**6. Flap for dental implant bed preparation**

### **6.1 Background**

Two-stage flap techniques are commonly used for dental implant surgery and include a flapless (e.g., Punch or Half Punch) flap and full-thickness flap, such as mid-crest, double papilla preservation flap. Full-thickness flap might be more suitable for immediate implantation; the flapless flap is superior to full-thickness flap in cases of less inflammation and less morbidity, has shallower biological width, and shows better aesthetic results [16].

#### **6.2 Punch flap**

A small hole in the keratinized mucosa is required to be present on the crest of the ridge at the area of interest (**Figure 14**). This punch can be created using a blade or punch drill. Precise placement of the cut can be obtained using the surgical guide with the help of the planning software (**Figure 15**).

Advantages


*Flap Techniques in Dentoalveolar Surgery DOI: http://dx.doi.org/10.5772/intechopen.91165*

Limitations

