Punch Technique for Preservation of Interdental Papillae at Nonsubmerged Implant Placement

Effect of Flapless Implant Surgery on Soft Tissue Profile: A Randomized Controlled Clinical Trial

“…Flapless implant surgery has been suggested as a treatment modality for the preservation of the soft tissue and for increasing patient comfort and satisfaction 36‐41 . Although there have been several reports with regard to clinical outcomes of IL and/or flapless implant surgery on single‐tooth implants, 16,39‐44 limited controlled data have been available for the evaluation of soft tissue profiles of flapless implant surgery on single‐tooth implants.…”

Effects of soft tissue punch size on the healing of peri-implant tissue in flapless implant surgery

“…But, it has been shown that flap elevation of the periosteum and placing releasing incisions can lead to adverse soft tissue changes as well as bone resorption in some cases. 11,12,16 These adverse changes seems to be the most unpredictable aspect of implant surgery in the aesthetic zone. However, the application of the flapless approach involves site preservation techniques developed for immediate or delayed implant placement in areas of high esthetic concern.…”

Common Implant Esthetic Complications

“…4) like the "tissue punch" 35,36 may provide a more esthetic outcome for patients, although it prevents full visualization of bony defects in the area (which could potentially result in unesthetic recession if undetected). A recent study showed that flapless implant surgery provides esthetic soft-tissue results in single-tooth implants with either immediate or delayed loading.…”