Flap vs. “flapless” surgical approach at immediate implants: a histomorphometric study in dogs

Caneva, Marco; Botticelli, Daniele; Salata, Luiz Antônio; Souza, Sérgio Luı́s Scombatti de; Bressan, Eriberto; Lang, Niklaus P.

doi:10.1111/j.1600-0501.2010.01959.x

Cited by 67 publications

(84 citation statements)

References 18 publications

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“…On the contrary, some other studies have found no significant differences in bone level changes between the two surgical protocols. Caneva et al (2010) observed comparable buccal bone dimensions in both groups in an animal study at 4 months.…”

Section: Flap Versus Flapless Approachmentioning

confidence: 68%

“…In order to further elucidate this question, Caneva et al (2010) performed a similar investigation in a canine model. At 4 months of healing, a buccal plate reduction of 1.7mm in experimental sites and 1.5mm in control sites was seen.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…In this sense, some investigations on an animal model have been performed to compare a flap and a flapless approach for immediate implant placement (Caneva et al 2010;Blanco et al 2008). Blanco et al (2008) placed 20 immediate implants on beagle dogs and compared hard tissue alterations of sites where a flap was raised (control) with sites where a flapless surgery (test) had been carried out.…”

Section: Surgical Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Bone volume changes after immediate implant placement with or without flap elevation

Mazzocco

Jimenez

Barallat

et al. 2016

Clinical Oral Implants Res

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Section: Flap Versus Flapless Approachmentioning

confidence: 68%

Section: Surgical Proceduresmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Bone volume changes after immediate implant placement with or without flap elevation

Mazzocco

Jimenez

Barallat

et al. 2016

Clinical Oral Implants Res

View full text Add to dashboard Cite

show abstract

“…El rango de estos cambios de dimensión tiene una variación interindividual; expresándose en el biotipo gingival fino una mayor predisposición a presentar reabsorción y recesión que los pacientes con fenotipo grueso y escasamente festoneado. La literatura expresa que la zona de mayor riesgo de reabsorción es el centro vestibular, resultando en menores cambios dimensionales a nivel proximal (3,5) . Se identificó un espesor óseo vestibular menor o igual a 1mm como factor crítico asociado con la reabsorción vestibular; los fenotipos de pared delgada visualizan pronunciadas pérdidas verticales con una medida de 7.5 mm en comparación con fenotipos de pared gruesa con pérdidas de 1.1 mm (6,7) .…”

Section: Introductionunclassified

“…The range of these dimensional changes has an interindividual variation: the thin periodontal biotype has a higher predisposition to resorption and recession than the thick biotype with low scalloping. The literature points to the vestibular center as the area with greatest resorption risk, resulting in lower dimensional changes in the proximal area (3,5) . We identified a vestibular bone thickness lower than or equal to 1 mm as a critical factor associated with vestibular resorption; the thin wall phenotypes displayed marked vertical losses, measuring 7.5 mm compared with thick wall phenotypes with losses of 1.1 mm (6.7) .…”

Section: Workhop 1 -Ideal Time For Implant Placement: Immediate Earmentioning

confidence: 99%

Taller 1 - Momento idóneo para la inserción del implante, inmediato, temprano o diferido

Yannuzzi

2017

Odontoestomatología

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IntroducciónDecidir el momento de inserción del implante es esencial para lograr los objetivos propuestos en todo tratamiento rehabilitador implanto-prostodóncico, asegurando a largo plazo la estética y función de la restauración, con mínima morbilidad. La indicación de extracción puede ser muy variada, desde caries extensas que imposibilitan su rehabilitación, procesos infecciosos agudos o crónicos de índole endodóncico, periodontal o traumatismos; el diagnóstico y plan de tratamiento debe determinar la indicación y el momento oportuno para realizarla. La rehabilitación funcional y estética a través de implantes, dependerá de su inserción óptima en un proceso alveolar apto (1) . El hueso alveolar es un tejido dependiente del diente, que se desarrolla conjuntamente durante la erupción dental y se remodela con su pérdida. Las alteraciones dimensionales consecuentes a la extracción, tendrán una acción directa en la conducta clínica a seguir. Como resultado del modelado y remodelado alveolar se describe en la literatura una pérdida en alto y ancho durante los primeros 6 meses; estos cambios en sentido vertical se visualizan en torno al 11 y 22% a

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Impact of the periodontal phenotype in premolar and molar sites on bone loss following full‐thickness mucoperiosteal flap: A 1‐year prospective clinical trial

Saleh

Couso‐Queiruga

Ravidà

et al. 2022

Journal of Periodontology

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Background: Full-thickness mucoperiosteal flap (FTF) elevation could potentially affect the periodontium of the involved teeth; it is not clear if the periodontal phenotype of teeth involved in a FTF may influence these changes. The aim of this study was to evaluate the impact of FTF on teeth periodontium, as well as assessing the impact of periodontal phenotype on bone remodeling. Methods: In this single arm prospective clinical trial, 26 subjects and a total of 52 adjacent teeth were included. Patients receiving implant surgery in the posterior area, at the time of implant site preparation, an FTF was extended one tooth mesial and distal to the planned site, and the flap was elevated both facially and lingually. Vertical and horizontal bone linear changes were measured on both adjacent teeth, using superimposed cone-beam computerized tomography (CBCT) images taken prior to implant placement (T0) and at 12 months (T1). Baseline digital scans of models and DICOM files were superimposed to assess the periodontal phenotype. Results: Vertical bone changes from T0 to T1 were statistically significant (P = 0.013), with changes were significantly higher at the mesial (−0.31 ± 0.30 mm) and facial (P < 0.05) sites. Horizontal dimensional changes 5 mm subcrestally were similar among different locations (P = 0.086) and the bone width loss was higher closest to the crest (P = 0.001). No correlation was found between soft tissue thickness and bone changes. However, bone thickness at baseline appears to influence the extent of horizontal bone remodeling. Overall, the magnitude of bone loss either vertically or horizontally was clinically insignificant (≤0.4 mm). A preventive effect against bone loss maybe expected with bone thickness > 2 mm. Conclusion(s):Marginal bone changes in maxillary and mandibular posterior teeth following FTF at 12 months are very minimal, and mainly influenced by bone rather than soft tissue thickness. Overall, FTF does not seem to have deleterious effects on adjacent teeth periodontium.

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Flap vs. “flapless” surgical approach at immediate implants: a histomorphometric study in dogs

Abstract: "Flapless" implant placement into extraction sockets did not result in the prevention of alveolar bone resorption and did not affect the dimensional changes of the alveolar process following tooth extraction when compared with the usual placement of implants raising mucoperiosteal flaps.

Cited by 67 publications

References 18 publications

Bone volume changes after immediate implant placement with or without flap elevation

Bone volume changes after immediate implant placement with or without flap elevation

Taller 1 - Momento idóneo para la inserción del implante, inmediato, temprano o diferido

Impact of the periodontal phenotype in premolar and molar sites on bone loss following full‐thickness mucoperiosteal flap: A 1‐year prospective clinical trial

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