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Treatment guidelines

Flap- or flapless

Key points

  • Measure the distance from the alveolar crest to the mandibular canal the mental foramina or other relevant anatomical landmarks on the 3-D images.
  • Flapless implant placement and immediate restoration favour healing of surrounding tissues and aesthetic outcome.
  • During single implant surgery a higher precision can be achieved though the fit of the guide to the occlusal plane of neighbouring teeth.
  • The responsibility for the outcome and patient safety during flapless guided surgery remains with the surgeon.
  • The maximal and not the average deviation recorded for a specific planning system is relevant for the clinical safety.

Digital Textbooks

eBook: Single Implants and their Restoration
Single implants and their restoration
A study of flapless surgery was designed to answer the following 3 questions: 1.) Do implants placed using a flapless technique integrate to the same degree as implants placed using flap reflection?; 2) Is epithelium or connective tissue forced into the osteotomy during site preparation and do these tissues interfere with osseointegration?; and 3) Are there any other untoward reactions that would preclude the use of flapless surgery?


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