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More is the thickness of the gingiva, farther is the incision placed to include more tissue which needs to be removed. May cause esthetic problems due to root exposure. It is an access flap for the debridement of the root surfaces. The esthetic and functional demands of maxillofacial reconstruction have driven the evolution of an array of options. Contents available in the book .. The factors that are associated with post-operative swelling include the type of the incision, its extension, tissue manipulation during the surgery and the duration of surgery. Therefore, these flaps accomplish the double objective of eliminating the pocket and increasing the width of the attached gingiva. This approach was described by Staffileno (1969) 23. ), For the conventional flap procedure, the incisions for the facial and the lingual or palatal flap reach the tip of the interdental papilla or its vicinity, thereby splitting the papilla into a facial half and a lingual or palatal half (Figures 57-3 and. The periodontal pockets on the distal aspects of last molars, both in maxillary and the mandibular arches present a unique situation for which specific surgical designs have been advocated. 1. perio1 Flashcards by Languages | Brainscape The deposits on the root surfaces are removed and root planing is done. The apically displaced flap is . The incision is carried around the entire tooth. If a full-thickness flap has been elevated, the sutures are placed along the mesial and the distal vertical incision lines to. Access flap for guided tissue regeneration. Displaced flap: The initial or the first incision is the internal bevel incision given not more than 1 mm from the crest of the gingiva and directed to the crest of the bone. News & Perspective Drugs & Diseases CME & Education Periodontal flap surgery with conventional incision commonly results in gingival recession and loss of interdental papillae after treatment. After the patient has been thoroughly evaluated and pre-pared with non-surgical periodontal therapy, quadrant or area to be operated is selected. Contraindications of periodontal flap surgery. Contents available in the book .. According to flap reflection or tissue content: Vertical incisions increase flap mobility, thus facilitating better access to the operative area. The aim of this study was to test the null hypothesis of no difference in the implant failure rates, postoperative infection, and marginal bone loss for patients being rehabilitated by dental implants being inserted by a flapless surgical procedure versus the open flap technique, against the alternative hypothesis of a difference. It is better to graft an infrabony defect than not grafting. 12D blade is usually used for this incision. Contents available in the book . . The flap is then elevated with the help of a small periosteal elevator. 1- initial internal bevel incision 2- crevicular incisions 3- initial elevation of the flap 4- vertical incisions extending beyond the mucogingival junction 5- SRP performed 6- flap is apically positioned 7- place periodontal dressing to ensure the flap remains apically displaced The distance of the incision from the gingival margin (thickness of the incision) varies according to the pocket depth, the thickness of the gingiva, width of the attached gingiva, shape and contour of gingival margins and whether or not the operative area is in the esthetic zone. Contents available in the book .. The patient is then recalled for suture removal after one week. May cause esthetic problems due to root exposure. In the following discussion, we shall study in detail, the surgical techniques that are followed in various flap procedures. Once the bone sounding has been done and the thickness of the gingiva has been established, the design of the flap is decided. Apically Repositioned Flap/ Periodontal Flap Surgical Technique/ Dr