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Comparative Study of Crestal Bone Loss Around Implants Placed Using Flapless Versus Flapped Technique.
Ambrapali Surendra1, Brijesh Byrappa2, Debeshwari Ningombam3
1Department of Dentistry, KLE JGMM Medical College and Hospital, Hubbali, Karnataka, India.
Journal of Pharmacy & Bioallied Sciences
|January 12, 2026
Summary
The flapless dental implant technique significantly reduces crestal bone loss compared to the traditional flapped approach. This minimally invasive method offers superior peri-implant bone preservation for long-term implant success.
Area of Science:
- Dental Implantology
- Periodontology
- Oral Surgery
Background:
- Crestal bone loss is a key factor in dental implant longevity.
- Surgical technique choice (flapless vs. flapped) may impact peri-implant bone levels.
Purpose of the Study:
- To compare crestal bone loss around dental implants placed with flapless versus flapped techniques.
- Evaluate bone preservation over a 6-month follow-up period.
Main Methods:
- Prospective randomized clinical trial with 40 patients.
- Two groups: flapless (n=20) and flapped (n=20) implant placement.
- Radiographic assessment of crestal bone loss at baseline, 3, and 6 months.
Main Results:
- Mean crestal bone loss at 6 months: 0.48 mm (flapless) vs. 0.82 mm (flapped).
- Statistically significant difference between groups (P <0.001).
- Flapless technique showed significantly better bone preservation.
Conclusions:
- Flapless implant placement leads to significantly less crestal bone loss.
- Minimally invasive techniques may enhance peri-implant tissue preservation.
