UĞUR BARAN GÖZ
Clinical Dentistry and Research - 2024;48(2):67-72
Background and Aim: Flapless implant surgery has various advantages, such as shorter operating times and more comfortable postoperative periods for patients. However, flapless implant surgery also has disadvantages. One of the most important of these is heat generation in the bone. This study aims to investigate the effects of flapless surgery on heat generation. Materials and Method: In this study, customized polyurethane was designed in a computer environment into which the implant slots will be drilled. Two study groups, flapless and open-flap, were formed with all variables and 10 implant slots for each group were opened with external irrigation. Implant slot temperature measurements were obtained from both the apical and neck region by using a thermocouple. Results: The average temperature values of the groups are as follows: the Open-flap group was 26.63°C and the Flapless group was 27.66°C at the neck point of the implant sockets. The average temperature values obtained for the Open-flap group were lower than those of the Flapless group at the neck point (p<0.05). The median temperature values of the groups are as follows: Open-Flap group was 28.60°C and the Flapless group was 29.30°C at the apical point of the implant sockets. The median temperature values measured at the apical point did not differ between the Open-Flap and Flapless groups (p>0.999). Conclusions: Today, flapless surgery procedures have become very common due to their numerous advantages. However, it should be kept in mind that flapless surgery may obstruct access of serum irrigation to the surgical area.
