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Review
Published: 16-12-2021

Major advances in minimally traumatic surgery in implantodontics: the concise systematic review

University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
Minimally traumatic surgery Implantology Clinical studies

Abstract

Introduction: Dental implant procedures have reached about one million dental implants per year in the world. In this context, it is necessary to establish the state of the art of minimally traumatic procedures for dental implants, especially after bone graft procedures and/or the use of biomaterials for bone elevation. In this context of optimizing techniques for better management of dental implants, faster and more accurate methods were developed by dentists, with post-operative results with better results and quality of life, through minimally invasive procedures. Objective: To carry out a concise systematic review of minimally traumatic surgery for dental implants, as well as to elucidate the main techniques for this. Methods: The rules of the Systematic Review Platform-PRISMA were followed. The survey was conducted from July 2021 to October 2021 and was developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. Study quality was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: Since the most primordial extraction techniques were created and developed, several attempts have been made to minimize the professional's effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients, in the trans and postoperative periods. Thus, the maximum preservation of the integrity of the soft tissues (papillae and free and inserted gingival band) adjacent to the prosthetic spaces should be sought; preservation of the alveolar bone ridge level. Based on the histological concept in which living tissues are formed by cells joined by thin elastic tissue and with nerve fibrils, capillaries, lymphatic and blood vessels. The disruption of these cells by surgical trauma provides the release of enzymes that delay healing. For this reason, surgical trauma should be minimized. Conclusion: There are many attempts to minimize the professional effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients. Thus, the maximum preservation of the integrity of the soft tissues adjacent to the prosthetic spaces and the preservation of the level of the ridge of the alveolar bone to achieve a minimization of surgical trauma must be sought.

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How to Cite

Ravasoli, A. L., Paula, P. F. de, Silva, T. R. da, & Kassis, E. N. (2021). Major advances in minimally traumatic surgery in implantodontics: the concise systematic review. MedNEXT Journal of Medical and Health Sciences, 2(5). https://doi.org/10.54448/mdnt21516