Comparative evaluation of circumferential crestal bone loss after 1 year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using cone-beam computed tomography: A randomized controlled trial
Aim: The study was aimed to evaluate circumferential crestal bone level after one year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using CBCT. Setting and Design: The study was designed as a Randomized cont...
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| Veröffentlicht in: | The journal of Indian Prosthodontic Society 2023-07, Vol.23 (3), p.226-233 |
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| creator | Dandekar, Sayali Lahoti, Krishankumar Gade, Jaykumar Agrawal, Megha |
| description | Aim: The study was aimed to evaluate circumferential crestal bone level after one year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using CBCT.
Setting and Design: The study was designed as a Randomized controlled trial.
Material and Methods: 32 implants were placed in single edentulous spaces in the mandibular posterior region after random allocation into two groups: Flap surgery (Group A) and Flapless surgery (Group B). Virtual implant planning was performed using Blue Sky Bio software, and static CBCT guided 3D printed surgical templates were fabricated for all participants of both the groups. Immediate non-functional temporization was performed. Circumferential crestal bone levels were assessed after surgery and one-year follow-up using CBCT and XELIS software. Vertical bone loss (VBL) and horizontal bone loss (HBL) was assessed on four sides: buccal, lingual, mesial and distal.
Statistical Analysis Used: Data was analyzed using Statistical Package for Social Sciences IBM Corp. Released 2017, IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp.) and Graph Pad Prism 7.0 version. The level of significance was chosen |
| doi_str_mv | 10.4103/jips.jips_129_23 |
| format | Article |
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Setting and Design: The study was designed as a Randomized controlled trial.
Material and Methods: 32 implants were placed in single edentulous spaces in the mandibular posterior region after random allocation into two groups: Flap surgery (Group A) and Flapless surgery (Group B). Virtual implant planning was performed using Blue Sky Bio software, and static CBCT guided 3D printed surgical templates were fabricated for all participants of both the groups. Immediate non-functional temporization was performed. Circumferential crestal bone levels were assessed after surgery and one-year follow-up using CBCT and XELIS software. Vertical bone loss (VBL) and horizontal bone loss (HBL) was assessed on four sides: buccal, lingual, mesial and distal.
Statistical Analysis Used: Data was analyzed using Statistical Package for Social Sciences IBM Corp. Released 2017, IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp.) and Graph Pad Prism 7.0 version. The level of significance was chosen <0.05. Chi square test was performed to assess the difference in the age in the two groups. Mann-Whitney U test was performed to compare the two groups for outcome measure. Graphically, quantile-quantile (Q-Q) plot was made using mean and standard deviation for normality verification of data.
Results: 100% survival rate and patient compliance was observed along the one-year follow-up duration. By using Mann-Whitney U test, statistically significant difference was found in the vertical bone loss among participants of Flap surgery (Group A) and Flapless surgery (Group B) on all the four sides after one year of implant placement. However, significant results were not obtained for the difference in the horizontal bone level.
Conclusion: Within the limitations of this study, vertical bone loss measured circumferentially was more positively correlated with the implants placed with flap surgery compared to flapless surgery after immediate loading in the posterior mandibular region after one year.</description><identifier>ISSN: 0972-4052</identifier><identifier>ISSN: 1998-4057</identifier><identifier>EISSN: 1998-4057</identifier><identifier>DOI: 10.4103/jips.jips_129_23</identifier><identifier>PMID: 37929361</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Alveolar Bone Loss - diagnostic imaging ; Alveolar Bone Loss - surgery ; Bone implants ; Bone loss ; Bone surgery ; Clinical trials ; Comparative analysis ; Computed tomography ; Computer industry ; Cone-Beam Computed Tomography ; CT imaging ; Dental Implantation, Endosseous - methods ; Dental Implants ; Humans ; International economic relations ; Mandible ; Mandible - diagnostic imaging ; Mandible - surgery ; Mann-Whitney U test ; Mechanical loading ; Patient compliance ; Software ; Statistical analysis ; Statistics ; Surgery ; Transplants & implants</subject><ispartof>The journal of Indian Prosthodontic Society, 2023-07, Vol.23 (3), p.226-233</ispartof><rights>COPYRIGHT 2023 Medknow Publications and Media Pvt. Ltd.</rights><rights>2023. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2023 The Journal of Indian Prosthodontic Society 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c535t-5e16748795459017e763527c97bfc96d48af49212ea9ecf07f162badd79de1733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10467325/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10467325/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27439,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37929361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dandekar, Sayali</creatorcontrib><creatorcontrib>Lahoti, Krishankumar</creatorcontrib><creatorcontrib>Gade, Jaykumar</creatorcontrib><creatorcontrib>Agrawal, Megha</creatorcontrib><title>Comparative evaluation of circumferential crestal bone loss after 1 year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using cone-beam computed tomography: A randomized controlled trial</title><title>The journal of Indian Prosthodontic Society</title><addtitle>J Indian Prosthodont Soc</addtitle><description>Aim: The study was aimed to evaluate circumferential crestal bone level after one year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using CBCT.
Setting and Design: The study was designed as a Randomized controlled trial.
Material and Methods: 32 implants were placed in single edentulous spaces in the mandibular posterior region after random allocation into two groups: Flap surgery (Group A) and Flapless surgery (Group B). Virtual implant planning was performed using Blue Sky Bio software, and static CBCT guided 3D printed surgical templates were fabricated for all participants of both the groups. Immediate non-functional temporization was performed. Circumferential crestal bone levels were assessed after surgery and one-year follow-up using CBCT and XELIS software. Vertical bone loss (VBL) and horizontal bone loss (HBL) was assessed on four sides: buccal, lingual, mesial and distal.
Statistical Analysis Used: Data was analyzed using Statistical Package for Social Sciences IBM Corp. Released 2017, IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp.) and Graph Pad Prism 7.0 version. The level of significance was chosen <0.05. Chi square test was performed to assess the difference in the age in the two groups. Mann-Whitney U test was performed to compare the two groups for outcome measure. Graphically, quantile-quantile (Q-Q) plot was made using mean and standard deviation for normality verification of data.
Results: 100% survival rate and patient compliance was observed along the one-year follow-up duration. By using Mann-Whitney U test, statistically significant difference was found in the vertical bone loss among participants of Flap surgery (Group A) and Flapless surgery (Group B) on all the four sides after one year of implant placement. However, significant results were not obtained for the difference in the horizontal bone level.
Conclusion: Within the limitations of this study, vertical bone loss measured circumferentially was more positively correlated with the implants placed with flap surgery compared to flapless surgery after immediate loading in the posterior mandibular region after one year.</description><subject>Alveolar Bone Loss - diagnostic imaging</subject><subject>Alveolar Bone Loss - surgery</subject><subject>Bone implants</subject><subject>Bone loss</subject><subject>Bone surgery</subject><subject>Clinical trials</subject><subject>Comparative analysis</subject><subject>Computed tomography</subject><subject>Computer industry</subject><subject>Cone-Beam Computed Tomography</subject><subject>CT imaging</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>Dental Implants</subject><subject>Humans</subject><subject>International economic relations</subject><subject>Mandible</subject><subject>Mandible - diagnostic imaging</subject><subject>Mandible - surgery</subject><subject>Mann-Whitney U test</subject><subject>Mechanical loading</subject><subject>Patient compliance</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Surgery</subject><subject>Transplants & implants</subject><issn>0972-4052</issn><issn>1998-4057</issn><issn>1998-4057</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1k0tv1DAUhQMC0VJYIrFClpAQmym283DMBpWKl1SJDawtj3Mz49aOU9uZ0fDruem0pUWgSH7E3zmxr0-K4iWjxxWj5btzO6bjuVGMS8XLh8Uhk7JdVLQWj4pDKgWfx_ygeJrSOaV1S9vqSXFQCsll2bDDBy9Ogx911NlugMBGuwmHYSChJ8ZGM_keIgzZakdMhJSxX4YBiAspEd1niISRHeg4K6wfnR4ywdaARxnZ2rwmvdOjA-Q3ENOUruYkTXEFcUemZIfV1cwaNM8we2S49rbeQ2fnuQu6m0k7kLwGMoaE6zZE4vXQ2eXkcAsRVvPe95YGt7lYgvY48uOUoSM5-LCKelzv3pMTElEYvP2FC8jmGJybmYhnfVY87rVL8Py6Pyp-fv704_Tr4uz7l2-nJ2cLU5d1XtTAGlG1QtZVLSkTIJqy5sJIseyNbLqq1X0lOeOgJZieip41fKm7TsgOmCjLo-LD3neclnhQgyWL2qkxWq_jTgVt1f2Vwa7VKmwUo1UjSl6jw9trhxguJ7wg5W0y4PAeIExJ8bZtaomNQPT1X-h5mOKA50OqElw0rGF_qJV2oOzQB_ywmU3ViWgo5ZLXFVLH_6Dw6cDbufK9xff3BG_uCNagXV6n4KY5bOk-SPegiRixCP1tNRhVc-jVVd7vhB4lr-5W8VZwk3IEPu6BbXCYmnThpi1EhezFELb_NVacN-rm_yh_AwFBHm0</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Dandekar, Sayali</creator><creator>Lahoti, Krishankumar</creator><creator>Gade, Jaykumar</creator><creator>Agrawal, Megha</creator><general>Wolters Kluwer India Pvt. 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Lahoti, Krishankumar ; Gade, Jaykumar ; Agrawal, Megha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-5e16748795459017e763527c97bfc96d48af49212ea9ecf07f162badd79de1733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Alveolar Bone Loss - diagnostic imaging</topic><topic>Alveolar Bone Loss - surgery</topic><topic>Bone implants</topic><topic>Bone loss</topic><topic>Bone surgery</topic><topic>Clinical trials</topic><topic>Comparative analysis</topic><topic>Computed tomography</topic><topic>Computer industry</topic><topic>Cone-Beam Computed Tomography</topic><topic>CT imaging</topic><topic>Dental Implantation, Endosseous - methods</topic><topic>Dental Implants</topic><topic>Humans</topic><topic>International economic relations</topic><topic>Mandible</topic><topic>Mandible - diagnostic imaging</topic><topic>Mandible - surgery</topic><topic>Mann-Whitney U test</topic><topic>Mechanical loading</topic><topic>Patient compliance</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Statistics</topic><topic>Surgery</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dandekar, Sayali</creatorcontrib><creatorcontrib>Lahoti, Krishankumar</creatorcontrib><creatorcontrib>Gade, Jaykumar</creatorcontrib><creatorcontrib>Agrawal, Megha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of Indian Prosthodontic Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dandekar, Sayali</au><au>Lahoti, Krishankumar</au><au>Gade, Jaykumar</au><au>Agrawal, Megha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative evaluation of circumferential crestal bone loss after 1 year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using cone-beam computed tomography: A randomized controlled trial</atitle><jtitle>The journal of Indian Prosthodontic Society</jtitle><addtitle>J Indian Prosthodont Soc</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>23</volume><issue>3</issue><spage>226</spage><epage>233</epage><pages>226-233</pages><issn>0972-4052</issn><issn>1998-4057</issn><eissn>1998-4057</eissn><abstract>Aim: The study was aimed to evaluate circumferential crestal bone level after one year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using CBCT.
Setting and Design: The study was designed as a Randomized controlled trial.
Material and Methods: 32 implants were placed in single edentulous spaces in the mandibular posterior region after random allocation into two groups: Flap surgery (Group A) and Flapless surgery (Group B). Virtual implant planning was performed using Blue Sky Bio software, and static CBCT guided 3D printed surgical templates were fabricated for all participants of both the groups. Immediate non-functional temporization was performed. Circumferential crestal bone levels were assessed after surgery and one-year follow-up using CBCT and XELIS software. Vertical bone loss (VBL) and horizontal bone loss (HBL) was assessed on four sides: buccal, lingual, mesial and distal.
Statistical Analysis Used: Data was analyzed using Statistical Package for Social Sciences IBM Corp. Released 2017, IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp.) and Graph Pad Prism 7.0 version. The level of significance was chosen <0.05. Chi square test was performed to assess the difference in the age in the two groups. Mann-Whitney U test was performed to compare the two groups for outcome measure. Graphically, quantile-quantile (Q-Q) plot was made using mean and standard deviation for normality verification of data.
Results: 100% survival rate and patient compliance was observed along the one-year follow-up duration. By using Mann-Whitney U test, statistically significant difference was found in the vertical bone loss among participants of Flap surgery (Group A) and Flapless surgery (Group B) on all the four sides after one year of implant placement. However, significant results were not obtained for the difference in the horizontal bone level.
Conclusion: Within the limitations of this study, vertical bone loss measured circumferentially was more positively correlated with the implants placed with flap surgery compared to flapless surgery after immediate loading in the posterior mandibular region after one year.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>37929361</pmid><doi>10.4103/jips.jips_129_23</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0972-4052 |
| ispartof | The journal of Indian Prosthodontic Society, 2023-07, Vol.23 (3), p.226-233 |
| issn | 0972-4052 1998-4057 1998-4057 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10467325 |
| source | MEDLINE; Medknow Open Access Medical Journals; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Alveolar Bone Loss - diagnostic imaging Alveolar Bone Loss - surgery Bone implants Bone loss Bone surgery Clinical trials Comparative analysis Computed tomography Computer industry Cone-Beam Computed Tomography CT imaging Dental Implantation, Endosseous - methods Dental Implants Humans International economic relations Mandible Mandible - diagnostic imaging Mandible - surgery Mann-Whitney U test Mechanical loading Patient compliance Software Statistical analysis Statistics Surgery Transplants & implants |
| title | Comparative evaluation of circumferential crestal bone loss after 1 year of implant placement with flapless versus flap surgery using surgical template after immediate loading in the posterior mandibular region using cone-beam computed tomography: A randomized controlled trial |
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