Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 13–19
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IS FLAPLESS IMPLANT PLACEMENT PROCEDURES BETTER THAN CONVENTIONAL FLAP IN PARTIALLY EDENTULOUS PATIENTS”: RANDOMIZED CONTROL STUDY

Dheraj S*, Mohan Valiathan, Ranjith Mari, Anitha Balaji, Mohanasatheesh S, Maria Wincy. W

*Post-graduate, Department of Periodontology and Implantology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India. [email protected] · Professor, Department of Periodontology and Implantology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India · ³Senior Lecturer, Department of Periodontology and Implantology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India · Professor and Head of the Department, Department of Periodontology and Implantology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India · 5Thaimoogambikai dental clinic, Chennai, Tamil Nadu, India · Senior Lecturer, Department of Oral Medicine and Radiology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India

Received: 2026-04-08 · Published: 2025-09-29

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
IS FLAPLESS IMPLANT PLACEMENT PROCEDURES BETTER THAN CONVENTIONAL FLAP IN PARTIALLY EDENTULOUS PATIENTS”: RANDOMIZED CONTROL STUDY
Authors
Dheraj S, Mohan Valiathan, Ranjith Mari, Anitha Balaji, Mohanasatheesh S, Maria Wincy. W
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-09-29
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.8-43

Abstract

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.
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