Flapless Surgery Followed by Immediate Loading of Implant: A Blissful Combination of New Era.

ABSTRACT

Esthetic challenges are inevitable during placement of the implant in the maxillary anterior region. This is because of the fact that tooth loss leads to bone resorption and collapse of gingival architecture, which eventually leads to compromise in esthetics and inadequacy of bone for implant placement. There are two established methods of implant placement. One method involves placement of the implant after reflecting the mucoperiosteal flap and another one without the flap. Conventionally, implants are allowed to osseointegrate for a period of 3-5 months before the commencement of prosthetic phase.1 However, nowadays, immediate loading of implants with the flapless approach is gaining popularity as the flapless approach is having a lot of merits. The successful placement of an implant for immediate loading and its provisional restoration requires the careful consideration of many clinical entities and treatment steps. It is critical to understand about the factors which can be controlled and which cannot be controlled. A flapless, immediate procedure when done successfully provides a viable treatment option for patients as it reduces treatment time and leads to enhanced esthetic outcomes. Our challenge is to provide this service without compromising the long-term result. This case report describes a simple procedure of replacing a missing tooth by flapless surgery followed by immediate loading of the implant.