Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study
Identifieur interne : 002B08 ( Istex/Corpus ); précédent : 002B07; suivant : 002B09Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study
Auteurs : Marc Berdougo ; Thomas Fortin ; Eric Blanchet ; Michel Isidori ; Jean-Luc BossonSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2010-06.
English descriptors
- KwdEn :
- Anatomic conditions, Anterior area, Apical, Apical part, Apless, Apless group, Apless implant surgery, Apless procedure, Apless protocol, Apless surgery, Available bone volume, Blood supply, Bone width, Clin, Clin implant dent relat, Clinical implant dentistry, Clinical report, Connective cells, Control group, Conventional group, Conventional procedure, Conventional protocol, Cumulative survival rate, Dent, Dental implants, Dental university, Dentistry, Drilling machine, Easy method, Edentulous, Edentulous patients, Elsevier science, Failure factors, Flapless, Flapless group class, Flapless implant surgery, Flapless procedure, Fortin, Immediate loading, Implant, Implant axis, Implant class, Implant dentistry, Implant length, Implant placement, Implant surgery, Implantation, Invasive surgery, Long implants, Maxilla, Maxillofac, Odds ratio, Operative strategy, Oral implant placement, Oral implantol, Oral implants, Oral maxillofac implants, Oral mucosa, Patient selection, Percentage comparisons, Pilot hole, Posterior area, Pract periodontics aesthet dent, Practitioner, Preoperative, Preoperative planning, Prognosis variables, Propensity, Propensity score, Propensity scores, Prospective multicenter study, Prosthesis, Protocol, Retrospective, Retrospective multicenter, Same class, Same probability, Scanning template, Soft tissue, Software, Software program, Statistical analysis, Statistical differences, Statistical method, Study prosthesis landmarks, Subsequent drills, Success rate, Suitable guidance system, Surgery, Surgical, Surgical guide, Surgical template, Survival rate, Template, Test group, Thin apical class, Thin class, Thomas fortin, Tomography, Total patients implants, Transmucosal implant placement, Transmucosal placement, Virtual implant placement, Wide implants.
- Teeft :
- Anatomic conditions, Anterior area, Apical, Apical part, Apless, Apless group, Apless implant surgery, Apless procedure, Apless protocol, Apless surgery, Available bone volume, Blood supply, Bone width, Clin, Clin implant dent relat, Clinical implant dentistry, Clinical report, Connective cells, Control group, Conventional group, Conventional procedure, Conventional protocol, Cumulative survival rate, Dent, Dental implants, Dental university, Dentistry, Drilling machine, Easy method, Edentulous, Edentulous patients, Elsevier science, Failure factors, Flapless, Flapless group class, Flapless implant surgery, Flapless procedure, Fortin, Immediate loading, Implant, Implant axis, Implant class, Implant dentistry, Implant length, Implant placement, Implant surgery, Implantation, Invasive surgery, Long implants, Maxilla, Maxillofac, Odds ratio, Operative strategy, Oral implant placement, Oral implantol, Oral implants, Oral maxillofac implants, Oral mucosa, Patient selection, Percentage comparisons, Pilot hole, Posterior area, Pract periodontics aesthet dent, Practitioner, Preoperative, Preoperative planning, Prognosis variables, Propensity, Propensity score, Propensity scores, Prospective multicenter study, Prosthesis, Protocol, Retrospective, Retrospective multicenter, Same class, Same probability, Scanning template, Soft tissue, Software, Software program, Statistical analysis, Statistical differences, Statistical method, Study prosthesis landmarks, Subsequent drills, Success rate, Suitable guidance system, Surgery, Surgical, Surgical guide, Surgical template, Survival rate, Template, Test group, Thin apical class, Thin class, Thomas fortin, Tomography, Total patients implants, Transmucosal implant placement, Transmucosal placement, Virtual implant placement, Wide implants.
Abstract
Purpose: The aim of this retrospective multicenter clinical study was to compare the survival rate of dental implants placed with two different surgical procedures: (1) a flapless surgical procedure using an image‐guided system (IGS flapless protocol) and (2) the conventional technique (open flap without IGS) with a computed tomography scan.
Url:
DOI: 10.1111/j.1708-8208.2008.00146.x
Links to Exploration step
ISTEX:57868ADBC89518F99437974BD9FB1D8741D7676ELe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title><author><name sortKey="Berdougo, Marc" sort="Berdougo, Marc" uniqKey="Berdougo M" first="Marc" last="Berdougo">Marc Berdougo</name><affiliation><mods:affiliation>Assistant professor, Department of Periodontology, Dental University of Lyon, France;</mods:affiliation></affiliation></author><author><name sortKey="Fortin, Thomas" sort="Fortin, Thomas" uniqKey="Fortin T" first="Thomas" last="Fortin">Thomas Fortin</name><affiliation><mods:affiliation>associate professor, Department of Oral Surgery, Dental University of Lyon, France;</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: thomas.fortin@univ‐lyon1.fr</mods:affiliation></affiliation></author><author><name sortKey="Blanchet, Eric" sort="Blanchet, Eric" uniqKey="Blanchet E" first="Eric" last="Blanchet">Eric Blanchet</name><affiliation><mods:affiliation>clinical assistant professor, private practice, Lyon, France;</mods:affiliation></affiliation></author><author><name sortKey="Isidori, Michel" sort="Isidori, Michel" uniqKey="Isidori M" first="Michel" last="Isidori">Michel Isidori</name><affiliation><mods:affiliation>clinical assistant professor, private practice, Lyon, France;</mods:affiliation></affiliation></author><author><name sortKey="Bosson, Jean Uc" sort="Bosson, Jean Uc" uniqKey="Bosson J" first="Jean-Luc" last="Bosson">Jean-Luc Bosson</name><affiliation><mods:affiliation>professor, Medicine University of Grenoble, Grenoble, France</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:57868ADBC89518F99437974BD9FB1D8741D7676E</idno><date when="2010" year="2010">2010</date><idno type="doi">10.1111/j.1708-8208.2008.00146.x</idno><idno type="url">https://api.istex.fr/document/57868ADBC89518F99437974BD9FB1D8741D7676E/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002B08</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002B08</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title><author><name sortKey="Berdougo, Marc" sort="Berdougo, Marc" uniqKey="Berdougo M" first="Marc" last="Berdougo">Marc Berdougo</name><affiliation><mods:affiliation>Assistant professor, Department of Periodontology, Dental University of Lyon, France;</mods:affiliation></affiliation></author><author><name sortKey="Fortin, Thomas" sort="Fortin, Thomas" uniqKey="Fortin T" first="Thomas" last="Fortin">Thomas Fortin</name><affiliation><mods:affiliation>associate professor, Department of Oral Surgery, Dental University of Lyon, France;</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: thomas.fortin@univ‐lyon1.fr</mods:affiliation></affiliation></author><author><name sortKey="Blanchet, Eric" sort="Blanchet, Eric" uniqKey="Blanchet E" first="Eric" last="Blanchet">Eric Blanchet</name><affiliation><mods:affiliation>clinical assistant professor, private practice, Lyon, France;</mods:affiliation></affiliation></author><author><name sortKey="Isidori, Michel" sort="Isidori, Michel" uniqKey="Isidori M" first="Michel" last="Isidori">Michel Isidori</name><affiliation><mods:affiliation>clinical assistant professor, private practice, Lyon, France;</mods:affiliation></affiliation></author><author><name sortKey="Bosson, Jean Uc" sort="Bosson, Jean Uc" uniqKey="Bosson J" first="Jean-Luc" last="Bosson">Jean-Luc Bosson</name><affiliation><mods:affiliation>professor, Medicine University of Grenoble, Grenoble, France</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="142">142</biblScope><biblScope unit="page" to="152">152</biblScope><biblScope unit="page-count">11</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-06">2010-06</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomic conditions</term><term>Anterior area</term><term>Apical</term><term>Apical part</term><term>Apless</term><term>Apless group</term><term>Apless implant surgery</term><term>Apless procedure</term><term>Apless protocol</term><term>Apless surgery</term><term>Available bone volume</term><term>Blood supply</term><term>Bone width</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical implant dentistry</term><term>Clinical report</term><term>Connective cells</term><term>Control group</term><term>Conventional group</term><term>Conventional procedure</term><term>Conventional protocol</term><term>Cumulative survival rate</term><term>Dent</term><term>Dental implants</term><term>Dental university</term><term>Dentistry</term><term>Drilling machine</term><term>Easy method</term><term>Edentulous</term><term>Edentulous patients</term><term>Elsevier science</term><term>Failure factors</term><term>Flapless</term><term>Flapless group class</term><term>Flapless implant surgery</term><term>Flapless procedure</term><term>Fortin</term><term>Immediate loading</term><term>Implant</term><term>Implant axis</term><term>Implant class</term><term>Implant dentistry</term><term>Implant length</term><term>Implant placement</term><term>Implant surgery</term><term>Implantation</term><term>Invasive surgery</term><term>Long implants</term><term>Maxilla</term><term>Maxillofac</term><term>Odds ratio</term><term>Operative strategy</term><term>Oral implant placement</term><term>Oral implantol</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Oral mucosa</term><term>Patient selection</term><term>Percentage comparisons</term><term>Pilot hole</term><term>Posterior area</term><term>Pract periodontics aesthet dent</term><term>Practitioner</term><term>Preoperative</term><term>Preoperative planning</term><term>Prognosis variables</term><term>Propensity</term><term>Propensity score</term><term>Propensity scores</term><term>Prospective multicenter study</term><term>Prosthesis</term><term>Protocol</term><term>Retrospective</term><term>Retrospective multicenter</term><term>Same class</term><term>Same probability</term><term>Scanning template</term><term>Soft tissue</term><term>Software</term><term>Software program</term><term>Statistical analysis</term><term>Statistical differences</term><term>Statistical method</term><term>Study prosthesis landmarks</term><term>Subsequent drills</term><term>Success rate</term><term>Suitable guidance system</term><term>Surgery</term><term>Surgical</term><term>Surgical guide</term><term>Surgical template</term><term>Survival rate</term><term>Template</term><term>Test group</term><term>Thin apical class</term><term>Thin class</term><term>Thomas fortin</term><term>Tomography</term><term>Total patients implants</term><term>Transmucosal implant placement</term><term>Transmucosal placement</term><term>Virtual implant placement</term><term>Wide implants</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Anatomic conditions</term><term>Anterior area</term><term>Apical</term><term>Apical part</term><term>Apless</term><term>Apless group</term><term>Apless implant surgery</term><term>Apless procedure</term><term>Apless protocol</term><term>Apless surgery</term><term>Available bone volume</term><term>Blood supply</term><term>Bone width</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical implant dentistry</term><term>Clinical report</term><term>Connective cells</term><term>Control group</term><term>Conventional group</term><term>Conventional procedure</term><term>Conventional protocol</term><term>Cumulative survival rate</term><term>Dent</term><term>Dental implants</term><term>Dental university</term><term>Dentistry</term><term>Drilling machine</term><term>Easy method</term><term>Edentulous</term><term>Edentulous patients</term><term>Elsevier science</term><term>Failure factors</term><term>Flapless</term><term>Flapless group class</term><term>Flapless implant surgery</term><term>Flapless procedure</term><term>Fortin</term><term>Immediate loading</term><term>Implant</term><term>Implant axis</term><term>Implant class</term><term>Implant dentistry</term><term>Implant length</term><term>Implant placement</term><term>Implant surgery</term><term>Implantation</term><term>Invasive surgery</term><term>Long implants</term><term>Maxilla</term><term>Maxillofac</term><term>Odds ratio</term><term>Operative strategy</term><term>Oral implant placement</term><term>Oral implantol</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Oral mucosa</term><term>Patient selection</term><term>Percentage comparisons</term><term>Pilot hole</term><term>Posterior area</term><term>Pract periodontics aesthet dent</term><term>Practitioner</term><term>Preoperative</term><term>Preoperative planning</term><term>Prognosis variables</term><term>Propensity</term><term>Propensity score</term><term>Propensity scores</term><term>Prospective multicenter study</term><term>Prosthesis</term><term>Protocol</term><term>Retrospective</term><term>Retrospective multicenter</term><term>Same class</term><term>Same probability</term><term>Scanning template</term><term>Soft tissue</term><term>Software</term><term>Software program</term><term>Statistical analysis</term><term>Statistical differences</term><term>Statistical method</term><term>Study prosthesis landmarks</term><term>Subsequent drills</term><term>Success rate</term><term>Suitable guidance system</term><term>Surgery</term><term>Surgical</term><term>Surgical guide</term><term>Surgical template</term><term>Survival rate</term><term>Template</term><term>Test group</term><term>Thin apical class</term><term>Thin class</term><term>Thomas fortin</term><term>Tomography</term><term>Total patients implants</term><term>Transmucosal implant placement</term><term>Transmucosal placement</term><term>Virtual implant placement</term><term>Wide implants</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Purpose: The aim of this retrospective multicenter clinical study was to compare the survival rate of dental implants placed with two different surgical procedures: (1) a flapless surgical procedure using an image‐guided system (IGS flapless protocol) and (2) the conventional technique (open flap without IGS) with a computed tomography 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thomas.fortin@univ‐lyon1.fr</json:string></affiliations></json:item><json:item><name>Eric Blanchet DDS, MSc</name><affiliations><json:string>clinical assistant professor, private practice, Lyon, France;</json:string></affiliations></json:item><json:item><name>Michel Isidori DDS</name><affiliations><json:string>clinical assistant professor, private practice, Lyon, France;</json:string></affiliations></json:item><json:item><name>Jean‐Luc Bosson MD, PhD</name><affiliations><json:string>professor, Medicine University of Grenoble, Grenoble, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>computer‐aided surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental implant</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>flapless surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>image‐guided system</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>minimally invasive surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>propensity scores</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surgical flap</value></json:item></subject><articleId><json:string>CID146</json:string></articleId><arkIstex>ark:/67375/WNG-TTBWJSQQ-P</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Purpose: The aim of this retrospective multicenter clinical study was to compare the survival rate of dental implants placed with two different surgical procedures: (1) a flapless surgical procedure using an image‐guided system (IGS flapless protocol) and (2) the conventional technique (open flap without IGS) with a computed tomography scan.</abstract><qualityIndicators><score>7.39</score><pdfWordCount>4790</pdfWordCount><pdfCharCount>30719</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>11</pdfPageCount><pdfPageSize>585 x 783 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>50</abstractWordCount><abstractCharCount>343</abstractCharCount><keywordCount>7</keywordCount></qualityIndicators><title>Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title><pmid><json:string>19220842</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Implant Dentistry and Related Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1708-8208</json:string></doi><issn><json:string>1523-0899</json:string></issn><eissn><json:string>1708-8208</json:string></eissn><publisherId><json:string>CID</json:string></publisherId><volume>12</volume><issue>2</issue><pages><first>142</first><last>152</last><total>11</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>Between January 2001 and December 2004</json:string><json:string>2010</json:string></date><geogName></geogName><orgName><json:string>Wiley Periodicals, Inc.</json:string><json:string>Keystone-Dental Inc.</json:string><json:string>Related Research, Volume</json:string><json:string>Keystone Dental, Inc.</json:string><json:string>Department of Oral Surgery, Dental University of Lyon, France</json:string><json:string>Keystone-Dental, Inc.</json:string><json:string>Department of Oral Surgery</json:string><json:string>Medicine University</json:string><json:string>Stata Corporation</json:string><json:string>France Reprint</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>R. 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A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2009, Copyright the Authors. Journal Compilation © 2009, Wiley Periodicals, Inc.</licence></availability><date type="published" when="2010-06"></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">Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title><title level="a" type="short">Influence of Flapless Procedure on Survival Rate</title><author xml:id="author-0000"><persName><forename type="first">Marc</forename><surname>Berdougo</surname><roleName type="degree">DDS, MSc</roleName></persName><affiliation>Assistant professor, Department of Periodontology, Dental University of Lyon, France;<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0001" role="corresp"><persName><forename type="first">Thomas</forename><surname>Fortin</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>associate professor, Department of Oral Surgery, Dental University of Lyon, France;<address><country key="FR"></country></address></affiliation><affiliation>Pr. Thomas Fortin, 18 rue Joseph Cugnot, 38300 Bourgoin Jallieu, France; e‐mail: thomas.fortin@univ‐lyon1.fr</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Eric</forename><surname>Blanchet</surname><roleName type="degree">DDS, MSc</roleName></persName><affiliation>clinical assistant professor, private practice, Lyon, France;<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Michel</forename><surname>Isidori</surname><roleName type="degree">DDS</roleName></persName><affiliation>clinical assistant professor, private practice, Lyon, France;<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Jean‐Luc</forename><surname>Bosson</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>professor, Medicine University of Grenoble, Grenoble, France<address><country key="FR"></country></address></affiliation></author><idno type="istex">57868ADBC89518F99437974BD9FB1D8741D7676E</idno><idno type="ark">ark:/67375/WNG-TTBWJSQQ-P</idno><idno type="DOI">10.1111/j.1708-8208.2008.00146.x</idno><idno type="unit">CID146</idno><idno type="toTypesetVersion">file:CID.CID146.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2010.12.issue-2</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="142">142</biblScope><biblScope unit="page" to="152">152</biblScope><biblScope unit="page-count">11</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Purpose:</hi> The aim of this retrospective multicenter clinical study was to compare the survival rate of dental implants placed with two different surgical procedures: (1) a flapless surgical procedure using an image‐guided system (IGS flapless protocol) and (2) the conventional technique (open flap without IGS) with a computed tomography scan.</p><p><hi rend="bold">Materials and Methods:</hi> Between 2001 and 2004, 552 implants were placed in 169 patients by six practitioners who used both protocols to restore completely and partially edentulous arches: 271 of them were placed with the IGS flapless protocol (test group) and 281 with the conventional procedure (control group). Each implant was categorized as “survival” or “failure” after 1 to 4 years of follow‐up after prosthesis implantation. A preoperative classification was used to evaluate the anatomic features of each case. There was initially no possible comparison between these two groups because of the indication bias relative to the retrospective clinical study data characteristics. After a classic logistic regression analysis, propensity scores were used to reduce this bias: prognosis variables were included in a regression logistic model to define the probability for each implant to be treated with the IGS flapless protocol. Implants showing the same probability were categorized into three classes. The implants were then compared with each other within the same class.</p><p><hi rend="bold">Results:</hi> After the follow‐up period, the cumulative survival rate was 98.57% in the control group and 96.30% in the test group. Whatever the statistical method used, no statistical differences between the two protocols were shown. Transmucosal implant placement showed a survival rate of 97%. Even though the initial conditions were less favorable, the survival rate in the test group was comparable with the standard protocol group.</p><p><hi rend="bold">Conclusion:</hi> Passing an implant through the gum does not interfere with osseointegration. The IGS flapless procedure makes it possible to use the flapless procedure, even though anatomic conditions were initially unfavorable.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">computer‐aided surgery</term><term xml:id="k2">dental implant</term><term xml:id="k3">flapless surgery</term><term xml:id="k4">image‐guided system</term><term xml:id="k5">minimally invasive surgery</term><term xml:id="k6">propensity scores</term><term xml:id="k7">surgical flap</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</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/57868ADBC89518F99437974BD9FB1D8741D7676E/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)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="06002"><doi origin="wiley">10.1111/cid.2010.12.issue-2</doi><numberingGroup><numbering type="journalVolume" number="12">12</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2010-06">June 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="8" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2008.00146.x</doi><idGroup><id type="unit" value="CID146"></id></idGroup><countGroup><count type="pageTotal" number="11"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2009, Copyright the Authors. Journal Compilation © 2009, Wiley Periodicals, Inc.</copyright><eventGroup><event type="firstOnline" date="2009-02-13"></event><event type="publishedOnlineFinalForm" date="2010-05-04"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.6 mode:FullText source:FullText result:FullText" date="2010-05-05"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="142">142</numbering><numbering type="pageLast" number="152">152</numbering></numberingGroup><correspondenceTo>Pr. Thomas Fortin, 18 rue Joseph Cugnot, 38300 Bourgoin Jallieu, France; e‐mail: <email normalForm="thomas.fortin@univ-lyon1.fr">thomas.fortin@univ‐lyon1.fr</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID146.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="7"></count><count type="tableTotal" number="7"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="42"></count><count type="wordTotal" number="5550"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume 12, Number 2, 2010</title><title type="short">Influence of Flapless Procedure on Survival Rate</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Marc</givenNames><familyName>Berdougo</familyName><degrees>DDS, MSc</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2" corresponding="yes"><personName><givenNames>Thomas</givenNames><familyName>Fortin</familyName><degrees>DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Eric</givenNames><familyName>Blanchet</familyName><degrees>DDS, MSc</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3"><personName><givenNames>Michel</givenNames><familyName>Isidori</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a4"><personName><givenNames>Jean‐Luc</givenNames><familyName>Bosson</familyName><degrees>MD, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="FR"><unparsedAffiliation>Assistant professor, Department of Periodontology, Dental University of Lyon, France;</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="FR"><unparsedAffiliation>associate professor, Department of Oral Surgery, Dental University of Lyon, France;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="FR"><unparsedAffiliation>clinical assistant professor, private practice, Lyon, France;</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="FR"><unparsedAffiliation>professor, Medicine University of Grenoble, Grenoble, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">computer‐aided surgery</keyword><keyword xml:id="k2">dental implant</keyword><keyword xml:id="k3">flapless surgery</keyword><keyword xml:id="k4">image‐guided system</keyword><keyword xml:id="k5">minimally invasive surgery</keyword><keyword xml:id="k6">propensity scores</keyword><keyword xml:id="k7">surgical flap</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Purpose:</b> The aim of this retrospective multicenter clinical study was to compare the survival rate of dental implants placed with two different surgical procedures: (1) a flapless surgical procedure using an image‐guided system (IGS flapless protocol) and (2) the conventional technique (open flap without IGS) with a computed tomography scan.</p><p><b>Materials and Methods:</b> Between 2001 and 2004, 552 implants were placed in 169 patients by six practitioners who used both protocols to restore completely and partially edentulous arches: 271 of them were placed with the IGS flapless protocol (test group) and 281 with the conventional procedure (control group). Each implant was categorized as “survival” or “failure” after 1 to 4 years of follow‐up after prosthesis implantation. A preoperative classification was used to evaluate the anatomic features of each case. There was initially no possible comparison between these two groups because of the indication bias relative to the retrospective clinical study data characteristics. After a classic logistic regression analysis, propensity scores were used to reduce this bias: prognosis variables were included in a regression logistic model to define the probability for each implant to be treated with the IGS flapless protocol. Implants showing the same probability were categorized into three classes. The implants were then compared with each other within the same class.</p><p><b>Results:</b> After the follow‐up period, the cumulative survival rate was 98.57% in the control group and 96.30% in the test group. Whatever the statistical method used, no statistical differences between the two protocols were shown. Transmucosal implant placement showed a survival rate of 97%. Even though the initial conditions were less favorable, the survival rate in the test group was comparable with the standard protocol group.</p><p><b>Conclusion:</b> Passing an implant through the gum does not interfere with osseointegration. The IGS flapless procedure makes it possible to use the flapless procedure, even though anatomic conditions were initially unfavorable.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Influence of Flapless Procedure on Survival Rate</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Flapless Implant Surgery Using an Image‐Guided System. A 1‐ to 4‐Year Retrospective Multicenter Comparative Clinical Study</title></titleInfo><name type="personal"><namePart type="given">Marc</namePart><namePart type="family">Berdougo</namePart><namePart type="termsOfAddress">DDS, MSc</namePart><affiliation>Assistant professor, Department of Periodontology, Dental University of Lyon, France;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Thomas</namePart><namePart type="family">Fortin</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>associate professor, Department of Oral Surgery, Dental University of Lyon, France;</affiliation><affiliation>E-mail: thomas.fortin@univ‐lyon1.fr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Eric</namePart><namePart type="family">Blanchet</namePart><namePart type="termsOfAddress">DDS, MSc</namePart><affiliation>clinical assistant professor, private practice, Lyon, France;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michel</namePart><namePart type="family">Isidori</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>clinical assistant professor, private practice, Lyon, France;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jean‐Luc</namePart><namePart type="family">Bosson</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>professor, Medicine University of Grenoble, Grenoble, France</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">2010-06</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">7</extent><extent unit="tables">7</extent><extent unit="formulas">0</extent><extent unit="references">42</extent><extent unit="linksCrossRef">0</extent><extent unit="words">5550</extent></physicalDescription><abstract>Purpose: The aim of this retrospective multicenter clinical study was to compare the survival rate of dental implants placed with two different surgical procedures: (1) a flapless surgical procedure using an image‐guided system (IGS flapless protocol) and (2) the conventional technique (open flap without IGS) with a computed tomography scan.</abstract><abstract>Materials and Methods: Between 2001 and 2004, 552 implants were placed in 169 patients by six practitioners who used both protocols to restore completely and partially edentulous arches: 271 of them were placed with the IGS flapless protocol (test group) and 281 with the conventional procedure (control group). Each implant was categorized as “survival” or “failure” after 1 to 4 years of follow‐up after prosthesis implantation. A preoperative classification was used to evaluate the anatomic features of each case. There was initially no possible comparison between these two groups because of the indication bias relative to the retrospective clinical study data characteristics. After a classic logistic regression analysis, propensity scores were used to reduce this bias: prognosis variables were included in a regression logistic model to define the probability for each implant to be treated with the IGS flapless protocol. Implants showing the same probability were categorized into three classes. The implants were then compared with each other within the same class.</abstract><abstract>Results: After the follow‐up period, the cumulative survival rate was 98.57% in the control group and 96.30% in the test group. Whatever the statistical method used, no statistical differences between the two protocols were shown. Transmucosal implant placement showed a survival rate of 97%. Even though the initial conditions were less favorable, the survival rate in the test group was comparable with the standard protocol group.</abstract><abstract>Conclusion: Passing an implant through the gum does not interfere with osseointegration. The IGS flapless procedure makes it possible to use the flapless procedure, even though anatomic conditions were initially unfavorable.</abstract><subject lang="en"><genre>keywords</genre><topic>computer‐aided surgery</topic><topic>dental implant</topic><topic>flapless surgery</topic><topic>image‐guided system</topic><topic>minimally invasive surgery</topic><topic>propensity scores</topic><topic>surgical flap</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</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">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>12</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>142</start><end>152</end><total>11</total></extent></part></relatedItem><identifier type="istex">57868ADBC89518F99437974BD9FB1D8741D7676E</identifier><identifier type="ark">ark:/67375/WNG-TTBWJSQQ-P</identifier><identifier type="DOI">10.1111/j.1708-8208.2008.00146.x</identifier><identifier type="ArticleID">CID146</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2009, Copyright the Authors. 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