Clinical and Radiological Evaluation of Flapless Delayed Loading Versus Conventional Delayed Loading of Implants in Partially Edentulous Patients: One Year Randomized Prospective Follow Up Study.

Ria Maria, Jain (2012) Clinical and Radiological Evaluation of Flapless Delayed Loading Versus Conventional Delayed Loading of Implants in Partially Edentulous Patients: One Year Randomized Prospective Follow Up Study. Masters thesis, J.K.K. Nataraja Dental College, Komarapalayam.

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Abstract

The study was designed and conducted in the Department of Periodontics, JKK Nattraja Dental College and Hospital, Komarapalayam, Tamilnadu. In this one year, study was done to evaluate the clinical and radiological parameters of 5 flap and 5 flapless single tooth implants in respect to the method of placement. All the patients were followed up for 6 and 12 months corresponding to a functional loading time of 4 months. All the implants were remained in function during one year after the crown restoration. The Plaque index, soft tissue index, probing depth, width of keratinized mucosa, thickness of peri-implant mucosa, papilla index and peri-implant bone loss were recorded at baseline, 6th and 12 months intervals. The periimplant bone loss was assessed by using RVG by sopro imaging software. The data were subjected to statistical analysis. From the results obtained, the following conclusions were arrived: 1. Single tooth implant revealed higher success rates in both groups with positive tissue response. 2. The minimum 1mm thickness of peri-implant mucosa is needed for maintaining the implants without recession. 3. Peri-implant inflammation was less for implants surrounded by more than 2mm of keratinized mucosa in both groups. 4. Improved papilla fill was observed in flapless group than in flap group. 5. Average peri-implant bone loss in both groups was less than 1.5 mm after the 12 year period of function .bone loss is much lesser in flapless group comparing to flap group. 6. Pocket probing depth also lesser in flapless group comparing to flap group. The results obtained here clearly demonstrated that self-threaded internal hex, titanium implants placed according to a flap or flapless surgical protocol can be predictably successful over a period of 12 months. High successful rates were achieved without severe peri-implant complications. However, it is necessary to have a large sample size with proper selection of the patients needed to evaluate the clinical and radiological parameters. Also further studies need to be carried out to evaluate the relationship between peri-implant soft and hard tissue in respect to the placement of implants.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Clinical and Radiological Evaluation ; Flapless Delayed Loading ; Conventional Delayed Loading of Implants ; Partially Edentulous Patients ; one year ; Randomized ; Prospective Follow Up study.
Subjects: DENTAL > Periodontology
Depositing User: Kambaraman B
Date Deposited: 13 May 2018 05:04
Last Modified: 13 May 2018 05:04
URI: http://repository-tnmgrmu.ac.in/id/eprint/7760

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