The low invasiveness design (LID) flap in immediate implant placement: a 20-patient case series on a novel flap design based on new insights into papilla vascularization.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Investigations Pub Date : 2025-08-12 DOI:10.1007/s00784-025-06496-x

D De Santis, S Wang, P Montagna, P Faccioni, A Zangani, F Balliu, F Melloni, F Gelpi

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引用次数: 0

Abstract

Objectives: This study presents a novel Low Invasiveness Design (LID) flap for Immediate Implant Placement (IIP) and evaluates its clinical and esthetic outcomes in a 20-patient retrospective case series. The LID flap is based on recent insights into papilla vascularization and aims to balance the benefits of flapless and conventional flap techniques.

Materials and methods: Twenty patients requiring IIP in the anterior maxilla were treated with the LID flap. The study included non-smoking, systemically healthy individuals. Esthetic outcomes and patient satisfaction were assessed one year after final prosthetic rehabilitation respectively using the Pink Esthetic Score (PES) and the Visual Analogue Scale (VAS).

Results: No implant failures or major complications were reported. A minor case of flap distress (5%) was observed and healed spontaneously without intervention. The mean PES was 12.35 ± 0.99, indicating satisfactory esthetic outcomes, while the mean VAS score was 9.15 ± 0.75. The flap design successfully preserved papilla height and granted soft tissue stability.

Conclusions: The LID flap presents a promising approach for IIP, preserving soft tissue esthetics while ensuring surgical precision. The preliminary results suggest that this technique may provide an alternative to traditional flap designs.

Clinical relevance: The LID flap may serve as an alternative to traditional incision designs in IIP procedures.

Abstract Image

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低侵入性设计（LID）皮瓣即刻植入：基于乳头血管化新见解的新型皮瓣设计的20例病例系列。

目的：本研究提出了一种新型的低侵入性设计（LID）皮瓣用于即刻种植（IIP），并通过20例回顾性病例系列评估其临床和美学效果。LID皮瓣是基于最近对乳头血管化的见解，旨在平衡无皮瓣和传统皮瓣技术的好处。材料与方法：对20例上颌前牙需要进行IIP修复的患者采用LID皮瓣进行治疗。该研究包括不吸烟、身体健康的个体。在最终假肢康复一年后，分别采用粉红色美学评分（PES）和视觉模拟量表（VAS）评估美学结果和患者满意度。结果：无种植失败及重大并发症报告。一小例皮瓣窘迫（5%）在没有干预的情况下自行愈合。PES平均评分为12.35±0.99，美观效果满意；VAS平均评分为9.15±0.75。皮瓣的设计成功地保持了乳头的高度并保证了软组织的稳定性。结论：LID皮瓣在保证手术精度的同时，保留了软组织的美观性，是一种很有前途的手术方法。初步结果表明，该技术可能提供传统皮瓣设计的替代方案。临床意义：在IIP手术中，LID皮瓣可作为传统切口设计的替代方案。

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来源期刊

Clinical Oral Investigations 医学-牙科与口腔外科

CiteScore

6.30

自引率

5.90%

发文量

484

审稿时长

3 months

期刊介绍： The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.