Flapless Implant Surgery: Review of the Literature and Report of 2 Cases With Computer-Guided Surgical Approach

Azari, Ali; Nikzad, Sakineh

doi:10.1016/j.joms.2007.12.010

Cited by 61 publications

(44 citation statements)

References 15 publications

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“…; Rao & Benzi ), computer guidance (Casap et al. ; Azari & Nikzad ), or soft tissue removal using a tissue punch (Hahn ; Cloyd ). Flapless implantation has several advantages such as decreased surgical time, maintenance of both soft and hard tissues, decreased postoperative bleeding, faster recovery, and patient's comfort (Becker et al.…”

mentioning

confidence: 99%

Clinical, radiographic, microbiological, and immunological outcomes of flapped vs. flapless dental implants: a prospective randomized controlled clinical trial

Tsoukaki

Kalpidis

Sakellari

et al. 2012

Clinical Oral Implants Res

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Objectives The objective of this study was to compare the placement of flapped vs. flapless dental implants utilizing clinical, radiographic, microbiological, and immunological parameters. Material and methods A total of 20 patients received 30 dental implants following a one‐stage protocol. The patients were randomly assigned into two study groups: control group with 15 flapped implants and test group with 15 flapless implants. Follow‐up examinations were carried out after 1, 2, 6, and 12 weeks. Clinical recordings, sulcular fluid sampling, microbiological analysis, and digital subtraction radiography were utilized to compare the two surgical approaches. Results Peri‐implant sulcus depth was significantly greater in flapped implants at both 6 and 12 postsurgical weeks (P < 0.001). Flapped implants showed crestal bone loss (0.29 ± 0.06 mm), whereas no bone resorption was detected around flapless implants. Matrix metalloproteinase‐8 values were higher to a statistically significant level in the control group at 1 (P = 0.003) and 6 weeks (P = 0.007) after placement. In the test group, the presence of Porphyromonas gingivalis was significantly higher at the 2nd postoperative week (P = 0.005), whereas the counts of Tannerella forsythia were significantly elevated at the 1st (P = 0.005), 2nd (P = 0.001), and 12th (P = 0.002) postoperative weeks, possibly indicating an earlier formation and maturation of the peri‐implant sulcus. Patients reported more pain after flapped implant placement. Conclusions Flapless implant placement yielded improved clinical, radiographic, and immunological outcomes compared with flapped implantation. In addition, patients seem to better withstand flapless implant placement.

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confidence: 99%

Clinical, radiographic, microbiological, and immunological outcomes of flapped vs. flapless dental implants: a prospective randomized controlled clinical trial

Tsoukaki

Kalpidis

Sakellari

et al. 2012

Clinical Oral Implants Res

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“…Thereafter even the CAD-CAM technology provide the surgeon very precise information about the anatomy and the correct placement of the implants, so precise that allows the surgeon to perform flapless surgeries (Barnea et al, 2010;Patel, 2010). The flapless surgery for placement of dental implants has some advantages such as the maintenance of the periosteum attachment and blood supply to the bone, avoids gingival profile modification following the contour of the surgical incision, reduces the postoperative edema, bleeding, pain and discomfort for the patients and clearly make the surgical time shorter (Abad-Gallegos et al, 2010;Azari & Nikzad, 2008). These advantages seem to increase the success rates of immediate loading, probably due to the blood supply preservation (Fortin et al, 2003;Malo et al, 2007).…”

Section: Guided Dental Implant Surgerymentioning

confidence: 99%

An Overview Regarding Contemporary Biomechanical Aspects on Immediate Loading Dental Implants

Reis¹,

Pinelli²,

Neto³

et al. 2011

Implant Dentistry - A Rapidly Evolving Practice

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“…When well conducted, it favors a reduction in the risk of complications regarding mandibular nerve damage, sinus perforations, fenestrations or dehiscences and the possibility of immediate placement, at least, of the temporary denture. These are important advancements and strong points of the guided procedures for implant placement (4,5,7,8).…”

Section: Introductionmentioning

confidence: 99%

Linear and Angular Deviations of Implants Placed in Experimental Casts with Stereolithographic Drill Guides Fixed by O'ring Ortho Implant Devices

et al. 2013

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The aim of this study was to evaluate whether the introduction of a device, resulting from the combination of an o'ring attachment with an orthodontic implant (o'ring ortho implant, O'ROI), to affix the surgical template of CAD/CAM-guided implant surgery contribute to minimizing the deviations in the position and inclination of implants at the time of their placement. Ten models simulating bone tissue were fabricated and randomly divided into 2 groups: 5 with the scanning and surgical template of the usual technique, representing the Control Group (C), and 5 with scanning and surgical templates fixed by o'ring ortho implants (O'ROI), representing the Test Group (T). Forty implants measuring 4x11 mm were placed in the groups, using the respective templates. The results were evaluated by the fusion of CT images of the planned and placed implants. The locations and axes were compared. There were no statistically significant differences for the angular (Tukey's test F = 1.06 and p = 0. 3124) and linear (ANOVA F = 2.54 and p = 0.11) deviations. However, the angular values of Group T showed a lower standard deviation in comparison with those of Group C. The use of o'ring ortho implants (O'ROI) is able to minimize the angular and linear deviation of implants at the time of their placement.

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Flapless Implant Surgery: Review of the Literature and Report of 2 Cases With Computer-Guided Surgical Approach

Cited by 61 publications

References 15 publications

Clinical, radiographic, microbiological, and immunological outcomes of flapped vs. flapless dental implants: a prospective randomized controlled clinical trial

Clinical, radiographic, microbiological, and immunological outcomes of flapped vs. flapless dental implants: a prospective randomized controlled clinical trial

An Overview Regarding Contemporary Biomechanical Aspects on Immediate Loading Dental Implants

Linear and Angular Deviations of Implants Placed in Experimental Casts with Stereolithographic Drill Guides Fixed by O'ring Ortho Implant Devices

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