Aim:The purpose of this research is to compare peri-implant bone level in immediate and conventionally loaded implants using flap and flapless techniques. Materials and methods: Forty patients were selected and were subjected into four groups. Group A: 10 patients with immediate loading (IL) by raising the flap. Group B: 10 patients with IL without raising the flap. Group C: 10 patients with conventional loading by raising the flap. Group D: 10 patients with conventional loading without raising the flap. Results: It was observed that for most of the flapless techniques with IL cases, the bone loss settled at first thread or just below the implant collar after 6 months. Conclusion: It was seen that the crestal bone height was reduced in both flap and flapless techniques by immediate and conventional loading, respectively. On comparing the bone loss, the flapless approach by IL showed statistically significant lesser reduction as determined by radiovisiography. Clinical significance: Postoperative pain was less in the flapless technique as compared to the traditional flap technique. IL minimizes invasiveness, complexity, and also improves acceptance by patients.that further research was needed to document long-term success. 5 Moreover, the concept of immediate implant loading in other areas of the oral cavity, with poor bone quality, still required documentation.Brånemark performed the first incision in the oral vestibule and mucosa, so the incision line and suture remained separate from the location of the implant, thus, preventing the infection of the surgical area.Gradually, several studies demonstrated that a midcrestal incision gives similar results as obtained using the classical protocol. In addition, it produces less swelling and inflammation. But the crestal bone experiences bone loss after surgical procedures involving incision with flap elevation. 6 The atraumatic technique provides less crestal bone loss that could influence the final aesthetic results, and the absence of suture has made it an increasingly demanding technique. 7