Full Flap or Flapless: Which Will Give Optimum Esthetics?

Authors

Dr. B asks:

I have treatment planned a patient for implants in #7, 8, 9 sites [maxillary right lateral incisor, maxillary right central incisor and maxillary left central incisor; 12, 11, 21]. I would like to achieve the best aesthetics possible. Would it be better to do a flapless implant placement using a surgical guide stent? Or would it be better to use a full thickness flap so I could visualize the bone and implant placement? I would appreciate recommendations from those of you who have done this before.