Evidence map›Paper›PMID 40794334›Full record

ArticleClinical oral investigations2025

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.

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

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

D De SantisHead and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.
S WangDepartment of Dental Implantology, The Affiliated Stomatological Hospital, Zunyi Medical University, Zunyi, Guizhou, China.
P MontagnaHead and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy. pietro.montagna@univr.it.
P FaccioniHead and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.
A ZanganiHead and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.
F BalliuHead and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.
F MelloniHead and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.
F GelpiHead and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis 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

methodsTwenty 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).

resultsNo 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.

conclusionsThe 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.

Indexed as

Immediate Dental Implant LoadingSurgical FlapsAdultAgedEsthetics, DentalFemaleHumansMaleMaxillaMiddle AgedPatient SatisfactionRetrospective StudiesTreatment OutcomeDental implantsEsthetic zoneImmediate implant placementSurgical technique

Identifiers

PMID40794334
PMCPMC12343692

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.