D De Santis, S Wang, P Montagna, P Faccioni, A Zangani, F Balliu, F Melloni, F Gelpi
{"title":"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。","authors":"D De Santis, S Wang, P Montagna, P Faccioni, A Zangani, F Balliu, F Melloni, F Gelpi","doi":"10.1007/s00784-025-06496-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Materials and methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Clinical relevance: </strong>The LID flap may serve as an alternative to traditional incision designs in IIP procedures.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 9","pages":"410"},"PeriodicalIF":3.1000,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343692/pdf/","citationCount":"0","resultStr":"{\"title\":\"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.\",\"authors\":\"D De Santis, S Wang, P Montagna, P Faccioni, A Zangani, F Balliu, F Melloni, F Gelpi\",\"doi\":\"10.1007/s00784-025-06496-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>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.</p><p><strong>Materials and methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Clinical relevance: </strong>The LID flap may serve as an alternative to traditional incision designs in IIP procedures.</p>\",\"PeriodicalId\":10461,\"journal\":{\"name\":\"Clinical Oral Investigations\",\"volume\":\"29 9\",\"pages\":\"410\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-08-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343692/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Oral Investigations\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00784-025-06496-x\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Investigations","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00784-025-06496-x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
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.
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
