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Comparison between flapless and open-flap implant placement: a systematic review and meta-analysis
C A A Lemos1, F R Verri1, R S Cruz1
1Department of Dental Materials and Prosthodontics, Aracatuba Dental School, Sao Paulo State University (UNESP), Araçatuba, Brazil.
International Journal of Oral and Maxillofacial Surgery
|April 25, 2018
Summary
Flapless and open-flap dental implant surgery show similar outcomes. This review found no significant differences in implant survival, bone loss, or complications between the two surgical techniques.
Area of Science:
- Oral and Maxillofacial Surgery
- Periodontology
- Dental Implantology
Background:
- Surgical techniques for dental implant placement lack consensus regarding their impact.
- Flapless and open-flap procedures are common methods for implant insertion.
Purpose of the Study:
- To systematically compare flapless vs. open-flap surgical techniques for dental implants.
- Evaluate differences in marginal bone loss, implant survival, and complication rates.
Main Methods:
- Systematic review following PRISMA guidelines, registered in PROSPERO.
- Searched PubMed/MEDLINE, Scopus, and Cochrane Library databases until December 2017.
- Included 24 studies with 1025 patients and 1873 implants.
Main Results:
- No significant differences found between flapless and open-flap techniques.
- Implant survival rates (P=0.34), marginal bone loss (P=0.23), and complication rates (P=0.67) were comparable.
- Mean follow-up period was 21.62 months.
Conclusions:
- Flapless and open-flap dental implant surgeries yield similar results.
- Both techniques demonstrate comparable implant survival, marginal bone levels, and complication profiles.
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