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Year : 2010  |  Volume : 17  |  Issue : 3  |  Page : 237-242

Flapless guided implant surgery: a case report and review of literature

Oral & Maxillofacial Surgery unit, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

Correspondence Address:
E M Okoturo
Oral & Maxillofacial Surgery unit, Lagos State University Teaching Hospital, Ikeja, Lagos
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Source of Support: None, Conflict of Interest: None

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Dental implant surgery has traditionally been done through raising flaps, until recently when flapless surgery was advocated. The major challenges of implant placement include correct implant localisation / angulations and osseointegration. In this regard, many types of surgical guides have been proposed. This is a case report of implant placement using flapless guided surgery with a simple surgical guide. A 31 year old female with missing right maxillary canine and left 1st premolar was treated in a private hospital in Lagos, Nigeria. Two implants (BASIC: Bio Anatomical System Implant Corporation USA) with titanium-oxidised surface were proposed for placement. The patient was treated according to the protocol in the BASIC treatment manual. In summary, it involved design and fabrication of a surgical guide and flapless guided implant surgery. This minimally invasive flapless procedure offered less chair time with no complication. The accompanying 3 month osseointegrating period offered a comfortable post surgical period for the patient without compromised treatment outcome. The design technique involved the use of a periapical (P.A) radiograph, impression casts, P.A film overlay. All of which are affordable in a developing environment.

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