The Clinical Evaluation of the Dynamically Navigated Flapless Placement of Zygomatic Implants: A Randomized Controlled Trial

被引:1
|
作者
Bhalerao, Ashwini [1 ]
Marimuthu, Madhulaxmi [1 ]
Wahab, Abdul [1 ]
Ayoub, Ashraf [2 ]
机构
[1] Saveetha Dent Coll, Oral & Maxillofacial Surg, Chennai, India
[2] Glasgow Univ, Oral & Maxillofacial Surg, Dent Hosp & Sch, Glasgow, Scotland
关键词
dynamic navigation; flapless; pain; swelling; zygomatic implant; SURVIVAL; PROTOCOL; COMPLICATIONS;
D O I
10.11607/jomi.10443
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: To assess the pain, swelling, infection, and alteration in sensation following the flapless placement of zygomatic implants guided by dynamic navigation. Materials and Methods: A randomized controlled trial was conducted on 20 patients. In group 1, the placement of the zygomatic implants was carried out without reflecting a mucoperiosteal flap (flapless). In group 2, a mucoperiosteal flap was raised (flapped). Two zygomatic implants were placed in each patient (one on each side) under local anesthesia, guided by dynamic navigation. Postoperative evaluations included pain (using the visual analogue scale [VAS]), swelling (using standard measurements), maxillary sinus infection, and alteration of sensation (using mechanical stimuli, thermal threshold detection, and a two -point discrimination test). The assessments were carried out at 2 days, 1 week, and then 1, 2, and 3 months postoperatively. Results: In group 1, all implants except for one were successfully osseointegrated. Immediate postoperative pain and swelling were both significantly greater in group 2 (P < .01). No alteration in sensation was detected in any case in the two groups. There were a total of three cases of chronic sinusitis: one in group 1 and two in group 2. Conclusions: The flapless placement of zygomatic implants guided by dynamic navigation and under local anesthesia improves postoperative recovery.
引用
收藏
页码:40 / 49
页数:10
相关论文
共 50 条
  • [21] Immediate implant placement and provisionalization in the aesthetic zone using a flapless or a flap-involving approach: a randomized controlled trial
    Stoupel, Janet
    Lee, Chun-Teh
    Glick, Jaclyn
    Sanz-Miralles, Elena
    Chiuzan, Cody
    Papapanou, Panos N.
    JOURNAL OF CLINICAL PERIODONTOLOGY, 2016, 43 (12) : 1171 - 1179
  • [22] The flapless approach with and without enamel matrix derivatives for the treatment of intrabony defects: A randomized controlled clinical trial
    Aimetti, Mario
    Stasikelyte, Morta
    Mariani, Giulia Maria
    Cricenti, Luca
    Baima, Giacomo
    Romano, Federica
    JOURNAL OF CLINICAL PERIODONTOLOGY, 2024, 51 (09) : 1112 - 1121
  • [23] Evaluation of minimally invasive esthetic crown lengthening using an open flap versus flapless surgical approach: A randomized controlled clinical trial
    Sourour, Marie-line
    Tawfik, Omnia Khaled
    Hosny, Manal
    El-Sayed, Karim Mohamed Fawzy
    JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, 2024,
  • [24] Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial
    Alaa M. H. Alfawal
    Mohammad Y. Hajeer
    Mowaffak A. Ajaj
    Omar Hamadah
    Bassel Brad
    Head & Face Medicine, 14
  • [25] Clinical and Radiographic Evaluation of Immediate Loaded Dental Implants With Local Application of Melatonin: A Preliminary Randomized Controlled Clinical Trial
    El-Gammal, Mona Y.
    Salem, Ahmed S.
    Anees, Mohamed M.
    Tawfik, Mohamed A.
    JOURNAL OF ORAL IMPLANTOLOGY, 2016, 42 (02) : 119 - 125
  • [26] Evaluation of the efficacy of laser-assisted flapless corticotomy in accelerating canine retraction: a split-mouth randomized controlled clinical trial
    Samer T. Jaber
    Rabab Al-Sabbagh
    Mohammad Y. Hajeer
    Oral and Maxillofacial Surgery, 2022, 26 : 81 - 89
  • [27] Evaluation of the efficacy of laser-assisted flapless corticotomy in accelerating canine retraction: a split-mouth randomized controlled clinical trial
    Jaber, Samer T.
    Al-Sabbagh, Rabab
    Hajeer, Mohammad Y.
    ORAL AND MAXILLOFACIAL SURGERY-HEIDELBERG, 2022, 26 (01): : 81 - 89
  • [28] The clinical and radiographic outcome of implants placed in the posterior maxilla with a guided flapless approach and immediately restored with a provisional rehabilitation: a randomized clinical trial
    Van de Velde, T.
    Sennerby, L.
    De Bruyn, H.
    CLINICAL ORAL IMPLANTS RESEARCH, 2010, 21 (11) : 1223 - 1233
  • [29] Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial
    Alfawal, Alaa M. H.
    Hajeer, Mohammad Y.
    Ajaj, Mowaffak A.
    Hamadah, Omar
    Brad, Bassel
    HEAD & FACE MEDICINE, 2018, 14
  • [30] Comparison between flapless-guided and conventional surgery for implant placement: a 12-month randomized clinical trial
    Nomiyama, Lucas Massaru
    Matumoto, Edson Ken
    Correa, Monica Grazieli
    Cirano, Fabiano Ribeiro
    Ribeiro, Fernanda Vieira
    Pimentel, Suzana Peres
    Casati, Marcio Zaffalon
    CLINICAL ORAL INVESTIGATIONS, 2023, 27 (04) : 1665 - 1679