
Background: As osseointegration is now considered highly predictable. Conventional techniques of reflecting a flap for first and second stage surgeries have been routinely carried out. The current trend is to develop techniques that can provide function, aesthetics, and comfort with a minimally invasive surgical approach. Objective: To achieve these goals, flapless implant surgery using a tissue punch technique has been suggested. It maintains the tissue integrity, minimizes time for healing and also provides a clean site without the need for a second stage surgery. This paper presents an outline of the principles of treatment planning and surgical procedure for flapless implant surgery.