Abstract
The flapless approach in implant surgery originated with the emergence of innovative site preservation techniques for immediate placement of implants following tooth extraction in areas of high esthetic concern. The rationale for the flapless approach in these case scenarios was to isolate the implant and grafted socket from the oral cavity, obtaining an inclusive guided bone regeneration effect while preserving circulation and esthetic soft tissue contours. This was a radical departure from the then strongly supported concept of isolating implants placed into fresh extraction sockets with a barrier membrane and primary flap closure.
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