Journal of AdvancedMedical and Dental Sciences Research

Background: Implant dentistry has evolved from a traditional conventional flap therapy to a highly esthetic-driven discipline. The present study was conducted to compare flapless technique and conventional flap technique during dental implant placement. Materials & Methods: The present study was conducted on 50 patients requiring dental implants of both genders. Patients were randomly divided into two groups of 25 each. Group I was flap technique and group II was flapless technique. A thorough clinical examination was done in all patients. All were subjected to IOPARs. Implant insertion was done following all standardized procedures. Marginal bone loss and pain using visual analog scale (VAS) were assessed. Results: Group I patients underwent flap technique and group II patients underwent flapless technique. Each group had 25 patients. The mean difference of marginal bone loss from baseline to 1 month in group I was 0.17 and in group II was 0.021, from baseline to 2 months in group I was 0.23 and in group II was 0.04, from baseline to 3 months in group I was 0.35 and in group II was 0.05, from 1 month to 2 months in group I was 0.07 and in group II was 0.02, from 1 month to 3 months in group I was 0.017 and in group II was 0.03, from 2 months to 3 months in group I was 0.12 and in group II was 0.004. The mean VAS at day 1 in group I was 5.4 and in group II was 2.5, on day 2 in group I was 4.2 and in group II was 1.6, on day 3 in group I was 2.3 and in group II was 1.0, on day 4 in group I was 2.0 and in group II was 0.0, on day 5 in group I was 1.4 and in group II was 0. The difference was significant (P< 0.05). Conclusion: Authors found that flapless implant surgery results in lesser loss of marginal bone and pain as compared to flap technique. Key words: flapless, implant surgery, Pain.