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Related Experiment Video

Updated: May 10, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

Flapless single-tooth immediate implant placement.

Breno Carnevalli Franco de Carvalho1, Elaine Manso Oliveira Franco de Carvalho, Rafael Leonardo Xediek Consani

  • 1Department of Clinics and Surgery, School of Dentsitry of the Federal University of Alfenas, Minas Gerais, Brazil. bcarnevalli2@gmail.com

The International Journal of Oral & Maxillofacial Implants
|June 11, 2013
PubMed
Summary

Flapless immediate dental implants show a high success rate. While immediate provisional crowns maintain the gingival margin, unloaded implants demonstrated a slightly higher survival rate over 15 years.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Implantology

Background:

  • Single missing teeth often require replacement with dental implants.
  • Flapless surgical techniques aim to minimize tissue trauma during implant placement.
  • Immediate loading protocols can potentially shorten treatment time for dental implants.

Purpose of the Study:

  • To evaluate the long-term success rate of single dental implants placed using a flapless technique.
  • To assess the preservation of the gingival margin following immediate implant loading or delayed loading.
  • To compare outcomes between immediate provisional crown placement and delayed restoration.

Main Methods:

  • A 15-year prospective study involving 430 immediate flapless implants in 305 patients.
  • Implants were either immediately restored with a provisional crown or received a healing abutment (delayed loading).

Related Experiment Videos

Last Updated: May 10, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

  • Implant survival and gingival margin levels were monitored for 1 to 15 years post-placement.

    • Main Results:

    • The overall implant survival rate was 93.03% over the 15-year follow-up period.
    • Implants with a healing abutment (delayed loading) had a higher survival rate (96.78%) compared to those with immediate provisional crowns (90.9%).
    • Immediate provisional crowns aided in maintaining the original gingival margin levels.

    Conclusions:

    • Flapless immediate implant placement is a favorable protocol for single tooth replacement.
    • The use of a healing abutment (delayed loading) may be associated with a higher implant survival rate.
    • This protocol offers a viable option for restoring single missing teeth with predictable outcomes.