Comparison Between Flapped and Flapless Implant Techniques by Measuring Crestal Bone Level: A Prospective Radiographical Trial

Ali J. Abdul-Saheb, Resha J. Abdul-Saheb, Abdalbasit A Fatihallah

Abstract


Background: Previously, the flapped dental implant surgery was the most common implant placement procedure.
With the development of different implantation techniques, the flapless surgery is now available
for implant placement. The aim of this study was to evaluate the effect of the flapless surgical technique for
implant placement on bone level compared with the flapped surgery technique with the aid of panoramic
imaging.
Materials and methods: The study comprised 10 patients, 20 dental implants investigated, two implants
placed for each patient (one implant placed with a flapped procedure and the other with a flapless surgical
technique). Utilizing panoramic view pre- and post-surgical treatment, the crestal bone level at different
intervals (1 week, 4 weeks and 12 week) has been compared.
Results: When comparing flapped and flapless implant surgical procedures at different time intervals, the
flapless surgical technique showed less bone level reduction, on the other hand no significant results obtained
when comparing the surgical techniques in the maxillary and mandibular arches.
Conclusion: Flapless implant placement provides less bone level reduction compared with the flapped technique.


Keywords


flapless surgical technique; crestal bone level; bone level loss

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References


Lemons JE, Laskin DM, Roberts WE,. Changes in patient

screening for a clinical study of dental implants after

increased awareness of tobacco use as a risk factor. Journal

of Oral and Maxillofacial Surgery, 1997; 55(12 Supplement

:S72-5.

Harris, D., Buser, D., Dula , K., Grondahl, K., Jabcobs, R.,

Lekholm, U., Nakielny, R., Vander Stelt, P.E.A.O.Guidelines

for the Use of Diagnostic Imaging in Implant Dentistry.

A Consensus Workshop Organized by the European

Association for Ossteointegration in Trinty College Dublin.

Clin Oral Implants Res,2002; 13(5):566-570.

Bashutski, J D, Wang, H, Rudek, I, et al. effects of flapless

surgery on single tooth implant in esthetic zone : A

Randomized Clinical Trial J Periodontology, Spain, 2013;

vol 84(12). Pp.: 1747-1754.

Mijiritsky, E, Lorean, A, Barbu, H, et al .Full-Mouth

Implant-supported Rehabilitation with a Flapless Surgical

Technique: A Treatment Approach using Computer-

Assisted Oral Implant Surgery. international journal of oral

implantology, 2011;2(3):171-175.

Kohler, C.A. & Ramfjord, S.P. Healing of gingival

mucoperiostal flaps. Oral Surgery, Oral Medicine, and Oral

Pathology 1960;13: 89–103.

Lobene, R. & Glickman, I. The response of alveolar

bone to grinding with rotary diamond stones. Journal of

Periodontology 1963;34: 105–119.

Wood, D.I., Hoag, P.M., Donnenfeld, O.W. et al. Alveolar

crest reduction following full and partial thickness flaps.

Journal of Periodontology 1972; 43: 141–144.

Sklar AG: the bio-col technique. In: soft tissue and aesthetic

consideration in implant therapy. Chicago, IL, Quintessence,

, p75.

Zoran V. Comparative radiographic and resonance

radiographic analysis of peri-implants tissue after implant

using flap and flapless technique. J Oral Maxillofac

Radiology, 2013; vol 70 (6), pp. 586-594.

Choi, H B. Flapless Implantology, textbook, quintessence

publishing, 2010.

Chrcanovic BR, Albrektsson T, Wennerberg A. Flapless

versus conventional flapped dental implant surgery: a

meta-analysis. PLoS One. 2014 Jun 20;9(6):e100624. doi:

1371.

Ozan O, Turkyilmaz I, Yilmaz B. A preliminary report

of patients treated with early loaded implants using

computerized tomography-guided surgical stents: flapless

versus conventional flapped surgery. J Oral Rehabil 2007;

: 835–840.

Clark DE, Danforth RA, Barnes RW et al. Radiation

absorbed from dental implant radiography: a comparison

of linear tomography, CT scan, and panoramic and intraoral

techniques, J Oral Implantol 1990; 3:156-164.

Olsson, J., Stearns, N., Tegration, O. Osseointegration of

Immediately Loaded Dentall Implants in the Edntulous

Jaws. A study of the literature institute of odontology,

Karolinskainstatute 2004 :287-299.

Campelo LD, Camara JR. Flapless implant surgery: a 10-

year clinical retrospective analysis. Int J Oral Maxillofac

Implants. 2002;17:271–276.

Rocci A, Martignoni M, Gottlow J. Immediate loading

in the maxilla using flapless surgery, implants placed in

predetermined positions, and prefabricated provisional

restorations: a retrospective 3-year clinical study. Clin

Implant Dent Relat Res. 2003;5(Suppl.):29–36.

Tsoukaki M, Kalpidis CD, Sakellari D, et al: clinical

radiograph, microbiological, and immunological outcome

of flapped vs flapless dental implant. Clinical oral implants

research 2013; 24(9): 969-76.

Shibu J., Vinaya B., Naidu E. in vivo evaluation of crestal

bone height following implant placement with flapp and

flapless technique in site of immediately loaded implants.

Indian J. Dent. Research. 2008; Vol(19) iss(4) pp.320-325..

Bayounis AM, Alzoman HA, Jansen JA et al. healing of

peri-implants tissues after flapless and flapped implants

installation. J. clinin perio. 2011; vol(38), iss (8), pp.754-

Sunitha RV, Sapthagiri E. Flapless implant surgery: A 2-year

follow-up study of 40 implants. Oral Surg Oral Med Oral

Pathol Oral Radiol 2013;116:e237-e243.




DOI: http://dx.doi.org/10.26477/idj.v37i2.43

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