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The efficacy of flapless implant surgery on soft-tissue profile comparing immediate loading implants to delayed loading implants: A comparative clinical study.

Ravindran DM, Sudhakar U, Ramakrishnan T, Ambalavanan N - J Indian Soc Periodontol (2010)

Bottom Line: The success rate in group I was found to be 80%, which was lower than the success rate in group II which was found to be 90%.On comparison, there is no statistically significant difference in success rate between the two study groups.The mean PPI score in group II showed a significant increase from when compared to group I.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology and Implatology, Meenakshi Ammal Dental College, Chennai, India.

ABSTRACT

Aims and objectives: To assess the efficacy of flapless implant surgery on soft-tissue profile and to compare the clinical outcomes of flapless implant therapy on immediate loading (IL) implants to delayed loading (DL) implants.

Materials and methods: The study sample consisted of 20 patients who were partially edentulous in the anterior maxillary region. They were divided into two groups. In group I (IL) 10 implants were placed and immediately provisionalized and restored with a metal ceramic crown on the 14th day. In group II (DL) 10 implants were placed and loaded after 4 months. Single-piece implants were used for the IL group and two-piece implants were used for the DL group. All soft tissue parameters i.e., modified plaque index (mPI), modified bleeding index (mBI), papillary index (PPI), marginal level of soft tissue (ML) and width of keratinized mucosa (WKM) were recorded at baseline, Day 60, Day 120 and Day 180.

Results: The success rate in group I was found to be 80%, which was lower than the success rate in group II which was found to be 90%. On comparison, there is no statistically significant difference in success rate between the two study groups. There was no statistically significant difference between the groups over time in parameters like mPI, mBI, ML and WKM. The mean PPI score in group II showed a significant increase from when compared to group I.

Conclusion: The results of this study indicated that flapless implant surgery using either immediately loading implants or DL implants, demonstrate enhancement of implant esthetics.

No MeSH data available.


Related in: MedlinePlus

Group I (IL) - (a)Pre-operative; (b) Immediate post-operative; (c) Provisional prosthesis placed; (d) Final prosthesis placed on day 14; (e) Final prosthesis on day 60; (f) Final prosthesis on day 120 ;(g) Final prosthesis on day 180
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Figure 1: Group I (IL) - (a)Pre-operative; (b) Immediate post-operative; (c) Provisional prosthesis placed; (d) Final prosthesis placed on day 14; (e) Final prosthesis on day 60; (f) Final prosthesis on day 120 ;(g) Final prosthesis on day 180

Mentions: IOPA were taken. For the site to be IL (group I) an acrylic provisional restoration was given. The patient received amoxicillin 500mg, three times a day for 5 days and ibuprofen 400 mg thrice a day for three days. In this group metaloceramic restorations were given on the 14th day. On the Day 60, Day 120 and Day 180 all clinical parameters were checked and IOPAs were taken [Figure 1c–g].


The efficacy of flapless implant surgery on soft-tissue profile comparing immediate loading implants to delayed loading implants: A comparative clinical study.

Ravindran DM, Sudhakar U, Ramakrishnan T, Ambalavanan N - J Indian Soc Periodontol (2010)

Group I (IL) - (a)Pre-operative; (b) Immediate post-operative; (c) Provisional prosthesis placed; (d) Final prosthesis placed on day 14; (e) Final prosthesis on day 60; (f) Final prosthesis on day 120 ;(g) Final prosthesis on day 180
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3118076&req=5

Figure 1: Group I (IL) - (a)Pre-operative; (b) Immediate post-operative; (c) Provisional prosthesis placed; (d) Final prosthesis placed on day 14; (e) Final prosthesis on day 60; (f) Final prosthesis on day 120 ;(g) Final prosthesis on day 180
Mentions: IOPA were taken. For the site to be IL (group I) an acrylic provisional restoration was given. The patient received amoxicillin 500mg, three times a day for 5 days and ibuprofen 400 mg thrice a day for three days. In this group metaloceramic restorations were given on the 14th day. On the Day 60, Day 120 and Day 180 all clinical parameters were checked and IOPAs were taken [Figure 1c–g].

Bottom Line: The success rate in group I was found to be 80%, which was lower than the success rate in group II which was found to be 90%.On comparison, there is no statistically significant difference in success rate between the two study groups.The mean PPI score in group II showed a significant increase from when compared to group I.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology and Implatology, Meenakshi Ammal Dental College, Chennai, India.

ABSTRACT

Aims and objectives: To assess the efficacy of flapless implant surgery on soft-tissue profile and to compare the clinical outcomes of flapless implant therapy on immediate loading (IL) implants to delayed loading (DL) implants.

Materials and methods: The study sample consisted of 20 patients who were partially edentulous in the anterior maxillary region. They were divided into two groups. In group I (IL) 10 implants were placed and immediately provisionalized and restored with a metal ceramic crown on the 14th day. In group II (DL) 10 implants were placed and loaded after 4 months. Single-piece implants were used for the IL group and two-piece implants were used for the DL group. All soft tissue parameters i.e., modified plaque index (mPI), modified bleeding index (mBI), papillary index (PPI), marginal level of soft tissue (ML) and width of keratinized mucosa (WKM) were recorded at baseline, Day 60, Day 120 and Day 180.

Results: The success rate in group I was found to be 80%, which was lower than the success rate in group II which was found to be 90%. On comparison, there is no statistically significant difference in success rate between the two study groups. There was no statistically significant difference between the groups over time in parameters like mPI, mBI, ML and WKM. The mean PPI score in group II showed a significant increase from when compared to group I.

Conclusion: The results of this study indicated that flapless implant surgery using either immediately loading implants or DL implants, demonstrate enhancement of implant esthetics.

No MeSH data available.


Related in: MedlinePlus