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All participants were premedicated with 2 g of amoxicillin or 600 mgr of clindamycin. The objective of the present study is to compare the immediate postoperative period of participants rehabilitated with dental implants placed with a conventional technique or with a minimally invasive technique, without a mucoperiosteal flap elevation (flapless).Ī prospective, randomized, pilot study was conducted, 35 patients ( ASA I or II) partially or totally edentulous were divided in two groups, in Group A (G_A) the implants were placed using a standard technique with flap elevation and in Group B (G_B) they were placed using a flapless technique, accessing the bone with a round mucosal punch of the same diameter as that of the implant to be placed. However, these minimally invasive techniques also have drawbacks, there is a greater difficulty in achieving sufficient bone cooling during bone cutting, and remodeling of the bone crest or manipulation of the soft tissues in the emergent area of the implants cannot be performed. These techniques achieve a reduction in surgical time, a better preservation of soft and hard tissues, a decrease in postoperative inflammation, bleeding and pain, and a shorter recovery time. Postoperative discomfort due to flap elevation led to the development of minimally invasive techniques for implant placement in which the mucoperiosteal flap is not elevated (flapless). Despite this, the placement of a dental implant is a biologically aggressive surgical procedure, which causes a postoperative inflammatory process associated with resorption of the peri-implant bone.
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The use of dental implants in the rehabilitation of partially or totally edentulous patients is a routine procedure with very high and predictable success rates.