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Flapless versus open flap implant surgery in partially edentulous patients subjected to immediate loading: 1-year results from a split-mouth randomised controlled trial.

Identifieur interne : 001423 ( PubMed/Corpus ); précédent : 001422; suivant : 001424

Flapless versus open flap implant surgery in partially edentulous patients subjected to immediate loading: 1-year results from a split-mouth randomised controlled trial.

Auteurs : Gioacchino Cannizzaro ; Pietro Felice ; Michele Leone ; Vittorio Checchi ; Marco Esposito

Source :

RBID : pubmed:22043463

English descriptors

Abstract

To evaluate the efficacy of flapless versus open flap implant placement in partially edentulous patients.

PubMed: 22043463

Links to Exploration step

pubmed:22043463

Le document en format XML

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<title xml:lang="en">Flapless versus open flap implant surgery in partially edentulous patients subjected to immediate loading: 1-year results from a split-mouth randomised controlled trial.</title>
<author>
<name sortKey="Cannizzaro, Gioacchino" sort="Cannizzaro, Gioacchino" uniqKey="Cannizzaro G" first="Gioacchino" last="Cannizzaro">Gioacchino Cannizzaro</name>
<affiliation>
<nlm:affiliation>Department of Peridontology and Implantology, University of Bologna, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
</author>
<author>
<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
</author>
<author>
<name sortKey="Checchi, Vittorio" sort="Checchi, Vittorio" uniqKey="Checchi V" first="Vittorio" last="Checchi">Vittorio Checchi</name>
</author>
<author>
<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
</author>
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<date when="2011">2011</date>
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<title xml:lang="en">Flapless versus open flap implant surgery in partially edentulous patients subjected to immediate loading: 1-year results from a split-mouth randomised controlled trial.</title>
<author>
<name sortKey="Cannizzaro, Gioacchino" sort="Cannizzaro, Gioacchino" uniqKey="Cannizzaro G" first="Gioacchino" last="Cannizzaro">Gioacchino Cannizzaro</name>
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<nlm:affiliation>Department of Peridontology and Implantology, University of Bologna, Italy.</nlm:affiliation>
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<author>
<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
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<author>
<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
</author>
<author>
<name sortKey="Checchi, Vittorio" sort="Checchi, Vittorio" uniqKey="Checchi V" first="Vittorio" last="Checchi">Vittorio Checchi</name>
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<author>
<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
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<series>
<title level="j">European journal of oral implantology</title>
<idno type="ISSN">1756-2406</idno>
<imprint>
<date when="2011" type="published">2011</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Crowns</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Immediate</term>
<term>Denture, Partial, Temporary</term>
<term>Episode of Care</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Preference</term>
<term>Postoperative Complications</term>
<term>Self Report</term>
<term>Statistics, Nonparametric</term>
<term>Surgical Flaps</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Crowns</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Immediate</term>
<term>Denture, Partial, Temporary</term>
<term>Episode of Care</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Preference</term>
<term>Postoperative Complications</term>
<term>Self Report</term>
<term>Statistics, Nonparametric</term>
<term>Surgical Flaps</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate the efficacy of flapless versus open flap implant placement in partially edentulous patients.</div>
</front>
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<pubmed>
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<DateCompleted>
<Year>2011</Year>
<Month>11</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>12</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1756-2406</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>4</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2011</Year>
<Season>Autumn</Season>
</PubDate>
</JournalIssue>
<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>Flapless versus open flap implant surgery in partially edentulous patients subjected to immediate loading: 1-year results from a split-mouth randomised controlled trial.</ArticleTitle>
<Pagination>
<MedlinePgn>177-88</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the efficacy of flapless versus open flap implant placement in partially edentulous patients.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Forty patients with two separate edentulous areas characterised by residual bone at least 5 mm thick and 10 mm in height had these sites randomised following a split-mouth design to receive at least one implant to each side after flap elevation or not. Implants were first placed in one site, and after 2 weeks in the other site freehand. Implants inserted with a torque >48 Ncm were immediately loaded with full occluding acrylic temporary restorations. Definitive single cemented crowns or screw-retained metal ceramic fixed dental prostheses were delivered after 2 months. Outcome measures were prosthesis and implant failures, complications, postoperative swelling and pain, consumption of analgesics, patient preference, surgical time, marginal bone level changes, and implant stability quotient (ISQ) values.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Seventy-six implants were placed flapless and 67 after flap elevation. In the flapless group, four flaps had to be raised to control the direction of the bur, whereas one haemorrhage and one fracture of the buccal bone occurred in two patients of the flap elevation group. Four implants did not reach the planned stability (three belonging to the flapless group) and they were all immediately replaced by larger diameter ones. After 1 year, no drop-outs occurred. Two definitive bridges could not be placed when planned (one in each group) and two crowns had to be remade (one in each group). Two implants failed in each group, all in different patients. There were no statistically significant differences for prosthetic and implant failures, complications, ISQ values and marginal bone levels between groups. However, flapless implant placement required significantly less operation time (17 minutes less, saving almost two-thirds of the time for implant placement), induced less postoperative pain, swelling, analgesic consumption and was preferred by patients. Mean ISQ values of both groups significantly decreased over time.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implants can be successfully placed flapless and loaded immediately, reducing treatment time and patient discomfort.</AbstractText>
</Abstract>
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<LastName>Cannizzaro</LastName>
<ForeName>Gioacchino</ForeName>
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<Language>eng</Language>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D057893" MajorTopicYN="Y">Immediate Dental Implant Loading</DescriptorName>
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<DescriptorName UI="D018709" MajorTopicYN="N">Statistics, Nonparametric</DescriptorName>
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<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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