Radiographic evaluation of hard tissue changes in open flap technique versus flapless technique for implant placement

---

Original Article

Author Details : Priyanka Kumari*, Manish Khatri, Mansi Bansal, MD. Rehan, Amit Prakash

Volume : 9, Issue : 1, Year : 2024

Article Page : 38-45

https://doi.org/10.18231/j.ijpi.2024.009

Suggest article by email

Get Permission

---

Abstract

Introduction: Open flap technique allows the clinician to directly visualize the alveolar bone and assess bone morphology of the ridge.However, this technique is relatively invasive and causes patient discomfort and marginal bone loss due to decreased supraperiosteal blood supply whereas the Flapless technique is one of the latest minimally invasive surgical methods of implant placement without the need to raise a mucoperiosteal flap to overcome the bone resorption process.
Aim: The present study was designed to evaluate the hard tissue changes in open flap technique versus flapless ?echnique for implant placement at the different time interval.
Materials and Methods: Minimum thirty edentulous sites from Out Patient Department, Department of Periodontology (IDST) were randomly allocated to the following two groups by the flip of coin: Group I - Implant with open flap technique (fifteen sites) and Group II - Implant with flapless technique (fifteen sites). Patients were evaluated radiographically for crestal bone loss (mesial and distal) at Baseline (Immediately after implant placement), At the time of prosthetic loading and 3 months after prosthetic loading in both the groups.
Result: The result of the present study revealed that Sites where implants were placed with flapless technique showed lesser mean crestal bone loss scores as compared to sites where implants were placed with open flap technique, although the difference was insignificant.
Conclusion: It can be concluded that flapless procedure may be considered as a better treatment option as compared to implant placed with open flap technique in terms of minimal pain, inflammation and less crestal bone loss associated with flapless technique than open flap technique.
 
Keywords: Flapless implant, Open flap technique, CBCT, Crestal bone loss

How to cite : Kumari P, Khatri M, Bansal M, Rehan M, Prakash A, Radiographic evaluation of hard tissue changes in open flap technique versus flapless technique for implant placement. IP Int J Periodontol Implantol 2024;9(1):38-45

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.