Ce. Nemcovsky, Split palatal flap. I. A surgical approach for primary soft tissue healingin ridge augmentation procedures: Technique and clinical results, INT J PER R, 19(2), 1999, pp. 175-181
Citations number
27
Categorie Soggetti
Dentistry/Oral Surgery & Medicine
Journal title
INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY
This article describes a surgical procedure to predictably obtain primary c
losure over extraction sockets in the maxilla. The technique offers a valua
ble treatment approach for the achievement of primary soft tissue closure o
ver bone grafts and/or occlusive osteopromotive membranes, although the use
of an osteopromotive membrane may not always be necessary in cases of sing
le-tooth extraction. The surgical technique is based on a split thickness p
alatal flap in which the pediculated deep portion is rotated to cover the g
rafted alveolus or membrane. This procedure was used in a total of 40 sites
in 32 consecutive patients. a barrier membrane was used in 20 sites. Ail t
reated sites allowed proper implant placement after healing. Two membranes
became prematurely exposed and one was removed before implant surgery Prope
r soft and hard tissue anatomy was predictably obtained prior to implant pl
acement. This surgical procedure is useful in preserving and/or augmenting
the alveolar ridge prior to or during implant placement in cases of advance
d alveolar bone loss.