Long‐term clinical outcome of single implants inserted flaplessly or conventionally

Naeini, Emitis Natali; Dierens, Melissa; Atashkadeh, Mandana; Bruyn, Hugo De

doi:10.1111/cid.12654

Cited by 6 publications

(7 citation statements)

References 33 publications

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“…Figure 3 shows peri-apical radiographs of implant 7, which represents the worst radiographical image of bone loss in this study, and shows the radiographic evolution from the baseline. The last 2 radiographs, although taken 3 years apart, show the bone level to be stable, which supports the statistical findings that no further changes in bone level were seen since the last published paper on this patient group [36].…”

Section: Bone Levelsupporting

confidence: 79%

“…The overall number of complications, combined as aesthetic, technical or biological ones, was 32.5% after 10-12 years of function. This is an increase compared to the 6-9-year interval, reported as being 24% [36]. However, the consequence was not as significant for the patient.…”

Section: Discussionmentioning

confidence: 59%

“…In total, 53 solitary Nobel Biocare ® TiUnite™ implants were inserted in 49 patients in a private dental practice in Norwich, England. Details of the original study group, surgical procedure and post-operative protocol have been described in detail previously [28,36]. In brief, the cases were non-randomized, consecutively treated with conventional mucoperiosteal flap (F) or flapless surgery (FL), the latter by perforating the soft tissue with a pilot drill to create a punch.…”

Section: Study Groupmentioning

confidence: 99%

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Incidence of Peri-Implantitis, Technical and Biological Complications of Single Implants Placed with Flap or Flapless Surgery—A 10–12-Year Case-Series

Naeini

Atashkadeh²,

Jacquet

et al. 2023

JCM

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Background: Long-term follow-up of single implants and crowns is scarce, especially when inserted using flapless surgery. Aim: Evaluate survival, peri-implantitis incidence, and technical/biologic complications of solitary implants/crowns after 10–12 years of function. Material and methods: 49 patients with 53 single implants, initially operated with a one-stage flap (F) or flapless (FL) surgery and delayed loading, were recalled. Implant survival, radiographic bone-level changes compared to baseline, peri-implant health, and soft tissue aesthetics were registered. Differences in implant level between and within groups were statistically tested using the Mann–Whitney U-Test and Wilcoxon Signed Ranks Test, respectively. Results: 36 patients with 40 implants were reassessed, yielding 100% implant and 97.5% crown survival. The bone loss in F (n = 19) was 0.56 mm (SD 0.89; range −0.9–2.02) and −0.85 mm (SD 0.98; range −2.84–0.53) in FL (n = 21), indicative of bone gain in FL (p = 0.003), the latter due to a difference at baseline but bone-level was comparable (p = 0.126). Groups were comparable for probing pocket depth (PPD); (3.32 vs. 3.19 mm), Bleeding Index (BI); (0.15 vs. 0.22), and gingival recession; (0.38 vs. 0.17 mm). According to international criteria, the peri-implantitis incidence was 0%, but 32.5% of the implants/crowns experienced biological or technical complications irrespective of surgical technique. Conclusions: Solitary implants and crowns show good long-term clinical outcomes and peri-implant health. Flapless surgery is a good alternative to conventional in straightforward cases with sufficient bone volume and proper treatment planning.

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Section: Bone Levelsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 59%

Section: Study Groupmentioning

confidence: 99%

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Incidence of Peri-Implantitis, Technical and Biological Complications of Single Implants Placed with Flap or Flapless Surgery—A 10–12-Year Case-Series

Naeini

Atashkadeh²,

Jacquet

et al. 2023

JCM

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“…However, implant success is not solely based on implant survival and should be assessed based on peri-implant conditions and bone-level stability. [ 29 ] Crestal bone loss is therefore an important factor which can guide the clinician to assess the peri-implant condition. [ 2 , 32 ]…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of circumferential crestal bone loss after 1 year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using cone-beam computed tomography: A randomized controlled trial

Dandekar¹,

Lahoti²,

Gade³

et al. 2023

The Journal of Indian Prosthodontic Society

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Aim: The study was aimed to evaluate circumferential crestal bone level after one year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using CBCT. Setting and Design: The study was designed as a Randomized controlled trial. Material and Methods: 32 implants were placed in single edentulous spaces in the mandibular posterior region after random allocation into two groups: Flap surgery (Group A) and Flapless surgery (Group B). Virtual implant planning was performed using Blue Sky Bio software, and static CBCT guided 3D printed surgical templates were fabricated for all participants of both the groups. Immediate non-functional temporization was performed. Circumferential crestal bone levels were assessed after surgery and one-year follow-up using CBCT and XELIS software. Vertical bone loss (VBL) and horizontal bone loss (HBL) was assessed on four sides: buccal, lingual, mesial and distal. Statistical Analysis Used: Data was analyzed using Statistical Package for Social Sciences IBM Corp. Released 2017, IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp.) and Graph Pad Prism 7.0 version. The level of significance was chosen <0.05. Chi square test was performed to assess the difference in the age in the two groups. Mann-Whitney U test was performed to compare the two groups for outcome measure. Graphically, quantile-quantile (Q-Q) plot was made using mean and standard deviation for normality verification of data. Results: 100% survival rate and patient compliance was observed along the one-year follow-up duration. By using Mann-Whitney U test, statistically significant difference was found in the vertical bone loss among participants of Flap surgery (Group A) and Flapless surgery (Group B) on all the four sides after one year of implant placement. However, significant results were not obtained for the difference in the horizontal bone level. Conclusion: Within the limitations of this study, vertical bone loss measured circumferentially was more positively correlated with the implants placed with flap surgery compared to flapless surgery after immediate loading in the posterior mandibular region after one year.

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“…Implantatbehandling er et godt alternativ til erstatning av manglende tenner, og studier viser til høy overlevelsesrate. Implantater ansees som et varig resultat og involverer ikke nabotenner (17,18). Det kan vaere utfordrende å oppnå optimal estetikk (19).…”

Section: Diskusjonunclassified

Autotransplantasjon

Gramstad¹,

Thoresen²,

Lygre³

2018

Tidende

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Long‐term clinical outcome of single implants inserted flaplessly or conventionally

Abstract: Free-handed flapless implant surgery for single implants with neighboring teeth is a predictable long-term treatment provided when there is sufficient bone volume.

Cited by 6 publications

References 33 publications

Incidence of Peri-Implantitis, Technical and Biological Complications of Single Implants Placed with Flap or Flapless Surgery—A 10–12-Year Case-Series

Incidence of Peri-Implantitis, Technical and Biological Complications of Single Implants Placed with Flap or Flapless Surgery—A 10–12-Year Case-Series

Comparative evaluation of circumferential crestal bone loss after 1 year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using cone-beam computed tomography: A randomized controlled trial

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