Healing of peri‐implant tissues after flapless and flapped implant installation
Identifieur interne : 001928 ( Istex/Corpus ); précédent : 001927; suivant : 001929Healing of peri‐implant tissues after flapless and flapped implant installation
Auteurs : Abeer M. A. Bayounis ; Hamad A. Alzoman ; John A. Jansen ; Nadir BabaySource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2011-08.
English descriptors
- KwdEn :
- Apless, Apless approach, Apless group, Apless implant surgery, Apless surgery, Apped, Apped approach, Barrier epithelium, Barrier epithelium length, Becker, Bone contact, Bone quality, Bone volume, Clinical implant dentistry, Clinical periodontology, Connective tissue, Connective tissue thickness, Coronal, Crestal, Crestal bone level, Crestal bone loss, Crestal bone resorption, Current study, Dental implant, Dental implants, Dentistry, Direct approach, Direct drilling, Epithelium, Flapless, Flapless implant surgery, Gingival, Gingival epithelium, Gingival tissue, Histological, Histological data, Histomorphometrical, Histomorphometrical evaluation, Histomorphometrical measurements, Immediate loading, Implant, Implant diameter, Implant installation, Implant placement, Implant site, Implant stability, Implant surface, International journal, John wiley sons, John wiley sons healing, Junctional, Junctional epithelium, King saud university, Marginal bone loss, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Oral implants, Periodontology, Punch, Punch approach, Resorption, Soft tissue, Statistical analysis, Study design, Surgery, Surgical, Surgical approach, Surgical approaches, Surgical technique, Tissue punch, Tooth extraction.
- Teeft :
- Apless, Apless approach, Apless group, Apless implant surgery, Apless surgery, Apped, Apped approach, Barrier epithelium, Barrier epithelium length, Becker, Bone contact, Bone quality, Bone volume, Clinical implant dentistry, Clinical periodontology, Connective tissue, Connective tissue thickness, Coronal, Crestal, Crestal bone level, Crestal bone loss, Crestal bone resorption, Current study, Dental implant, Dental implants, Dentistry, Direct approach, Direct drilling, Epithelium, Flapless, Flapless implant surgery, Gingival, Gingival epithelium, Gingival tissue, Histological, Histological data, Histomorphometrical, Histomorphometrical evaluation, Histomorphometrical measurements, Immediate loading, Implant, Implant diameter, Implant installation, Implant placement, Implant site, Implant stability, Implant surface, International journal, John wiley sons, John wiley sons healing, Junctional, Junctional epithelium, King saud university, Marginal bone loss, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Oral implants, Periodontology, Punch, Punch approach, Resorption, Soft tissue, Statistical analysis, Study design, Surgery, Surgical, Surgical approach, Surgical approaches, Surgical technique, Tissue punch, Tooth extraction.
Abstract
Bayounis AMA, Alzoman HA, Jansen JA, Babay N. Healing of peri‐implant tissues after flapless and flapped implant installation. J Clin Periodontol 2011; 38: 754–761. doi: 10.1111/j.1600‐051X.2011.01735.x.
Url:
DOI: 10.1111/j.1600-051X.2011.01735.x
Links to Exploration step
ISTEX:33A6207C44A94DFB35ED06D76022BAF02226E5E3Le document en format XML
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healing</term><term>Junctional</term><term>Junctional epithelium</term><term>King saud university</term><term>Marginal bone loss</term><term>Maxillofacial</term><term>Maxillofacial implants</term><term>Maxillofacial surgery</term><term>Oral implants</term><term>Periodontology</term><term>Punch</term><term>Punch approach</term><term>Resorption</term><term>Soft tissue</term><term>Statistical analysis</term><term>Study design</term><term>Surgery</term><term>Surgical</term><term>Surgical approach</term><term>Surgical approaches</term><term>Surgical technique</term><term>Tissue punch</term><term>Tooth extraction</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Apless</term><term>Apless approach</term><term>Apless group</term><term>Apless implant surgery</term><term>Apless surgery</term><term>Apped</term><term>Apped approach</term><term>Barrier epithelium</term><term>Barrier epithelium length</term><term>Becker</term><term>Bone contact</term><term>Bone quality</term><term>Bone 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A. Bayounis</name><affiliations><json:string>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia</json:string></affiliations></json:item><json:item><name>Hamad A. Alzoman</name><affiliations><json:string>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia</json:string><json:string>Dental Implant and Osseointegration Research Chair (DIORC), College of Dentistry, King Saud University, Riyadh, Saudi Arabia</json:string></affiliations></json:item><json:item><name>John A. Jansen</name><affiliations><json:string>Dental Implant and Osseointegration Research Chair (DIORC), College of Dentistry, King Saud University, Riyadh, Saudi Arabia</json:string><json:string>Department of Biomaterials, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Nadir Babay</name><affiliations><json:string>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>bone</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>flapless</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>healing</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>implant</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>punch</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surgery</value></json:item></subject><articleId><json:string>JCPE1735</json:string></articleId><arkIstex>ark:/67375/WNG-2W5RD61H-N</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Bayounis AMA, Alzoman HA, Jansen JA, Babay N. Healing of peri‐implant tissues after flapless and flapped implant installation. 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(2006)</json:string><json:string>Sclar 2007</json:string><json:string>de Bruyn et al. 2009</json:string><json:string>Fortin et al. 2006</json:string><json:string>Ichikawa et al. 2000</json:string><json:string>Jeong et al. 2007</json:string><json:string>Becker et al. 2006</json:string><json:string>Trisi et al. 2002</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-2W5RD61H-N</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Periodontics</json:string></scopus></categories><publicationDate>2011</publicationDate><copyrightDate>2011</copyrightDate><doi><json:string>10.1111/j.1600-051X.2011.01735.x</json:string></doi><id>33A6207C44A94DFB35ED06D76022BAF02226E5E3</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/33A6207C44A94DFB35ED06D76022BAF02226E5E3/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/33A6207C44A94DFB35ED06D76022BAF02226E5E3/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/33A6207C44A94DFB35ED06D76022BAF02226E5E3/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Healing of peri‐implant tissues after flapless and flapped implant installation</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2011 John Wiley & Sons A/S</licence></availability><date type="published" when="2011-08"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Healing of peri‐implant tissues after flapless and flapped implant installation</title><title level="a" type="short">Healing of peri‐implant tissues after implant installation</title><author xml:id="author-0000"><persName><forename type="first">Abeer M. A.</forename><surname>Bayounis</surname></persName><affiliation>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia<address><country key="SA"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Hamad A.</forename><surname>Alzoman</surname></persName><affiliation>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia<address><country key="SA"></country></address></affiliation><affiliation>Dental Implant and Osseointegration Research Chair (DIORC), College of Dentistry, King Saud University, Riyadh, Saudi Arabia<address><country key="SA"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">John A.</forename><surname>Jansen</surname></persName><affiliation>Dental Implant and Osseointegration Research Chair (DIORC), College of Dentistry, King Saud University, Riyadh, Saudi Arabia<address><country key="SA"></country></address></affiliation><affiliation>Department of Biomaterials, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Nadir</forename><surname>Babay</surname></persName><affiliation>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia<address><country key="SA"></country></address></affiliation></author><idno type="istex">33A6207C44A94DFB35ED06D76022BAF02226E5E3</idno><idno type="ark">ark:/67375/WNG-2W5RD61H-N</idno><idno type="DOI">10.1111/j.1600-051X.2011.01735.x</idno><idno type="unit">JCPE1735</idno><idno type="supplier">1735</idno><idno type="toTypesetVersion">file:JCPE.JCPE1735.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Clinical Periodontology</title><title level="j" type="alt">JOURNAL OF CLINICAL PERIODONTOLOGY</title><idno type="pISSN">0303-6979</idno><idno type="eISSN">1600-051X</idno><idno type="book-DOI">10.1111/(ISSN)1600-051X</idno><idno type="book-part-DOI">10.1111/jcpe.2011.38.issue-8</idno><idno type="product">JCPE</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">38</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="754">754</biblScope><biblScope unit="page" to="761">761</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>Bayounis AMA, Alzoman HA, Jansen JA, Babay N. Healing of peri‐implant tissues after flapless and flapped implant installation. J Clin Periodontol 2011; 38: 754–761. doi: 10.1111/j.1600‐051X.2011.01735.x.</p>
Abstract
<p><hi rend="bold">Aim: </hi> The aim of this study was to investigate the consequences of different flapless procedures for the installation of dental implants on peri‐implant bone response.</p><p><hi rend="bold">Materials and methods: </hi> After bilateral extraction of the mandibular second and third premolars and a 3‐month healing period, 30 SLActive<hi rend="superscript">®</hi> implants were installed for 3 months in 10 Beagle dogs according to three different surgical approaches, i.e.: (1) flapped (<hi rend="italic">F</hi>), (2) tissue punch flapless (<hi rend="italic">P</hi>), and (3) direct flapless (DF).</p><p><hi rend="bold">Results: </hi> At harvesting, 29 implants were analysed. Micro‐computed tomography and histomorphometrical evaluation (which also included the mobile implants) showed comparable results in bone volume (<hi rend="italic">F</hi>=55 ± 9, <hi rend="italic">P</hi>=51 ± 4, DF=54 ± 5) and crestal bone level (<hi rend="italic">F</hi>=3420 ± 762, <hi rend="italic">P</hi>=5358 ± 1681, DF=3843 ± 433). However, the implants inserted using the punch approach revealed a significantly lower first bone contact (<hi rend="italic">F</hi>=3420 ± 762, <hi rend="italic">P</hi>=5358 ± 1681, DF=3843 ± 433) and bone‐to‐implant contact percentage (<hi rend="italic">F</hi>=70 ± 12, <hi rend="italic">P</hi>=48 ± 23, DF=73 ± 12). Considering the gingival response, the barrier epithelium was also significantly deeper around the implants installed using the punch approach (<hi rend="italic">F</hi>=1383 ± 332, <hi rend="italic">P</hi>=2278 ± 1154, DF=1107 ± 300).</p><p><hi rend="bold">Conclusions: </hi> The results indicate that a flapless surgical technique can be used for the installation of oral implants. In addition, using a tissue punch wider than the implant diameter should be avoided, as it can jeopardize the outcome of the implantation procedure.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone</term><term xml:id="k2">flapless</term><term xml:id="k3">healing</term><term xml:id="k4">implant</term><term xml:id="k5">punch</term><term xml:id="k6">surgery</term></keywords><keywords rend="tocHeading1"><term>Implant Therapy</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/33A6207C44A94DFB35ED06D76022BAF02226E5E3/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-051X</doi><issn type="print">0303-6979</issn><issn type="electronic">1600-051X</issn><idGroup><id type="product" value="JCPE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF CLINICAL PERIODONTOLOGY">Journal of Clinical Periodontology</title></titleGroup></publicationMeta><publicationMeta level="part" position="08108"><doi origin="wiley">10.1111/jcpe.2011.38.issue-8</doi><numberingGroup><numbering type="journalVolume" number="38">38</numbering><numbering type="journalIssue" number="8">8</numbering></numberingGroup><coverDate startDate="2011-08">August 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="10" status="forIssue"><doi origin="wiley">10.1111/j.1600-051X.2011.01735.x</doi><idGroup><id type="unit" value="JCPE1735"></id><id type="supplier" value="1735"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">Implant Therapy</title></titleGroup><copyright>© 2011 John Wiley & Sons A/S</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.5.2 mode:FullText" date="2011-07-13"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-05-10"></event><event type="firstOnline" date="2011-05-10"></event><event type="publishedOnlineFinalForm" date="2011-07-13"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-19"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="754">754</numbering><numbering type="pageLast" number="761">761</numbering></numberingGroup><correspondenceTo>Address:
<i>John A. Jansen</i>
<i>Department of Biomaterials</i>
<i>Radboud University Nijmegen Medical Center</i>
<i>PO Box 9101</i>
<i>6500 HB Nijmegen</i>
<i>The Netherlands</i>
E‐mail: <email normalForm="j.jansen@dent.umcn.nl">j.jansen@dent.umcn.nl</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCPE.JCPE1735.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 30 March 2011.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="4"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="1"></count><count type="referenceTotal" number="33"></count><count type="wordTotal" number="7349"></count><count type="linksCrossRef" number="46"></count></countGroup><titleGroup><title type="main">Healing of peri‐implant tissues after flapless and flapped implant installation</title><title type="shortAuthors">Bayounis et al.</title><title type="short">Healing of peri‐implant tissues after implant installation</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Abeer M. A.</givenNames><familyName>Bayounis</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1 #a2"><personName><givenNames>Hamad A.</givenNames><familyName>Alzoman</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2 #a3"><personName><givenNames>John A.</givenNames><familyName>Jansen</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>Nadir</givenNames><familyName>Babay</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SA"><unparsedAffiliation>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SA"><unparsedAffiliation>Dental Implant and Osseointegration Research Chair (DIORC), College of Dentistry, King Saud University, Riyadh, Saudi Arabia</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="NL"><unparsedAffiliation>Department of Biomaterials, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone</keyword><keyword xml:id="k2">flapless</keyword><keyword xml:id="k3">healing</keyword><keyword xml:id="k4">implant</keyword><keyword xml:id="k5">punch</keyword><keyword xml:id="k6">surgery</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="sec-sum-1"><p>Bayounis AMA, Alzoman HA, Jansen JA, Babay N. Healing of peri‐implant tissues after flapless and flapped implant installation. J Clin Periodontol 2011; 38: 754–761. doi: 10.1111/j.1600‐051X.2011.01735.x.</p></section><section xml:id="abs1-1"><title type="main">Abstract</title><p><b>Aim: </b> The aim of this study was to investigate the consequences of different flapless procedures for the installation of dental implants on peri‐implant bone response.</p><p><b>Materials and methods: </b> After bilateral extraction of the mandibular second and third premolars and a 3‐month healing period, 30 SLActive<sup>®</sup> implants were installed for 3 months in 10 Beagle dogs according to three different surgical approaches, i.e.: (1) flapped (<i>F</i>), (2) tissue punch flapless (<i>P</i>), and (3) direct flapless (DF).</p><p><b>Results: </b> At harvesting, 29 implants were analysed. Micro‐computed tomography and histomorphometrical evaluation (which also included the mobile implants) showed comparable results in bone volume (<i>F</i>=55 ± 9, <i>P</i>=51 ± 4, DF=54 ± 5) and crestal bone level (<i>F</i>=3420 ± 762, <i>P</i>=5358 ± 1681, DF=3843 ± 433). However, the implants inserted using the punch approach revealed a significantly lower first bone contact (<i>F</i>=3420 ± 762, <i>P</i>=5358 ± 1681, DF=3843 ± 433) and bone‐to‐implant contact percentage (<i>F</i>=70 ± 12, <i>P</i>=48 ± 23, DF=73 ± 12). Considering the gingival response, the barrier epithelium was also significantly deeper around the implants installed using the punch approach (<i>F</i>=1383 ± 332, <i>P</i>=2278 ± 1154, DF=1107 ± 300).</p><p><b>Conclusions: </b> The results indicate that a flapless surgical technique can be used for the installation of oral implants. In addition, using a tissue punch wider than the implant diameter should be avoided, as it can jeopardize the outcome of the implantation procedure.</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p><b>Conflict of interest and source of funding statement</b>
The authors declare that they have no conflict of interests.
The study was self‐funded by the authors and their institution.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Healing of peri‐implant tissues after flapless and flapped implant installation</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Healing of peri‐implant tissues after implant installation</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Healing of peri‐implant tissues after flapless and flapped implant installation</title></titleInfo><name type="personal"><namePart type="given">Abeer M. A.</namePart><namePart type="family">Bayounis</namePart><affiliation>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hamad A.</namePart><namePart type="family">Alzoman</namePart><affiliation>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia</affiliation><affiliation>Dental Implant and Osseointegration Research Chair (DIORC), College of Dentistry, King Saud University, Riyadh, Saudi Arabia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John A.</namePart><namePart type="family">Jansen</namePart><affiliation>Dental Implant and Osseointegration Research Chair (DIORC), College of Dentistry, King Saud University, Riyadh, Saudi Arabia</affiliation><affiliation>Department of Biomaterials, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nadir</namePart><namePart type="family">Babay</namePart><affiliation>Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-08</dateIssued><edition>Accepted for publication 30 March 2011.</edition><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">4</extent><extent unit="tables">3</extent><extent unit="formulas">1</extent><extent unit="references">33</extent><extent unit="linksCrossRef">46</extent><extent unit="words">7349</extent></physicalDescription><abstract>Bayounis AMA, Alzoman HA, Jansen JA, Babay N. Healing of peri‐implant tissues after flapless and flapped implant installation. J Clin Periodontol 2011; 38: 754–761. doi: 10.1111/j.1600‐051X.2011.01735.x.</abstract><abstract>Aim: The aim of this study was to investigate the consequences of different flapless procedures for the installation of dental implants on peri‐implant bone response. Materials and methods: After bilateral extraction of the mandibular second and third premolars and a 3‐month healing period, 30 SLActive® implants were installed for 3 months in 10 Beagle dogs according to three different surgical approaches, i.e.: (1) flapped (F), (2) tissue punch flapless (P), and (3) direct flapless (DF). Results: At harvesting, 29 implants were analysed. Micro‐computed tomography and histomorphometrical evaluation (which also included the mobile implants) showed comparable results in bone volume (F=55 ± 9, P=51 ± 4, DF=54 ± 5) and crestal bone level (F=3420 ± 762, P=5358 ± 1681, DF=3843 ± 433). However, the implants inserted using the punch approach revealed a significantly lower first bone contact (F=3420 ± 762, P=5358 ± 1681, DF=3843 ± 433) and bone‐to‐implant contact percentage (F=70 ± 12, P=48 ± 23, DF=73 ± 12). Considering the gingival response, the barrier epithelium was also significantly deeper around the implants installed using the punch approach (F=1383 ± 332, P=2278 ± 1154, DF=1107 ± 300). Conclusions: The results indicate that a flapless surgical technique can be used for the installation of oral implants. In addition, using a tissue punch wider than the implant diameter should be avoided, as it can jeopardize the outcome of the implantation procedure.</abstract><subject lang="en"><genre>keywords</genre><topic>bone</topic><topic>flapless</topic><topic>healing</topic><topic>implant</topic><topic>punch</topic><topic>surgery</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0303-6979</identifier><identifier type="eISSN">1600-051X</identifier><identifier type="DOI">10.1111/(ISSN)1600-051X</identifier><identifier type="PublisherID">JCPE</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>38</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>754</start><end>761</end><total>8</total></extent></part></relatedItem><identifier type="istex">33A6207C44A94DFB35ED06D76022BAF02226E5E3</identifier><identifier type="ark">ark:/67375/WNG-2W5RD61H-N</identifier><identifier type="DOI">10.1111/j.1600-051X.2011.01735.x</identifier><identifier type="ArticleID">JCPE1735</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/33A6207C44A94DFB35ED06D76022BAF02226E5E3/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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