Flapless Versus Flap Technique for Evaluation of Crestal Bone Loss and Osseointegration of Dental Implants

Flapless Versus Flap Technique for Evaluation of Crestal Bone Loss and Osseointegration of Dental Implants

this study aimed to evaluate both clinically and radiographically the effect of flapless versus flap techniques on initial crestal bone loss and osseointegration of dental implants in lower posterior area. the study is to designed to observe the clinical outcomes such as primary stability and pain within initial hours and days and secondary stability over a 6 month period .

this clinical trial was designed to observe the clinical outcomes of techniques of implant installation including flapless and flap techniques about their effect on; osseointegration that measured by checking dental implants stability with resonance frequency analysis device after 6 months of their installation, initial crestal bone loss around the dental implants after 6 months of their installation that that evaluated radiographically and also recording pain perception by the patients within the initial hours and days after implant insertion by both techniques.The patients collected and operated from department of Oral and Maxillofacial surgery, Faculty of Dentistry, Tanta University, Egypt.

Approval of this research was obtained from Faculty of Dentistry, Tanta University Research Ethics Committee (REC). The purpose of the present study was explained to the patients and informed consents were obtained according to the guidelines on human research published by the REC at Faculty of Dentistry, Tanta University.

Inclusion Criteria:

Patients that fulfill one or more of the following criteria were included:

1. Residual bone height of alveolar ridge more than 8 mm.
2. Residual bone width of alveolar ridge more than 4 mm.
3. Healthy and sufficient covering soft tissue (keratinized mucosa).
4. Distance between inferior border of mandible and the crest of alveolar ridge more than 2cm.
5. Motivated, cooperative patients with good oral hygiene.

Exclusion criteria:

1. Patients with relevant systemic disorder that may compromise bone healing (e.g.: Uncontrolled diabetic).
2. Extraction socket less than 4 months of healing time.
3. Patient with Autoimmune disease, or neurologic disorder.
4. Heavy smokers (more than 15 cigarettes/day).93
5. Bad oral hygiene.
6. Patients with history of radiotherapy or chemotherapy.
7. Patients who are fully edentulous.

Exclusion Criteria:

-