Flapless Versus Traditional Dental Implant Surgery: Long-Term Evaluation of Crestal Bone Resorption

Pisoni, Luca; Ordesi, Paolo; Siervo, Paolo; Bianchi, Andrea; Persia, Marco; Siervo, Sandro

doi:10.1016/j.joms.2016.01.053

Cited by 25 publications

(18 citation statements)

References 15 publications

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“…28,29 Furthermore, during the second surgery of implant disclosure, there is no need to reflect a full-thickness flap, especially when it is generally accepted that elevation of a periosteal flap is directly correlated with the risk of crestal bone loss. 30,31 A short incision is sufficient to replace the 2 mm healing abutment with another abutment . However, there is only one exception for the previously mentioned statement when the full-thickness flap should be elevated, such as during surgery for augmentation of mucosal thickness using a connective tissue graft.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, during the second surgery of implant disclosure, there is no need to reflect a full‐thickness flap, especially when it is generally accepted that elevation of a periosteal flap is directly correlated with the risk of crestal bone loss 30,31 . A short incision is sufficient to replace the 2 mm healing abutment with another abutment .…”

Section: Discussionmentioning

confidence: 99%

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Decompression technique — A modified approach for lateral alveolar ridge augmentation: A case report

Puišys¹,

Auzbikaviciute²,

Vindašiūtė‐Narbutė

et al. 2021

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Decompression technique — A modified approach for lateral alveolar ridge augmentation: A case report

Puišys¹,

Auzbikaviciute²,

Vindašiūtė‐Narbutė

et al. 2021

Clinical Case Reports

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show abstract

“…After the screening, only 14 studies satisfied the inclusion criteria and were included in the following investigation (Fig. 1) [23,[26][27][28][29][30][31][32][33][34][35][36][37][38].…”

Section: Study Selectionmentioning

confidence: 99%

Comparison of general and aesthetic effects between flapless and flap techniques in dental implantation: a meta-analysis of randomized controlled trials

et al. 2021

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Background Information about the aesthetic effects of flapless in implant surgeries is scant. Differences of the survival rate (SR) and crestal bone loss (CBL) between the two techniques were also controversial. Thus, this review was aimed to compare the general and aesthetic effects of flapless and flap approaches in implant surgeries. Materials and methods Following the principals of PRISMA, literature databases were searched for the eligible randomized controlled trials (RCTs) comparing the clinical performances of flap and flapless techniques. After that, relevant data of selected studies were pooled and analyzed to compare SR, bleeding on probing (BOP), probing depth (PD), visual analogue scale (VAS), papillae presentation index (PPI), keratinized mucosa (KM) width and CBL between the two techniques. Results Fourteen RCTs were included. No significant difference was found in SR (RR = − 0.01, 95% confidence interval (CI) (− 0.05, 0.04)), BOP (OR = 0.40, 95% CI (0.15, 1.02)), KM width (WMD = − 0.42, 95% CI (− 1.02, 0.17)) between two groups. Subgroup analysis revealed that the difference of CBL was insignificant in two groups (WMD = − 0.13, 95% CI (− 0.63, 0.38)). However, flap techniques would lead more peri-implant PD (WMD = − 0.37, 95% CI (− 0.51, − 0.23)). Subgroup analysis also indicated lower VAS scores in flapless group after 1 day (WMD = − 1.66, 95% CI (− 2.16, − 1.16)) but comparable pain experience after 3 days (WMD = − 0.59, 95% CI (− 1.33, 0.16)). Mean difference of PPI (WMD = 0.32, 95% CI (0.28, 0.35)) between the two groups was significant. Conclusions The flapless procedure showed a superiority in preserving gingival papillae, reducing postoperative pain and peri-implant PD compared to the flap procedure, while exhibiting comparable effects on SR, BOP, KW width changes and CBL. Flapless technique is more recommended at the ideal soft and hard tissue implanting sites.

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“…Implantology has been focusing studies in the search for technological and minimally invasive advancements both in the surgical phase ( 1 - 3 ) and the prosthetic and component selection phase ( 4 ). The analyses of the mechanical performance of implant-supported prostheses involve studies aiming not only to assess the resistance of the implant-prosthetic crown set ( 5 ) but also to understand the bone behavior ( 5 , 6 ) to the potential variations of length, angulation, and implant positioning ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Assessment of the stresses produced on the bone implant/tissue interface to the different insertion angulations of the implant - a three-dimensional analysis by the finite elements method

et al. 2020

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Background The present study aimed to assess the stresses produced on the surface of the bone tissue around dental implants with three different insertion angulations subjected to axial and oblique loading. Material and Methods The study was created according to the recommendations of the Checklist for Reporting In-vitro Studies (CRIS). The Straumann™ bone level RC (4.1 x 10 mm) implant, Cone Morse connection (CM), RC Straumann Variobase™ with abutment (3.5 mm) was placed in the region of element 16, with the platform positioned at the height of the bone crest. Three assessment models were produced: model M1 or control - implant perpendicular to the bone crest; model M2 - implant angulated at 17° relative to the bone crest; and model M3 - implant angulated at 30° relative to the bone crest. The masticatory loads were simulated with 100 N of intensity and two loading patterns (axial and oblique) were applied to each model. Then, the models were exported to the finite elements simulation software Ansys Workbench V19.2 (Ansys Inc., Canonsburg, PA, USA). To assess the finite elements, qualitative and quantitative analyses were performed. Results It was observed that, under axial loading, qualitatively, the peaks occurred in the cavosurface region, palatal aspect in M1 and M2, and buccal aspect in M3. Quantitatively, the greatest angulation resulted in a low stress peak. Under oblique loading, qualitatively, the peaks occurred in the cavosurface region, buccal aspect in the three groups. Quantitatively, the greatest angulation of the implant resulted in an increase in stress peaks on the buccal aspect. Conclusions Under axial loading, the three insertion angulations of the implant - M1, M2, and M3 - were clinically viable. When subjected to oblique loading, the 30° angulation (M3) suggested a significant risk of bone loss and it was contraindicated. Key words: Finite element analysis, dental implants, load support.

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Flapless Versus Traditional Dental Implant Surgery: Long-Term Evaluation of Crestal Bone Resorption

Cited by 25 publications

References 15 publications

Decompression technique — A modified approach for lateral alveolar ridge augmentation: A case report

Decompression technique — A modified approach for lateral alveolar ridge augmentation: A case report

Comparison of general and aesthetic effects between flapless and flap techniques in dental implantation: a meta-analysis of randomized controlled trials

Assessment of the stresses produced on the bone implant/tissue interface to the different insertion angulations of the implant - a three-dimensional analysis by the finite elements method

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