IS FLAPLESS IMPLANT PLACEMENT PROCEDURES BETTER THAN CONVENTIONAL FLAP IN PARTIALLY EDENTULOUS PATIENTS”: RANDOMIZED CONTROL STUDY

Background: Dental implants are a reliable rescue for edentulism. The dental implants had undergone various
upgrades to improve the osseointegration. One of such is flapless implant placement.
Aim: To assess the efficacy of flap vs flapless implant placement.
Material and methods: A total sample of 20 implants were included which were randomly grouped into two based
on the treatment they received; Group A (Control): 10 patients who are undergoing open flap implant placement
surgery and Group B (Experimental group) included 10 patients who are undergoing flapless implant placement
surgery. ISQ, Plaque index and soft tissue healing was assessed immediately and 2nd month follow up.
Results: Group B exhibited statistically significantly higher mean ISQ value compared to Group A at baseline and
second post-op month. Group B exhibited a higher mean plaque Index and soft tissue healing index values compared
to Group A at baseline and second post-op month but not statistically significant.
Conclusion: By avoiding the need for incision and flap reflection, maintaining the vascularity to the underlying bone,
and reducing edema due to surgical intervention and its inflammatory mediators, flapless implant placement offers a
promising role in implantology. This leads to a more stable soft tissue profile and higher implant stability following
implant placement, as well as a more desirable aesthetic result.