“Flapless Surgery” takes place when a dental implant is inserted into the mouth without exposing the gingiva (gum). It is a minimally invasive approach that has the potential to decrease bone loss and soft tissue inflammation while decreasing surgical time. Flapless Surgery is a very detailed procedure that requires a great deal of preplanning, including preplanning the implant placement on a CT scan to help to achieve the best implant position and aesthetics for your smile. If this procedure is not done correctly, the abutment that holds the crown over the implant will not fit, the gingiva (gum tissue) may become inflamed, and the aesthetics and function will, most likely, be affected.
In our opinion, this procedure should not be performed without using a CT Scan generated surgical guide, which can help ensure that the implant will be precisely placed at the proper angle and depth in the bone. In many cases, we also insert a healing cap on the same day in an immediate tissue load procedure. This eliminates the need for a second surgery to construct and place an abutment (support) in the implant, then followed by a crown, bridge, or other prosthesis. Surgical time is reduced, making the procedure much more efficient!
Presented here is a case in which we placed an implant in this patient’s upper right quadrant using a CT scan generated surgical guide. She had absolutely no postoperative discomfort or pain. In three to four months, this implant will be ready for restoration.