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Bone volume changes after immediate implant placement with or without flap elevation.

Fabio Mazzocco1,2, Daniel Jimenez1, Lucía Barallat1

  • 1Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.

Clinical Oral Implants Research
|March 19, 2016
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Summary
This summary is machine-generated.

Immediate implant placement with buccal gap grafting resulted in approximately 0.5 mm bone reduction after six months. Initial bone width did not significantly predict ridge width, and flap vs. flapless approaches showed no significant differences in bone remodeling.

Keywords:
bone dimensionsbone graftcone beam computer tomographyimmediate implant

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Periodontology

Background:

  • Immediate implant placement is a common procedure.
  • Buccal bone grafting aims to preserve ridge volume.
  • Flap and flapless surgical approaches have different implications.

Purpose of the Study:

  • Evaluate bone dimensions after immediate implant placement with simultaneous buccal gap grafting.
  • Determine the influence of initial buccal bone width on bone remodeling.
  • Compare bone volume changes between flap and flapless approaches after 6 months.

Main Methods:

  • Prospective study involving 35 patients undergoing immediate implant placement at non-molar sites.
  • Buccal gap grafted with anorganic bovine bone.
  • Cone beam computed tomography (CBCT) used for pre-operative and 6-month post-operative assessment.
  • Comparison between flap (control) and flapless (test) surgical approaches.

Main Results:

  • A mean reduction of approximately 0.5 mm in bone height and width was observed after 6 months.
  • Moderate correlation found between initial buccal plate width and 6-month buccal plate height.
  • No statistically significant differences in bone volume changes between flap and flapless groups.

Conclusions:

  • Immediate implant placement with buccal gap grafting leads to predictable bone reduction.
  • Initial buccal bone width is not a significant predictor of 6-month ridge width.
  • Both flap and flapless approaches yield similar bone remodeling outcomes, though the flap group showed slightly more reduction.