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#AthensPerio#MEGAGEN#R2GATE#DENTOMEDICA#MAMALIS A COMPLETE FLAPLESS PROSTHETICALLY DRIVEN APPROACH WITH IMMEDIATE IMPLANT LOADING WITH THE PERMANENT RESTORATION. THE R2 GATE CONCEPT REVISITED ABSTRACT: A vast number of implant surgical guide systems have been developed using different characteristics and strategies. The most critical aspect is the tolerance between drilling and bushing of various computer-guided templates. It is of paramount importance for the operator to pay attention to the characteristics of each system while drilling and fitting temporary or permanent restorations. A clinical case is presented where full arch maxilla rehabilitation was performed using a fully guided and complete flapless-prosthetically driven approach (R2 Gate system). Immediate implant loading with the permanent restoration was evident. Final implant position is confirmed with a post-surgery CT scan. Each single step of the R2 Gate system methodology is meticulously described.