Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis

Aim: To compare the crestal bone level of flapless technique of dental implant placement with the flap technique. Setting and Design: This Systematic review and Meta-analysis was conducted according to the Preferred Reporting Items For Systematic Review and Meta-Analyses (PRISMA) Guidelines and regi...

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Autores principales:	Krishankumar Lahoti, Sayali Dandekar, Jaykumar Gade, Megha Agrawal
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	crestal bone level dental implant flapless guided flapless Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/41bfe3dd2f9d425e95f44828d51c1852
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spelling	oai:doaj.org-article:41bfe3dd2f9d425e95f44828d51c18522021-11-19T10:59:31ZComparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis0972-40521998-405710.4103/jips.jips_208_21https://doaj.org/article/41bfe3dd2f9d425e95f44828d51c18522021-01-01T00:00:00Zhttp://www.j-ips.org/article.asp?issn=0972-4052;year=2021;volume=21;issue=4;spage=328;epage=338;aulast=Lahotihttps://doaj.org/toc/0972-4052https://doaj.org/toc/1998-4057Aim: To compare the crestal bone level of flapless technique of dental implant placement with the flap technique. Setting and Design: This Systematic review and Meta-analysis was conducted according to the Preferred Reporting Items For Systematic Review and Meta-Analyses (PRISMA) Guidelines and registered with PROSPERO. Materials and Methods: Electronic search of Medline and Google scholar databases for articles from 2010 till March 2020 was performed. Studies comparing the crestal bone level with both the techniques were included. After the collection of data, the risk of bias was assessed for each study. Statistical Analysis Used: Meta-analysis was executed using RevMan 5 software version 5.3. Results: 23 studies were included. Statistically significant difference in crestal bone level was found between flapless and flap surgery with mean difference of −0.14 (flapless placement versus flap surgery; 95% CI: −0.24 to −0.03; P = 0.01FNx01). The difference in crestal bone level between the 2 groups was not statistically significant with a mean difference of –0.05(Guided flapless placement versus flap surgery; 95% CI: −0.10 to 0.00; P=0.06). Meta-analysis of the freehand flapless surgery with flap surgery generated a mean difference of −0.20 which was found to be statistically significant (Freehand flapless placement versus flap surgery; 95% CI: −0.37 to −0.03; P=0.02FNx01). Conclusions: Flapless placement of implant can positively influence crestal bone loss in comparison with conventional flap technique.Krishankumar LahotiSayali DandekarJaykumar GadeMegha AgrawalWolters Kluwer Medknow Publicationsarticlecrestal bone leveldental implantflaplessguided flaplessDentistryRK1-715ENThe Journal of Indian Prosthodontic Society, Vol 21, Iss 4, Pp 328-338 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	crestal bone level dental implant flapless guided flapless Dentistry RK1-715
spellingShingle	crestal bone level dental implant flapless guided flapless Dentistry RK1-715 Krishankumar Lahoti Sayali Dandekar Jaykumar Gade Megha Agrawal Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis
description	Aim: To compare the crestal bone level of flapless technique of dental implant placement with the flap technique. Setting and Design: This Systematic review and Meta-analysis was conducted according to the Preferred Reporting Items For Systematic Review and Meta-Analyses (PRISMA) Guidelines and registered with PROSPERO. Materials and Methods: Electronic search of Medline and Google scholar databases for articles from 2010 till March 2020 was performed. Studies comparing the crestal bone level with both the techniques were included. After the collection of data, the risk of bias was assessed for each study. Statistical Analysis Used: Meta-analysis was executed using RevMan 5 software version 5.3. Results: 23 studies were included. Statistically significant difference in crestal bone level was found between flapless and flap surgery with mean difference of −0.14 (flapless placement versus flap surgery; 95% CI: −0.24 to −0.03; P = 0.01FNx01). The difference in crestal bone level between the 2 groups was not statistically significant with a mean difference of –0.05(Guided flapless placement versus flap surgery; 95% CI: −0.10 to 0.00; P=0.06). Meta-analysis of the freehand flapless surgery with flap surgery generated a mean difference of −0.20 which was found to be statistically significant (Freehand flapless placement versus flap surgery; 95% CI: −0.37 to −0.03; P=0.02FNx01). Conclusions: Flapless placement of implant can positively influence crestal bone loss in comparison with conventional flap technique.
format	article
author	Krishankumar Lahoti Sayali Dandekar Jaykumar Gade Megha Agrawal
author_facet	Krishankumar Lahoti Sayali Dandekar Jaykumar Gade Megha Agrawal
author_sort	Krishankumar Lahoti
title	Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis
title_short	Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis
title_full	Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis
title_fullStr	Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis
title_full_unstemmed	Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis
title_sort	comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: systematic review and meta-analysis
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/41bfe3dd2f9d425e95f44828d51c1852
work_keys_str_mv	AT krishankumarlahoti comparativeevaluationofcrestalbonelevelbyflaplessandflaptechniquesforimplantplacementsystematicreviewandmetaanalysis AT sayalidandekar comparativeevaluationofcrestalbonelevelbyflaplessandflaptechniquesforimplantplacementsystematicreviewandmetaanalysis AT jaykumargade comparativeevaluationofcrestalbonelevelbyflaplessandflaptechniquesforimplantplacementsystematicreviewandmetaanalysis AT meghaagrawal comparativeevaluationofcrestalbonelevelbyflaplessandflaptechniquesforimplantplacementsystematicreviewandmetaanalysis
_version_	1718420127249072128

Comparative evaluation of crestal bone level by flapless and flap techniques for implant placement: Systematic review and meta-analysis

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