Aim: The reduction in the amount of marginal bone is the most important demand for the long term success of dental implants. This prospective clinical study was aimed to investigate the marginal bone loss of early loaded SLActive implants with different dimensions and surgical approaches. Materials and methods Fifteen patients aged from 18 to 60 years were divided into 2 groups (flapped and flapless approach) that underwent delayed implant placement protocol with SLActive implants. The marginal bone level was estimated by cone-beam computed tomography during three different periods: preoperatively, 8 weeks after surgery and 24 weeks after loading of the prosthesis. Results: The mean value of marginal bone level was not significantly changed 8 weeks after surgery and 12 weeks after loading of the prosthesis when compared with baseline data in both flapped and flapless approach. Bone level was significantly decreased with dental implant dimension Ø 4.1 mm RC, length 12 mm. Conclusion: The results demonstrated that marginal bone loss is affected by many factors, such as age of the patient, and dental implant dimension.
