Usually, the alveolar bone is full enough for implantation. It is suggested to use the implant guide to navigate and then perform minimally invasive implant surgery, which is more accurate and safer. Minimally invasive surgery does not open the gums, and the shape of the gums will be more natural and beautiful. Minimally invasive surgery also has the advantages of short healing time and easier control of inflammation around implants.
The second is the implantation operation to cut the gums, which doctors call "skin flap", which is performed after the gums are cut to expose the alveolar bone.
Implant surgery without implant guidance usually needs skin flap, because doctors can't see the position and width of bones directly through gums (soft tissues), so most implant operations need to do "skin flap". After the flap, the implant was implanted into the alveolar bone, and then the gums were sutured, waiting for the active osteoblasts in the alveolar bone to grow around the implant. After about 2-3 months, the implant can grow steadily with the bone. At this point, the second operation will be performed. Incise the gum again, screw the gingival healing abutment to the upper part of the implant, and then suture the gum. After waiting for 3-4 weeks, the gums will form before the final restoration teeth can be installed.