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Comparison between flapless and flap dental implant surgery: A clinical and radiographic study
مقارنة بين جراحة زرع الأسنان بدون سديلة و بسديلة: دراسة سريرية وإشعاعية

Authors: Omed Ikram Shihab --- Ahmad Abdullah Haider --- Abduljaleel Azad Samad
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2016 Volume: 20 Issue: 2 Pages: 1267-1271
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Flapless implant surgery has been suggested as a suitable treatment technique for implant placement, but limited information exists regarding the clinical conditions after flapless implant surgery. This study aimed to compare flapless implant surgery with traditional flap implant surgery clinically and radiographically.Methods: Sixty patients (23 males and 37 females) participated in the present study. The patients were divided into two groups, in the Group ‘A’ 30 implants were placed by traditional flap surgery and in Group ‘B’ 30 implants were placed by flapless implant surgery (punch technique). Clinical and radiographic examinations were carried out to assess the implants condition. Clinical examination included implant mobility which was assessed by using universal torque ratchet at the end of healing period (6 months). The periapical radiograph was carried out to assess marginal bone loss around the implants at three and six months after implantation.Results: Two implants failure were reported; one implant for each of the Group ‘A’ and ‘B’. There was no significant difference between the two groups with regard to the marginal bone resorption (P = 0.487). The success rate for both groups was 96.6%. The study showed a non-significant relation of age and gender with the success rate.Conclusion: The flapless implant surgery could offer advantages over the classic protocol and should have the potential to increase the patients’ acceptance of the procedure.


Article
A COMPARATIVE STUDY BETWEEN OSSEOINTEGRATION SUCCESS RATE OF ONE STAGE AND TWO STAGE PROCEDURE IN IMPLANT SURGERY IN BASRAH PROVINCE

Author: Riad G Altaee
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2015 Volume: 21 Issue: 2 Pages: 66-79
Publisher: Basrah University جامعة البصرة

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Abstract

Abstract This study aimed to evaluate the osseointegration success rate of one stage procedure in comparison with two stage procedure in implant surgery. Eighty patients (28 males, 52 females) received 128 implants, 36 in the mandible and 92 in the maxilla. Fifty nine implants were inserted in the one stage procedure & 69 implants in the two stage procedure. All implants were followed-up for 6 months according to the success criteria (Albrektssons criteria). Total success rate was 97.6%. In the one stage procedure it was 96.6% and 98.5% in the two stage procedure. There was no statistical significant difference between the two procedures. In conclusion, the one stage procedure can be employed as successful alternative to two stage procedure when there is good primary stability and no bone augmentation at the time of implant placement.


Article
EFFICACY OF SCREW EXPANSION FOR NARROW ALVEOLAR RIDGES IN DENTAL IMPLANT SURGERY, A CLINICAL STUDY

Authors: Thair A Hassan --- Ahmed M Abdulrahman
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2016 Volume: 22 Issue: 2 Pages: 3-9
Publisher: Basrah University جامعة البصرة

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Abstract

Post-extraction alveolar ridge resorption is unavoidable phenomenon ending with insufficient ridge width. Bone grafting, osteotome ridge expansion and ridge splitting were used to expand narrow ridges but they are either expensive, associated with higher morbidity or require longer treatment time. Therefore the use of screw expansion was introduced as an option for managing deficient ridge width enhancing ridge density, facilitating immediate implant placement and is not associated with potential complication. The aims were to evaluate of the efficacy of bone screw expanders in widening narrow ridges, measuring bone gain and assessing possible complications. This clinical prospective study was performed between October 2015 & October 2016. Twenty four patients with 45 potential sites were involved. Preoperative clinical examination and radiographic assessment with OPG were performed for all cases. ITL bone expander kit was used after initial osteotomy to expand the narrow ridges. Osstell ISQ was utilized to measure the primary implant stability. After 16 weeks, patients were recalled again for the second stage surgery and Osstell was used again to measure the secondary stability. Patients then were referred to the prosthetic department for completion of final prosthesis after sufficient time for healing abutments in place. Twenty four patients were participated with 45 implants inserted. Female to male ratio was 2.4:1 with a mean age of 43.12 year ranging between 18–65 years. The original mean bone width (Mean±SD) prior to expansion was 3.3±0.56 mm & after expansion associated with dental implant insertion was 5.09±1.05 mm and there was statistical significance in possible mean bone gain by 1.79 mm from baseline. The overall survival rate was 91.1% with the anterior parts of both jaws having the highest percentages. Intraoperative complications involved cracks which were observed in 15 sites (39.5%) and cortical malfractures which were seen in 7 sites (15.6%). In conclusion, screw expansion is an easy solution for expanding narrow ridges with least possible complications and allow for simultaneous implant placement.

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