In past studies, placing an immediate implant versus a staged implant has resulted in similar success/survival rates.1,2  It has been reported that the success/survival rate of immediate placement in posterior sites did not show any statistical significance compared with anterior sites. Several factors may contribute to implant failure in these sites, such as the amount of occlusal force, bone quality, presence of apical bone affecting the primary stability, vertical bone volume available, and surgeon experience regarding the accuracy, stability, sterilization, and surgical approach of implant placement. Despite the lack of statistical significance, immediate implants increase patient comfort and decrease the number of surgical steps, which reduces the cost and time of the procedure.

Moreover, flapless extraction is a technique aimed toward leaving the periosteum undisturbed and extracting a tooth with minimal trauma by using peristomes without flap reflection.9...

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