Purpose: This study aimed to compare the stability and marginal bone loss of implants inserted with flapped and flapless approaches 8 weeks after surgery and 3 months after loading. Material and Methods: Thirty SLActive implants were inserted in 11 patients and early loaded with final restoration 8 weeks after healing period. The stability values determined by Osstell and the marginal bone loss measured by CBCT at the initial time (1st) and 8 weeks of the healing period (2nd) and 3 months after loading (3rd). Results: The overall survival rate was 100%. A significant increase in the 3rd implant stability value in the age of ˂ 40. A significant decrease in the 2nd implant stability value in both gender and traumatic zone with a flapless approach. The 3rd stability value significantly increases in the sinus zone. No significant difference in a marginal bone loss concerning each variable. Conclusion: No significant effect of surgical approaches on the stability and marginal bone loss which may be related to proper patient selection, surgeon experience, and chemical implant surface modification. © 2021 Nova Science Publishers, Inc.
