The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 20 , ISSUE 6 ( June, 2019 ) > List of Articles

ORIGINAL RESEARCH

A Radiographic Evaluation of Peri-implant Bone Level in Immediate and Conventionally Loaded Implants Using Flap and Flapless Techniques

Taranpreet Kaur, Shashikala Jain, Rajnish Aggarwal, Sunita Choudhary, Nandalur K Reddy

Keywords : Conventional loading, Flapless technique, Immediate loading, Peri-implant bone

Citation Information : Kaur T, Jain S, Aggarwal R, Choudhary S, Reddy NK. A Radiographic Evaluation of Peri-implant Bone Level in Immediate and Conventionally Loaded Implants Using Flap and Flapless Techniques. J Contemp Dent Pract 2019; 20 (6):707-715.

DOI: 10.5005/jp-journals-10024-2584

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The purpose of this research is to compare peri-implant bone level in immediate and conventionally loaded implants using flap and flapless techniques. Materials and methods: Forty patients were selected and were subjected into four groups. Group A: 10 patients with immediate loading (IL) by raising the flap. Group B: 10 patients with IL without raising the flap. Group C: 10 patients with conventional loading by raising the flap. Group D: 10 patients with conventional loading without raising the flap. Results: It was observed that for most of the flapless techniques with IL cases, the bone loss settled at first thread or just below the implant collar after 6 months. Conclusion: It was seen that the crestal bone height was reduced in both flap and flapless techniques by immediate and conventional loading, respectively. On comparing the bone loss, the flapless approach by IL showed statistically significant lesser reduction as determined by radiovisiography. Clinical significance: Postoperative pain was less in the flapless technique as compared to the traditional flap technique. IL minimizes invasiveness, complexity, and also improves acceptance by patients.


PDF Share
  1. Guruparsada M, Thapliyal M, et al. A comparative analysis of peri-implant bone levels of immediate and conventionally loaded implants. Med J Armed Forces India 2013;69:41–47. DOI: 10.1016/j.mjafi.2011.11.002.
  2. Georgios R, Stuart F, et al. Survival rate of immediately vs delayed loaded implants: analysis of the current literature. J Oral Implantol 2010;36(4):315–324. DOI: 10.1563/AAID-JOI-D-09-00060.
  3. Ledermann P. Bar-prosthetic management of the edentulous mandible by means of plasma-coated implantation with titanium screws. Dtsch Zahnarztl Z 1979;34:907–911.
  4. Schnitman PA, Wohrle PS, et al. Immediate fixed interim prostheses supported by two-stage threaded implants: methodology and results. J Oral Implantol 1990;16(2):96–105.
  5. Scharf DR, Tarnow DP. The effect of crestal versus mucobuccal incisions on the success rate of implant osseointegration. Int J Oral Maxillofac Implants 1993;8:187–190.
  6. Romero-Ruiz MM, Mosquera-Perez R, et al. Flapless implant surgery: a review of the literature and 3 case reports. J Clin Exp Dent 2015;7(1):e146–e152. DOI: 10.4317/jced.51985.
  7. Singla N, Kumar S, et al. Crestal bone changes around immediately loaded single-piece implants using flap and flapless technique: a radiographic study. J Contemp Dent Pract 2018;19(8):949–954.
  8. Mariusz D, Shlomo M, et al. One piece immediately loaded implants versus 1 piece or 2 pieces delayed: 3 years outcome. Implant Dent 2016;25(1):109–113. DOI: 10.1097/ID.0000000000000343.
  9. Dwivedi H, Jain R. Immediate loading with single-piece implant following extraction. Indian J Dent Sci 2017;9(1):39–43.
  10. Adell R, Lekholm U, et al. A 15 year study of osseointegrated implants in treatment of edentulous jaw. Int J Oral Surg 1981;10(6): 387–416.
  11. Branemark PI, Hansson BO, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10 year period. Scand J Plast Reconstr Surg Suppl 1977;16(1):132.
  12. Danza M, Tortora P, et al. Randomized study for the 1 year crestal bone maintenance around modified diameter implants with different loading protocols: a radiographic evaluation. Clin Oral Investig 2010;14(4):417–426. DOI: 10.1007/s00784-009-0314-0.
  13. Fortin T, Bosson JL, et al. Effect of flapless surgery on pain experienced in implant placement using an image guided system. Int J Oral Maxillofac Implants 2006;21:298–304.
  14. Guncu MB, Aslan Y, et al. In patient comparison of immediate and conventional loaded implants in mandibular molar sites within 12 months. Clin Oral Implants Res 2008;19(4):335–341. DOI: 10.1111/j.1600-0501.2007.01471.x.
  15. Schincaglia GP, Marzola R, et al. Replacement of mandibular molars with single-unit restorations supported by wide-body implants: immediate versus delayed loading. A randomized controlled study. Int J Oral Maxillofac Implants 2008;23(3):474–480.
  16. Rousseau P. Flapless and traditional dental implant surgery: an open, retrospective comparative study. J Oral Maxillofac Surg 2010;68(9):2299–2306. DOI: 10.1016/j.joms.2010.05.031.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.