Flap Management in Alveolar Ridge Preservation: A Systematic Review and Meta-Analysis

The International Journal of Oral & Maxillofacial Implants
Jungwon LeeYong-Moo Lee

Abstract

This systematic review aimed to identify the effects of certain flap management procedures on ridge preservation on the basis of existing literature. Electronic (MEDLINE, EMBASE, and Cochrane Central Register of controlled trials) and manual searches of the literature were conducted until February 2017. Randomized controlled trials (RCTs), controlled clinical trials (CCTs), and prospective cohort studies that involved at least 10 subjects were eligible for this systematic review. To evaluate the beneficial effects of flap management on ridge preservation, changes in the bone width, bone height, and keratinized gingiva width were calculated using a random effects model. Eleven studies (nine RCTs and two CCTs) were included in this review. No statistically significant differences in bone width and height changes were identified between the flapped and flapless ridge preservation techniques and between the free gingival graft and flapless ridge preservation techniques. A statistically significant shrinkage in keratinized gingiva width was noted with flapped ridge preservation compared with flapless ridge preservation (weighted mean differences, -3.21 mm; 95% confidence interval, -4.10 to -2.33; P < .00001; heterogeneity, 51%; χ2, ...Continue Reading

Citations

Jul 4, 2019·Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.]·Edwin Ruales-CarreraCésar A M Benfatti
Jan 10, 2019·Journal of Clinical Periodontology·Gustavo Avila-OrtizFabio Vignoletti
Aug 25, 2019·Journal of Clinical Periodontology·Hyun-Chang LimJung-Chul Park
Feb 27, 2020·Case Reports in Dentistry·Ronald Younes, Carla Maria Khairallah
May 16, 2019·Cranio : the Journal of Craniomandibular Practice·Roger Solow
Oct 18, 2020·Journal of Clinical Periodontology·Emilio Couso-QueirugaGustavo Avila-Ortiz
Apr 27, 2021·The Cochrane Database of Systematic Reviews·Momen A AtiehMarco Esposito
Jun 16, 2021·International Journal of Oral and Maxillofacial Surgery·M A AtiehN H M Alsabeeha
Nov 20, 2021·International Journal of Implant Dentistry·Colline PapaceChristian Mertens
May 8, 2021·Tissue Engineering. Part a·Shihan ZhangHom-Lay Wang

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