Introduction: The introduction of dental implants has revolutionized our ability as oral health care practitioners to manage and restore partially and completely edentulous states. Flapless surgery for implant placement has been gaining popularity among implant surgeons. it has numerous advantages, including preservation of circulation, decreased surgical time; improved patient comfort; and accelerated recuperation. This study was carried out to evaluate the efficacy of the flapless technique of implant placement. Methodology: As a part of the study to evaluate crestal bone loss changes after placement of implant using the flapless technique, we placed forty endosseous implants. Access was achieved to the crestal bone using tissue punch. Clinical and radiographic analyses were performed second and fourth month after placement of implant. Results: All implants survived with no signs of peri-implantitis. The findings of the present study demonstrate that the average crestal bone loss around the implant at 4 months using flapless technique was 0.16mm. No implants failed to osseointegration, and no implants exhibited bone loss greater than 0.5mm in first four months. This present study shows significantly less postoperative pain in the flapless technique of implant placement. Conclusion: Over all conclusions drawn from this study is that predictable success can be achieved when implants are placed using flapless approach. Better hard and soft tissue integration can also be achieved. This procedure when used decreased over all treatment time with reduced patientís appointments. The flapless approach is a predictable procedure when patient selection and surgical technique are appropriate.
Key words: Dental implants, flapless approach.