Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study
Background: It is important to prognosticate the hard- and soft-tissue alterations in immediate and delayed implants, as inadequacy can lead to complications affecting the long-term survival of the implant. Therefore, the purpose of this study was to evaluate and compare the hard- and soft-tissue ch...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-08-01
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| Series: | Journal of Indian Society of Periodontology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jisp.jisp_457_23 |
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| author | Pranjali Vijaykumar Bawankar Abhay Pandurang Kolte Rajashri Abhay Kolte |
| author_facet | Pranjali Vijaykumar Bawankar Abhay Pandurang Kolte Rajashri Abhay Kolte |
| author_sort | Pranjali Vijaykumar Bawankar |
| collection | DOAJ |
| description | Background:
It is important to prognosticate the hard- and soft-tissue alterations in immediate and delayed implants, as inadequacy can lead to complications affecting the long-term survival of the implant. Therefore, the purpose of this study was to evaluate and compare the hard- and soft-tissue changes in immediate and delayed posterior implants with a flapless approach.
Materials and Methods:
With an equal allocation ratio, the study included 46 patients requiring implant treatment in the posterior segment, including the premolars and molars. Group 1 consisted of patients with immediate implants, whereas Group 2 consisted of patients who received delayed implants. The clinical parameters, including plaque index (PI), gingival index, modified sulcus bleeding index, probing depth, and soft-tissue assessment using the Testori esthetic score (TS), were evaluated at baseline, 3, 6, 9, and 12 months. Hard-tissue parameters, such as buccal bone thickness (BBT), crestal bone height (CBH), and ridge width, were evaluated radiographically with cone-beam computed tomography at baseline and 12 months posttherapy.
Results:
Intragroup comparisons in both the groups showed significant differences in PI, probing pocket depth, and TS over time (P = 0.00). The mean BBT at the crest in delayed implants (1.76 ± 0.24) significantly reduced after 12 months compared to immediate implants. A significantly higher TS score was observed after 12 months in both the groups.
Conclusion:
A significant difference in TS scores after 12 months was found between the two groups, with better esthetics in Group 1 compared to Group 2. However, no significant changes in BBT or CBH were observed after 12 months in Group 1. |
| format | Article |
| id | doaj-art-e3050271b81743f5b2880d5c828bf8bf |
| institution | OA Journals |
| issn | 0972-124X 0975-1580 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj-art-e3050271b81743f5b2880d5c828bf8bf2025-08-20T02:09:51ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X0975-15802024-08-0128219720310.4103/jisp.jisp_457_23Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic studyPranjali Vijaykumar BawankarAbhay Pandurang KolteRajashri Abhay KolteBackground: It is important to prognosticate the hard- and soft-tissue alterations in immediate and delayed implants, as inadequacy can lead to complications affecting the long-term survival of the implant. Therefore, the purpose of this study was to evaluate and compare the hard- and soft-tissue changes in immediate and delayed posterior implants with a flapless approach. Materials and Methods: With an equal allocation ratio, the study included 46 patients requiring implant treatment in the posterior segment, including the premolars and molars. Group 1 consisted of patients with immediate implants, whereas Group 2 consisted of patients who received delayed implants. The clinical parameters, including plaque index (PI), gingival index, modified sulcus bleeding index, probing depth, and soft-tissue assessment using the Testori esthetic score (TS), were evaluated at baseline, 3, 6, 9, and 12 months. Hard-tissue parameters, such as buccal bone thickness (BBT), crestal bone height (CBH), and ridge width, were evaluated radiographically with cone-beam computed tomography at baseline and 12 months posttherapy. Results: Intragroup comparisons in both the groups showed significant differences in PI, probing pocket depth, and TS over time (P = 0.00). The mean BBT at the crest in delayed implants (1.76 ± 0.24) significantly reduced after 12 months compared to immediate implants. A significantly higher TS score was observed after 12 months in both the groups. Conclusion: A significant difference in TS scores after 12 months was found between the two groups, with better esthetics in Group 1 compared to Group 2. However, no significant changes in BBT or CBH were observed after 12 months in Group 1.https://journals.lww.com/10.4103/jisp.jisp_457_23delayed implantsflapless approachimmediate implantsperi-implant tissues |
| spellingShingle | Pranjali Vijaykumar Bawankar Abhay Pandurang Kolte Rajashri Abhay Kolte Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study Journal of Indian Society of Periodontology delayed implants flapless approach immediate implants peri-implant tissues |
| title | Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study |
| title_full | Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study |
| title_fullStr | Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study |
| title_full_unstemmed | Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study |
| title_short | Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study |
| title_sort | assessment of peri implant tissues in posterior implants placed using flapless approach a clinicoradiographic study |
| topic | delayed implants flapless approach immediate implants peri-implant tissues |
| url | https://journals.lww.com/10.4103/jisp.jisp_457_23 |
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