Association of Anterior Implant Placement and Advancement of | 91074

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

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Association of Anterior Implant Placement and Advancement of Flap

Author(s): Santhosh Bala S, Abhinav RP*, Subhasree R and Thiyaneswaran N


Introduction: Implant osseointegration is defined as direct contact between the implant surface and the bone as measured under a light microscope. When enough bone volume surrounds the full surface of the implant, it has a better chance of surviving. Bone grafting may be required to ensure enough osseous support. This can happen at a variety of times, including after extraction for socket augmentation and in a staged or simultaneous approach with implant placement for ridge augmentation. Flap reflection is required for access to determine bone morphology, quantity, quality, and key anatomical features during bone grafting procedures. The flap characteristics and the outcomes of regenerative operations may be influenced by a variety of incision patterns and reflection approaches. The aim of this study is to determine the association of anterior implants and flap advancement. Materials and methods: In this retrospective study, the data was collected from the hospital database and further analysis was done and the results were tabulated. A statistical analysis of the collected data regarding the necessity of flap advancement during anterior implant placement Results: The sample size was found to be 2,116. 16.19% were in the age group 18-30 years, 39.88% were in the age group 30-50 years, 40.39% were in the age 50-70 years and 3.56% were in the age group 70-90 years. 67.08% of the cases were males and 32.92% were females. 28.29% of the cases needed flap advancement, while 71.71% of the cases did not require flap advancement. 61.74% of the cases were maxillary anterior and 38.26% of the cases were mandibular anterior. Discussion: In the current study, it can be concluded that there is no significant association between anterior implant placements. It is not dependent on the site of the implant. Previous study conducted by Zazou et al. concluded that flap advancement can be used in mandibular posteriors, especially if ridge augmentation is needed. In cases of anterior implant placements, Flap advancement is usually not needed. But a true association cannot be made between the implant site and necessity for flap advancement, as flap advancement is decided based on various factors mentioned above. Conclusion: Thus, it can be concluded that there is no association between anterior implant placement and flap advancement. Flap advancement is decided based on various factors, but the implant site alone is not determinative of the need for advancement of flap.

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