Effects of Flapless Implant Surgery on Soft Tissue Profiles: A Prospective Clinical Study

Lee, Du‐Hyeong; Choi, Byung Ho; Jeong, Seung Mi; Xuan, Feng; Kim, Ha Rang

doi:10.1111/j.1708-8208.2009.00217.x

Cited by 14 publications

(9 citation statements)

References 19 publications

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“…Our results highlighted a significant influence of the number of surgical sites on pain and discomfort during hygiene, in contrast to the suggested differences between flap reflection and flapless methods . The number of surgical sites is a likely reason for more pain on the sixth day after the insertion of four mini‐implants.…”

Section: Discussionmentioning

confidence: 57%

Short‐term post‐operative pain and discomfort following insertion of mini‐implants for retaining mandibular overdentures: a randomized controlled trial

Ribeiro

Vecchia

Cunha

et al. 2015

J of Oral Rehabilitation

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The retention of removable dentures by mini-implants is a relatively recent treatment modality and may lead to minimal post-operative trauma. This study compared post-operative pain and discomfort following the insertion of mini-implants (two or four) or two standard-size implants for the retention of mandibular overdentures. One hundred and twenty edentulous participants (mean age 59.5 ± 8.5 years) were randomly allocated into three groups according to received treatment: (GI) four mini-implants, (GII) two mini-implants or (GIII) two standard implants. Seven days after implant insertion, patients answered questions (100-mm VAS) relating to pain, swelling, and discomfort with chewing, speech and hygiene, considering their experiences during the 1st and 6th day. Groups were compared by two-way anova (α = 0.05). All participants (GI: 38; GII: 42; GIII: 40) were analysed after 7 days. At the 6th day, GI felt significantly higher pain than GII and GIII. GI also reported more difficulty in performing oral hygiene practices than GIII during the 1st day. There was no significant difference between groups for the other questions and periods. No participant suffered unexpected side effects. The use of four mini-implants induces more intense post-operative pain at the 6th day than the insertion of two mini- or conventional fixtures, as well as more difficult oral hygiene on the 1st day. Clinicaltrials.gov, NCT01411683; FAPESP, 2011/00688-7 and 2011/23347-0.

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Section: Discussionmentioning

confidence: 57%

Short‐term post‐operative pain and discomfort following insertion of mini‐implants for retaining mandibular overdentures: a randomized controlled trial

Ribeiro

Vecchia

Cunha

et al. 2015

J of Oral Rehabilitation

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“…Electronic and hand searches yielded 1,262 articles, of which 40 articles were selected for full‐text evaluation after screening their titles and abstracts. Twenty‐eight articles 2,3,5,8‐11,21‐41 were further excluded; the reasons for exclusion are listed in Table 1. Twelve articles 42‐53 are included in this systematic review.…”

Section: Resultsmentioning

confidence: 99%

The Effect of Flapless Surgery on Implant Survival and Marginal Bone Level: A Systematic Review and Meta‐Analysis

Lin

Chan

Bashutski

et al. 2014

Journal of Periodontology

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“…Guided implant surgery also allows for flapless implant placement, which may reduce crestal bone resorption associated with flap elevation and may better maintain soft tissue profiles, including gingival margin position and interdental papilla . Evidence shows that the passing of an implant through the gingiva does not interfere with osseointegration, bone levels, and esthetic results, provided the diameter of the soft tissue punch used is not larger than the implant diameter . Avoidance of flap elevation and sutures results in less postoperative pain, edema, and bleeding, and immediate resumption of oral hygiene procedures .…”

Section: Overview Of Guided Implant Surgerymentioning

confidence: 99%

Guided implant surgery risks and their prevention

Tatakis

Chien

Parashis

2019

Periodontology 2000

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Ideal implant placement may reduce surgical complications, such as nerve injury and lingual cortical plate perforation, and minimize the likelihood of functional and prosthetic compromises. Guided implant surgery (GIS) has been used as the means to achieve ideal implant placement. GIS refers to the process of digital planning, custom‐guide fabrication, and implant placement using the custom guide and an implant system–specific guided surgery kit. GIS includes numerous additional steps beyond the initial prosthetic diagnosis, treatment planning, and fabrication of surgical guide. Substantial errors can occur at each of these individual steps and can accumulate, significantly impacting the final accuracy of the process with potentially disastrous deviations from proper implant placement. Pertinent overall strategies to reduce or eliminate these risks can be summarized as follows: complete understanding of the possible risks is fundamental; knowledge of the systems and tools used is essential; consistent verification of both diagnostic and surgical procedures after each step is crucial; proper training and surgical experience are critical. This review article summarizes information on the accuracy and efficacy of GIS, provides insight on the potential risks and problems associated with each procedural step, and offers clinically relevant recommendations to minimize or eliminate these risks.

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Effects of Flapless Implant Surgery on Soft Tissue Profiles: A Prospective Clinical Study

Abstract: Flapless implant surgery is advantageous for preserving mucosal form surrounding dental implants.

Cited by 14 publications

References 19 publications

Short‐term post‐operative pain and discomfort following insertion of mini‐implants for retaining mandibular overdentures: a randomized controlled trial

Short‐term post‐operative pain and discomfort following insertion of mini‐implants for retaining mandibular overdentures: a randomized controlled trial

The Effect of Flapless Surgery on Implant Survival and Marginal Bone Level: A Systematic Review and Meta‐Analysis

Guided implant surgery risks and their prevention

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