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. Conclusio...nsWithin 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.
Keywords:
bone-to-implant contact / crestal bone loss / flapless / mini-incision
TY - JOUR
AU - Perez-Albacete Martinez, Carlos
AU - Vlahović, Zoran
AU - Šćepanović, Miodrag
AU - Videnović, Goran
AU - Barone, Antonio
AU - Calvo Guirado, Jose Luis
PY - 2016
UR - https://smile.stomf.bg.ac.rs/handle/123456789/2095
AB - 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.
PB - Wiley-Blackwell, Hoboken
T2 - Clinical Oral Implants Research
T1 - Submerged flapless technique vs. conventional flap approach for implant placement: experimental domestic pig study with 12-month follow-up
VL - 27
IS - 8
SP - 964
EP - 968
DO - 10.1111/clr.12665
ER -
@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"
}
Perez-Albacete Martinez, C., Vlahović, Z., Šćepanović, M., Videnović, G., Barone, A.,& Calvo Guirado, J. L.. (2016). Submerged flapless technique vs. conventional flap approach for implant placement: experimental domestic pig study with 12-month follow-up. in Clinical Oral Implants Research
Wiley-Blackwell, Hoboken., 27(8), 964-968.
https://doi.org/10.1111/clr.12665
Perez-Albacete Martinez C, Vlahović Z, Šćepanović M, Videnović G, Barone A, Calvo Guirado JL. Submerged flapless technique vs. conventional flap approach for implant placement: experimental domestic pig study with 12-month follow-up. in Clinical Oral Implants Research. 2016;27(8):964-968.
doi:10.1111/clr.12665 .
Perez-Albacete Martinez, Carlos, Vlahović, Zoran, Šćepanović, Miodrag, Videnović, Goran, Barone, Antonio, Calvo Guirado, Jose Luis, "Submerged flapless technique vs. conventional flap approach for implant placement: experimental domestic pig study with 12-month follow-up" in Clinical Oral Implants Research, 27, no. 8 (2016):964-968,
https://doi.org/10.1111/clr.12665 . .
