Flapless Implant Surgeries

A minor incident that produces a drastic result is called the “butterfly effect”.

It describes that possibility that “ something as small as the flutter of a butterfly,s wing can ultimately cause a typhoon halfway around the world.

In implant treatment, the gingival incision can have a subsequent large scale effect that is similar to the butterfly effect.

The flap implant procedure is a method of implant placement in which the mucoperiosteum is elevated to expose the underlying bone after making an incision in the gingiva of the alveolar crest; implant placement is performed, and then the flap is sutured back in place.

In contrast, the flapless implant procedure does not reflect the crestal soft tissue.

Instead, a core of gingival tissue (the size of the implant diameter) over the crestal bone is removed, or a crestal mini-incision and local undermining (the range of the implant diameter) are performed at the implant site.

Implant osteotomy is then performed at the center of the implant osteotomy is then performed at the center of the core of the exposed bone.