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Related Experiment Video

Updated: Jun 27, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Buccal bone augmentation around immediate implants with and without flap elevation: a modified approach.

Ugo Covani1, Roberto Cornelini, Antonio Barone

  • 1Department of Biophysical, Medical and Dental Sciences and Technologies, School of Dentistry, University of Genova, Italy.

The International Journal of Oral & Maxillofacial Implants
|November 19, 2008
PubMed
Summary
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Immediate implants placed flapless or with flap elevation show similar clinical success and bone healing. Flap elevation resulted in greater bone regeneration coronally, but flapless procedures are viable for immediate implants, even with bone defects.

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Periodontology

Background:

  • Immediate implant placement in fresh extraction sockets is a common procedure.
  • Bone augmentation is often necessary for achieving primary stability in immediate implants.
  • Surgical technique, including flap elevation, may influence outcomes.

Purpose of the Study:

  • To compare clinical success and bone healing of immediate implants placed flapless versus with flap elevation.
  • To evaluate the impact of surgical technique on bone regeneration in augmented extraction sockets.

Main Methods:

  • Twenty patients underwent immediate implant placement in fresh extraction sockets with complete facial bone defects.
  • Ten implants were placed with flap elevation (control) and ten without (test).

Related Experiment Videos

Last Updated: Jun 27, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

  • Radiographs assessed implant-prosthetic gap (DIB); clinical evaluation at 6 months measured implant stability quotient (ISQ) and distance between implant shoulder and crestal bone (DIC).

    • Main Results:

    • One implant failure occurred in the flapless (test) group.
    • No significant differences in ISQ or DIB between groups.
    • Higher DIC observed in the flapless group, indicating less coronal bone fill compared to the flap elevation group.

    Conclusions:

    • Immediate implants can be successfully placed using flapless or flap elevation techniques, even with bone defects requiring augmentation.
    • Flap elevation may promote superior coronal bone regeneration compared to flapless procedures.