Flapless Versus Flap Technique for Evaluation of Crestal Bone Loss and Osseointegration of Dental Implants

Tanta University20 enrolled

Overview

this study aimed to evaluate both clinically and radiographically the effect of flapless versus flap techniques on initial crestal bone loss and osseointegration of dental implants in lower posterior area. the study is to designed to observe the clinical outcomes such as primary stability and pain within initial hours and days and secondary stability over a 6 month period .

this clinical trial was designed to observe the clinical outcomes of techniques of implant installation including flapless and flap techniques about their effect on; osseointegration that measured by checking dental implants stability with resonance frequency analysis device after 6 months of their installation, initial crestal bone loss around the dental implants after 6 months of their installation that that evaluated radiographically and also recording pain perception by the patients within the initial hours and days after implant insertion by both techniques.The patients collected and operated from department of Oral and Maxillofacial surgery, Faculty of Dentistry, Tanta University, Egypt. Approval of this research was obtained from Faculty of Dentistry, Tanta University Research Ethics Committee (REC). The purpose of the present study was explained to the patients and informed consents were obtained according to the guidelines on human research published by the REC at Faculty of Dentistry, Tanta University.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Posterior Mandible Missing Tooth and /or Teeth

Interventions

flapless techniquePROCEDURE

taking a punch of tissue to place dental implant through surgical guide

flap techniquePROCEDURE

conventional flap elevation and drilling to place dental implant

tissue punchingPROCEDURE

just a punch of tissue taken to place dental implant

Eligibility

Sex: ALLMin age: 18 YearsMax age: 40 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Patients that fulfill one or more of the following criteria were included: 1. Residual bone height of alveolar ridge more than 8 mm. 2. Residual bone width of alveolar ridge more than 4 mm. 3. Healthy and sufficient covering soft tissue (keratinized mucosa). 4. Distance between inferior border of mandible and the crest of alveolar ridge more than 2cm. 5. Motivated, cooperative patients with good oral hygiene. Exclusion criteria: 1. Patients with relevant systemic disorder that may compromise bone healing (e.g.: Uncontrolled diabetic). 2. Extraction socket less than 4 months of healing time. 3. Patient with Autoimmune disease, or neurologic disorder. 4. Heavy smokers (more than 15 cigarettes/day).93 5. Bad oral hygiene. 6. Patients with history of radiotherapy or chemotherapy. 7. Patients who are fully edentulous. Exclusion Criteria: \-

Locations (1)

Faculty of Dentistry, Tanta University

Tanta, Gharbia Governorate, Egypt

Outcomes

Primary Outcomes

crestal bone loss and osseointegration

initial crestal bone loss around the dental implants measured radiographically and secondary stability checked after six months to check osseointegration of the dental implants by resonance frequency analysis device.

Time frame: 6 months postoperatively

Data from ClinicalTrials.gov

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