engleski

Densitometric comparison of implant placement between flapless and two-stage technique

Flapless technique is a surgical approach of implant placement without raising a mucoperiosteal flap. Such approach has many advantages: shorter surgical treatment, minimal bleeding, postoperative discomfort for the patient is reduced ; possibility of immediate loading of the inserted implant, faster procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration. Purpose of this study was radiographic assessment of flapless technique and determination of its clinical values in comparison with two-stage dental implant technique through computerized densitometric analysis. The sample consisted of 10 patients with missing teeth in the premolar region in the upper jaw, where dental implants (Nobel Replace&reg ; ; ; Tapered) were inserted. In the first group of 5 patients the implants were placed using flapless technique, and with two-stage technique implants were placed in the other group of 5 patients. All inserted implants were loaded with metal-ceramic crowns 3 months after placement. The patients were followed for 18 months through clinical follow-ups and radiovisiographical (RVG) images made after 3, 12 and 18 months. After comparing the average densities, the results showed similar decrease of density in both groups, conventional two-stage technique showed 3.24 (desrease of average densities around inserted implant) and flapless technique 1.23 (desrease of average densities around inserted implant). It can be concluded that flapless technique in everyday clinical usage has the same result as the two-stage dental implant technique.

dental implants; densitometry; minimally invasive surgical procedures; oral surgery

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