@article{
author = "Perez-Albacete Martinez, Carlos and Vlahović, Zoran and Šćepanović, Miodrag and Videnović, Goran and Barone, Antonio and Calvo Guirado, Jose Luis",
year = "2016",
abstract = "ObjectivesThe aim of our study was to compare osseointegration and peri-implant crestal bone resorption in submerged flapless and conventional flap surgery over a 12-month follow-up. Materials and methodsThe study used five domestic pigs. Implants were inserted 9weeks after tooth extraction. Each animal received six implants in the mandible, following a split-mouth design: one side was treated using a flapless technique using mini-incisions, while a flap was raised on the other. The animals were sacrificed at 2weeks, 1, 3, 6 and 12months after implant placement. Radiographic images were taken to analyze crestal bone loss, and samples were extracted for histopathological and bone-to-implant contact (BIC) analyses. ResultsSignificantly, greater crestal bone loss (P=0.005) was obtained in the flap group compared with the flapless group. The flapless group presented significantly higher percentages of BIC (P lt 0.05) at 3, 6 and 12months compared with the conventional flap group. ConclusionsWithin the limitations of this experimental animal study, it may be concluded that the type of surgery (flap or flapless) affects peri-implant bone preservation and osseointegration of regular platform implants. Flapless surgery is associated with peri-implant crestal bone preservation. Flapless surgery in combination with submerged implants allows higher osseointegration values.",
publisher = "Wiley-Blackwell, Hoboken",
journal = "Clinical Oral Implants Research",
title = "Submerged flapless technique vs. conventional flap approach for implant placement: experimental domestic pig study with 12-month follow-up",
volume = "27",
number = "8",
pages = "964-968",
doi = "10.1111/clr.12665"
}