção do guia cirúrgico possibilitou uma maior precisão durante a instalação dos implantes, trazendo maior comodidade ao paciente 15 .…”

Section: Discussionunclassified

Cirurgia de implantes guiada por computador: relato de caso clínico

Macedo¹,

Cunha²,

Matos³

et al. 2018

J Dent Pub H

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Este estudo tem por objetivo descrever as etapas do planejamento, a funcionalidade da cirurgia de implantes guiada por computador, suas aplicações clínicas, bem como relatar um caso clínico, a cerca desse tipo de procedimento realizado em um serviço público no Brasil. Paciente F.D.C.O., gênero masculino, melanoderma, 54 anos de idade, compareceu ao Setor de Prótese Dentária do Centro de Especialidades Odontológicas Regional (CEO-R) do Crato – CE - Brasil, para reabilitação. Foi realizado confecção de próteses totais superior e inferior. Durante todo o tratamento no Setor, foi observada dificuldade de confecção da peça inferior e o paciente foi alertado que devido a reabsorção do rebordo nessa arcada, a retenção e a estabilidade provavelmente ficariam comprometidas. Diante do quadro, o mesmo foi encaminhado para uma avaliação do Setor de Cirurgia e Traumatologia Buco Maxilo Facial visando a possibilidade de enquadramento no programa de implantes dentários que se iniciava no centro de especialidades. Desde o surgimento da osseointegração os implantes dentários tornaram-se uma solução viável para o tratamento de paciente desdentados totais ou parciais. A cirurgia virtual guiada é uma opção que deve melhorar a precisão, pois proporciona um bom conhecimento anatômico da área a ser reabilitada, aprimorando então a qualidade da técnica cirúrgica, que quando associada ao desenho do implante, promove uma estabilidade primária apropriada. A cirurgia guiada de instalação dos implantes é realizada sem incisão, com as perfurações sendo feitas através do tecido mole, permitindo a precisa confecção dos alvéolos cirúrgicos artificiais e a instalação dos implantes. Quando existe a possibilidade da realização deste procedimento, o resultado é de mínimo trauma cirúrgico e excelente pós-operatório para o paciente.

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Section: Discussionunclassified

Cirurgia de implantes guiada por computador: relato de caso clínico

Macedo¹,

Cunha²,

Matos³

et al. 2018

J Dent Pub H

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“…Bone loss of 0.7 to 2.14 mm has been shown in some animal studies after flapless insertion, 21,46,47 while in another study, no statistically significant difference was recorded. 48 Flapless insertion resulted in higher and earlier implant stability in one animal study, 49 while was excluded. Regardless of the insertion depth, but depending on the surgical procedure, both groups showed significantly higher bone loss around the implant shoulder when a mucoperiosteal flap was reflected ( Table 2).…”

Section: Surgical Proceduresmentioning

confidence: 99%

Initial Crestal Bone Loss Af ter Implant Placement with Flapped or Flapless Surgery—A Prospective Cohort Study

Maier¹

2016

Int J Oral Maxillofac Implants

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“…16 Another study concluded flapless surgical placement may result in increased initial implant stability compared to implants placed with a mucoperiostal flap. 17 In view of the diverse results, the aim of the present investigation was to evaluate the healing of bone defects (fresh extraction sockets) following implant installation with flap elevation and primary closure compared to implant installation without flap elevation. A qualitative, semiquantitative and a histomorphometric evaluation were done.…”

Section: Introductionmentioning

confidence: 99%

Tissue Healing Around Dental Implants With Marginal Bone Defects With and Without Flap Elevation: An Experimental Study in Dogs

Elian¹,

Kye²,

Saito

et al. 2015

Journal of Oral Implantology

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The technique of immediate implant placement after extraction has been conceived for preserving residual bone support and soft tissue morphology. Today, this procedure is still unpredictable and presents inconveniences for both the patient and the dentist. Therefore, the healing process around a dental implant placed into an extraction socket needs to be deeply investigated to increase the predictability of this surgical approach. The aim of the present investigation was to evaluate the healing of bone defects (fresh extraction sockets) after implant installation with flap elevation, and primary closure compared with implant installation without flap elevation. This study use histologic and histomorphometric analyses to evaluate tissue healing around dental implants with marginal bone defects with and without flap elevation 1 week, 4 weeks, and 12 weeks after implantation in the dogs. The main qualitative findings showed that after 1 week of implantation almost no bone repair was observed, and there was no significant difference between the 2 groups in terms of bone-healing performance, inflammatory infiltrates (slight to moderate grade), and bone resorption (moderate to marked grade) limited to the coronal portion of the implanted sites. The 2 groups with or without flap elevation behaved similarly at this point of implantation. Under the experimental conditions of this study, no biological differences were observed between the 2 groups with and without flap elevation in terms of crestal bone repair, inflammation, marginal bone loss, and soft tissue downgrowth. The qualitative differences observed might be imputable to fortuitous events. The histomorphometric measurements confirmed the qualitative trends observed. The limitations of this study, as with all animal studies, are its translational aspects. Investigation of the same topic in a human population by setting up a controlled, randomized, prospective trial including a sufficient amount of patients investigated according to the split-mouth method would be beneficial.

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Comparison of flap and flapless procedures for the stability of chemically modified SLA titanium implants: an experimental study in a canine model

Cited by 6 publications

References 13 publications

Cirurgia de implantes guiada por computador: relato de caso clínico

Cirurgia de implantes guiada por computador: relato de caso clínico

Initial Crestal Bone Loss Af ter Implant Placement with Flapped or Flapless Surgery—A Prospective Cohort Study

Tissue Healing Around Dental Implants With Marginal Bone Defects With and Without Flap Elevation: An Experimental Study in Dogs

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