Minimally invasive flapless vs. flapped approach for single implant placement: a 2‐year randomized controlled clinical trial

Wang, Feng; Huang, Wei; Zhang, Zhiyong; Wang, Haowei; Monje, Alberto; Wu, Yiqun

doi:10.1111/clr.12875

Cited by 28 publications

(46 citation statements)

References 30 publications

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“…Both groups had a decrease in the amount of KG, although the flap group experie�ced a �reater lo�� o� KG over ti�e. �� t�e ot�er study (42), the average of KG in the flapless and flapped �roup� wa� 4.2 a�d 4.5 �� re�pectivel� be�ore treatment, and decreased to 3.7 mm in the flapless and 4.0 mm in the flapped group at the day of the abutment connection. However, the mean KG remained stable at the 24-�o�t�� ollow-up.…”

Section: Resultsmentioning

confidence: 92%

“…�� bot� studies, the PD was significantly higher in the flap group compared with the flapless group. Specifically, in the study by Wang et al (42)� t�e P� i�crea�ed i� t�e flap group on the day of abutment connection compared to 4 week� po�t-�ur�er�� owever� it proved �table at t�e �ollowi�� vi�it� a�d �o di��ere�ce wa� detected.…”

Section: Resultsmentioning

confidence: 92%

“…Wang et al (42) about which technique offer better results in terms of cli�ical para�eter�. �t ��ould be take� i�to accou�t t�at there are few studies comparing the effect of flapless vs. flapped surgery on clinical measurements around de�tal i�pla�t�.…”

Section: Discussionmentioning

confidence: 99%

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Clinical parameters of implants placed in healed sites using flapped and flapless techniques- A systematic review

Oscar¹

2017

Preprint

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Background: Dental implant placement using flapless surgery is a minimally invasive technique that improves blood supply compared with flapped surgery. However, the flapless technique does not provide access to allow bo�e re�e�eratio�. Objective�: T�e ai� o� t�i� ��te�atic review wa� to evaluate t�e cli�ical para�eter� �ollowi�� i�pla�t �ur�er� in healed sites, using two procedures: flapped vs. flapless surgery. Material a�d Met�od�: A detailed electro�ic �earc� wa� carried out i� t�e PubMed/Medli�e� E�ba�e a�d Cochrane Library databases. The focused question was, "How do flapped and flapless surgical techniques affect the cli�ical para�eter� o� de�tal i�pla�t� placed i� �ealed �ite�?". All t�e �tudie� i�cluded wit� a pro�pective co�trolled de�i�� were co��idered �eparatel�� depe�di�� o� w�et�er t�e� �ad bee� co�ducted o� a�i�al� or �u�a��. T�e �ollowi�� data were recorded i� all t�e i�cluded �tudie�: �u�ber o� i�pla�t�� ailure�� locatio� (�axilla� �a�dible), type of rehabilitation (partial or single), follow-up and flap design. The variables selected for comparison in the animal studies were the following: flap design, gingival index, mucosal height, recession and probing pocket depth. In humans studies the variables were as follows: flap design, plaque index, gingival index, recession, prob-i�� pocket dept�� papilla i�dex a�d kerati�ized �i��iva. �e�ult�: Te� �tudie� were i�cluded� �ix were experi�e�tal �tudie� a�d �our were cli�ical �tudie�. Studie� i� a�imals showed better results using the flapless technique in the parameters analyzed. There is no consensus in the clinical parameters analyzed in human studies, but there is a trend to better results using flapless approach.

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Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 92%

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Clinical parameters of implants placed in healed sites using flapped and flapless techniques- A systematic review

Oscar¹

2017

Preprint

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“…Flapless surgery was as follows: in eight studies ( 6 , 16 , 27 , 38 - 42 ), implant placement was made with a soft tissue punch protocol. In two studies ( 5 , 42 ), no soft tissue preparation was used, penetrating through the mucosa without incision. In one study ( 28 ), a flapless technique was carried out with a mini-incision of 5 mm horizontal to the alveolar crest.…”

Section: Resultsmentioning

confidence: 99%

“…The PI was assessed in three studies ( 16 , 38 , 42 ). In two of them ( 16 , 38 ) flapped implants exhibited a higher PI compared with flapless implants, although these levels decreased at 3 months and this difference was no longer statistically significant at 15 months.…”

Section: Resultsmentioning

confidence: 99%

Clinical parameters of implants placed in healed sites using flapped and flapless techniques: A systematic review

et al. 2017

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BackgroundDental implant placement using flapless surgery is a minimally invasive technique that improves blood supply compared with flapped surgery. However, the flapless technique does not provide access to allow bone regeneration.ObjectivesThe aim of this systematic review was to evaluate the clinical parameters following implant surgery in healed sites, using two procedures: flapped vs. flapless surgery.Material and MethodsA detailed electronic search was carried out in the PubMed/Medline, Embase and Cochrane Library databases. The focused question was, “How do flapped and flapless surgical techniques affect the clinical parameters of dental implants placed in healed sites?”. All the studies included with a prospective controlled design were considered separately, depending on whether they had been conducted on animals or humans. The following data were recorded in all the included studies: number of implants, failures, location (maxilla, mandible), type of rehabilitation (partial or single), follow-up and flap design. The variables selected for comparison in the animal studies were the following: flap design, gingival index, mucosal height, recession and probing pocket depth. In humans studies the variables were as follows: flap design, plaque index, gingival index, recession, probing pocket depth, papilla index and keratinized gingiva.ResultsTen studies were included, six were experimental studies and four were clinical studies. Studies in animals showed better results using the flapless technique in the parameters analyzed. There is no consensus in the clinical parameters analyzed in human studies, but there is a trend to better results using flapless approach.ConclusionsThe animal studies included in the present review show that implants placed in healed sites with a flapless approach have better clinical parameters than the flapped procedure in a short-term follow-up. In human studies, there is no consensus about which technique offer better results in terms of clinical parameters. Therefore, more research in humans is required in order to overcome the limitations and contrast these results. Key words: Clinical parameters, gingival recession, probing depth, dental implants, flap, flapless.

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Re‐establishment of Adequate Osseous Volume in an Atrophic Anterior Mandible

Artzi¹

2020

Bone Augmentation by Anatomical Region

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Minimally invasive flapless vs. flapped approach for single implant placement: a 2‐year randomized controlled clinical trial

Cited by 28 publications

References 30 publications

Clinical parameters of implants placed in healed sites using flapped and flapless techniques- A systematic review

Clinical parameters of implants placed in healed sites using flapped and flapless techniques- A systematic review

Clinical parameters of implants placed in healed sites using flapped and flapless techniques: A systematic review

Re‐establishment of Adequate Osseous Volume in an Atrophic Anterior Mandible

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