Flap approaches in plastic periodontal and implant surgery: critical elements in design and execution.
J Clin Periodontol
; 41 Suppl 15: S108-22, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-24640996
ABSTRACT
AIM:
To identify critical elements in design and execution of coronally advanced flap, lateral positioned flap and their variations for the treatment of facial gingival recessions or peri-implant soft tissue dehiscences. MATERIALS ANDMETHODS:
Clinical studies were identified with both electronic and hand searches, and examined for the following aspects flap design and incision techniques, flap elevation, root conditioning, flap mobility, flap stability and suturing. Moreover, prognostic factors for complete recession coverage were identified.RESULTS:
Some critical elements are evident in flap design and execution the dimension and the thickness of tissue positioned over the denuded roots; the use on root surface of enamel matrix derivate; the stability and suturing of the flap in a position coronal to the cemento-enamel junction. The pre-determination of the clinical cemento-enamel junction, smoking status, operator surgical skills and the compliance to a supportive care programme have a role in obtaining and maintaining a complete root coverage.CONCLUSIONS:
Different flap approaches are available when performing periodontal plastic surgery, resulting in a great variability in clinical outcomes. The possibility of using pedicle flaps alone to achieve complete soft tissue coverage of facial implant dehiscence has not yet been investigated.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Retalhos Cirúrgicos
/
Procedimentos de Cirurgia Plástica
/
Implantação Dentária Endóssea
/
Doenças da Gengiva
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
J Clin Periodontol
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Itália