Evaluation of Bone Regeneration around Implants with and Without Flap Elevation.

Area of Science:

• Oral Surgery
• Periodontology
• Dental Implantology

Background:

• Comparing flapless implant placement versus conventional flap techniques for immediate implants.
• Evaluating clinical success and bone healing in fresh extraction sockets.

Purpose of the Study:

• To clinically evaluate and compare the success and bone healing of flapless versus flap elevation implant placement.
• To assess immediate implant placement in fresh extraction sockets.

Main Methods:

• Ten patients randomly assigned to flap elevation (Group A) or flapless (Group B) immediate implant placement.
• Clinical parameters included Plaque Index, Modified Gingival Index, Early Wound Healing Index, Buser's criteria, and distance between implant shoulder and crestal bone (DIB).
• Radiographic examination was used to evaluate DIB changes.

Main Results:

• Both groups showed statistically significant improvements in plaque and gingival scores from baseline to 6 months.
• Significant bone loss was observed in both groups, with mean DIB differences of -0.90 (Group A) and -0.70 (Group B) at 6 months (P=0.001).
• Mean DIC scores at 6 months were 0.00 for both groups, indicating successful augmentation.

Conclusions:

• Immediate implant placement with or without flap elevation is a successful augmentation procedure.
• Short-term survival rates and clinical outcomes were similar between flapless and flap elevation techniques.
• Both flapless and flap elevation implant placement methods appear to be predictable treatment modalities.