Is flapless implant surgery a viable option in posterior maxilla? : a review

Doan, Nghiem, Du, Zhibin, Crawford, Ross, Reher, Peter, & Xiao, Yin (2012) Is flapless implant surgery a viable option in posterior maxilla? : a review. International Journal of Oral and Maxillofacial Surgery, 41(9), pp. 1064-1071.

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This article reviews the literature on the outcome of flapless surgery for dental implants in the posterior maxilla. The literature search was carried out in using the keywords: flapless, dental implants and maxilla. A hand search and Medline search were carried out on studies published between 1971 and 2011. The authors included research involving a minimum of 15 dental implants with a followup period of 1 year, an outcome measurement of implant survival, but excluded studies involving multiple simultaneous interventions, and studies with missing data. The Cochrane approach for cohort studies and Oxford Centre for Evidence- Based Medicine were applied. Of the 56 published papers selected, 14 papers on the flapless technique showed high overall implant survival rates. The prospective studies yielded 97.01% (95% CI: 90.72–99.0) while retrospective studies or case series illustrated 95.08% (95% CI: 91.0–97.93) survival. The average of intraoperative complications was 6.55% using the flapless procedure. The limited data obtained showed that flapless surgery in posterior maxilla areas could be a viable and predictable treatment method for implant placement. Flapless surgery tends to be more applicable in this area of the mouth. Further long-term clinical controlled studies are needed.

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10 citations in Scopus
9 citations in Web of Science®
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ID Code: 50879
Item Type: Journal Article
Refereed: Yes
Keywords: dental implants, flapless surgery, complications, maxilla, survival, success, efficacy, effectiveness, guided surgery, review
DOI: 10.1016/j.ijom.2012.06.002
ISSN: 0901-5027
Subjects: Australian and New Zealand Standard Research Classification > BIOLOGICAL SCIENCES (060000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > DENTISTRY (110500)
Divisions: Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2012 ELSEVIER
Deposited On: 01 Aug 2012 05:31
Last Modified: 16 Aug 2012 03:48

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