Flap Versus Flapless Implant Placement in Immediate Functional Loading: A Comparative Study

Author:

Javiya Piyush1,Anjan T2,Duseja Shilpa3,Matada Basavarajaiah Jeevan4,Tate Jignesh5,Puthenkandathil Rahul6,Baig Fawaz Abdul Hamid7

Affiliation:

1. Department of Prosthodontics, Crown and Bridge, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Piparia, Waghodia, Vadodara, Gujarat, India

2. Department of Prosthodontics, Priyadarshini Dental College and Hospital, Thiruvallur, Tamil Nadu, India

3. Department of Periodontology, Narsinhbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, Gujarat, India

4. Oral Pathology Department, Faculty of Dentistry, AIMST University, Malaysia

5. Department of Periodontics, Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai, Maharashtra, India

6. Department of Prosthodontics and Crown and Bridge, Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Mangalore, Karnataka, India

7. Department of Oral and Maxillofacial Surgery, King Khalid University College of Dentistry, Abha, KSA

Abstract

ABSTRACT Background: Dental implants are now the typical tooth replacement method. Because it speeds up therapy, quick functional loading—attaching prosthetic restorations to implants following surgery—has become popular. Flapless implant implantation reduces surgical stress and expedites recovery. Methods: A prospective comparative study of 100 flap and flapless dental implant patients was done. Patient-reported outcomes, implant survival, peri-implant parameters, and surgical complications were assessed. Statistical analysis compared the two groups’ results. Results: Both flap and flapless methods exhibited good implant survival and similar peri-implant characteristics. Patients reported equal postoperative comfort and satisfaction in both groups. Surgical complications were similar for flap and flapless surgeries. Conclusion: In immediate functional loading, flap and flapless implant insertion are equally effective and safe. Both methods yield dependable implant survival, peri-implant health, patient comfort, and surgical safety. Dental professionals should evaluate patient variables and anatomical aspects while choosing an implant implantation surgery. Implant dentistry needs further study on long-term results and treatment regimens.

Publisher

Medknow

Reference9 articles.

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2. Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscences:Surgical techniques and case report;Becker;Int J Periodontics Restorative Dent,1990

3. Indications for immediate loading of implants and implant success;Nkenke;Clin Oral Implants Res,2006

4. Minimally invasive flapless implant surgery:A prospective multicenter study;Becker;Clin Implant Dent Relat Res,2005

5. Preservation of peri-implant soft and hard tissues using platform switching of implants placed in immediate extraction sockets:A proof-of-concept study with 12- to 36-month follow-up;Canullo;Int J Oral Maxillofac Implants,2007

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