title: Flapless guided implant surgery: a case report and review of literature.
abstract: 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.
authors.affiliation: Oral & Maxillofacial Surgery unit, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria. tuoyook@yahoo.co.uk
authors.forename: E M
authors.initials: EM
authors.lastname: Okoturo
authors.forename: E C
authors.initials: EC
authors.lastname: Edeh
authors.forename: O O
authors.initials: OO
authors.lastname: Olowu
mesh_terms: D000328:Adult; D003758:Dental Implantation, Endosseous / Q000295:instrumentation / Q000379:methods*; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D006801:Humans; D016348:Osseointegration; D025321:Surgery, Computer-Assisted; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome