Advanced search
1 file | 813.27 KB

Long-term clinical outcome of single implants inserted flaplessly or conventionally

Author
Organization
Abstract
Background: Flapless implant surgery is mostly performed using guided surgical protocols, however, long-term studies on free-handed flapless surgery for single implants are lacking. Purpose: This prospective study evaluates bone level changes, peri-implant health, and complications of solitary implants placed using a conventional flap (F) or flaplessly (FL) after 6-9 years. Materials and Methods: Fifty-three single TiUnite Branemark implants were originally inserted in 49 patients using an one-stage delayed loading protocol with flap (n =27, F) or flaplessly (n =26, FL) based on available bone volume and surgeon's decision-making. Thirty-six patients with 37 implants participated in the prospective follow-up investigation 6-9 years later whereby survival, bone level changes, peri-implant health, and complications were assessed. Results: After 88months (range 76-107), all implants were survived. For F and FL combined, the overall average radiographic bone level was above the first implant thread, 1.26mm apical of the implant-abutment junction (SD 1.08; 0-4.9) and statistically comparable. Bone loss from time of loading was 0.49mm (SD 1.1; -1.3 to 2.8) for F and -0.89mm (SD 1.0; -2.8 to 0.7) for FL (P <.01), suggesting regrowth of bone in FL due to initial countersinking. One implant (2.7%) had a probing depth above 5 mm. Conclusion: Free-handed flapless implant surgery for single implants with neighboring teeth is a predictable long-term treatment provided when there is sufficient bone volume.
Keywords
flapless surgery, long-term, peri-implantitis, single implant, TiUnite surface, RANDOMIZED CONTROLLED-TRIAL, FOLLOW-UP, TITANIUM IMPLANTS, BONE LOSS, SURGERY, PROSTHESES, PLACEMENT, REHABILITATION, COMPLICATIONS, MULTICENTER

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 813.27 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Naeini, Emitis, Melissa Dierens, Mandana Atashkadeh, and Hugo De Bruyn. 2018. “Long-term Clinical Outcome of Single Implants Inserted Flaplessly or Conventionally.” Clinical Implant Dentistry and Related Research 20 (5): 829–837.
APA
Naeini, E., Dierens, M., Atashkadeh, M., & De Bruyn, H. (2018). Long-term clinical outcome of single implants inserted flaplessly or conventionally. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, 20(5), 829–837.
Vancouver
1.
Naeini E, Dierens M, Atashkadeh M, De Bruyn H. Long-term clinical outcome of single implants inserted flaplessly or conventionally. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH. 2018;20(5):829–37.
MLA
Naeini, Emitis et al. “Long-term Clinical Outcome of Single Implants Inserted Flaplessly or Conventionally.” CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH 20.5 (2018): 829–837. Print.
@article{8604015,
  abstract     = {Background: Flapless implant surgery is mostly performed using guided surgical protocols, however, long-term studies on free-handed flapless surgery for single implants are lacking. 
Purpose: This prospective study evaluates bone level changes, peri-implant health, and complications of solitary implants placed using a conventional flap (F) or flaplessly (FL) after 6-9 years. 
Materials and Methods: Fifty-three single TiUnite Branemark implants were originally inserted in 49 patients using an one-stage delayed loading protocol with flap (n =27, F) or flaplessly (n =26, FL) based on available bone volume and surgeon's decision-making. Thirty-six patients with 37 implants participated in the prospective follow-up investigation 6-9 years later whereby survival, bone level changes, peri-implant health, and complications were assessed. 
Results: After 88months (range 76-107), all implants were survived. For F and FL combined, the overall average radiographic bone level was above the first implant thread, 1.26mm apical of the implant-abutment junction (SD 1.08; 0-4.9) and statistically comparable. Bone loss from time of loading was 0.49mm (SD 1.1; -1.3 to 2.8) for F and -0.89mm (SD 1.0; -2.8 to 0.7) for FL (P {\textlangle}.01), suggesting regrowth of bone in FL due to initial countersinking. One implant (2.7\%) had a probing depth above 5 mm. 
Conclusion: Free-handed flapless implant surgery for single implants with neighboring teeth is a predictable long-term treatment provided when there is sufficient bone volume.},
  author       = {Naeini, Emitis and Dierens, Melissa and Atashkadeh, Mandana and De Bruyn, Hugo},
  issn         = {1523-0899},
  journal      = {CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH},
  language     = {eng},
  number       = {5},
  pages        = {829--837},
  title        = {Long-term clinical outcome of single implants inserted flaplessly or conventionally},
  url          = {http://dx.doi.org/10.1111/cid.12654},
  volume       = {20},
  year         = {2018},
}

Altmetric
View in Altmetric
Web of Science
Times cited: