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  • Periodontal Flap Surgery 2

    Diunggah oleh

    Emine Alaaddinoglu
    578 tayangan45 halaman
    Distal wedge refers to internal thinning by removal of a block of tissue. Wedges are used to remove excess soft tissue distal to a terminal tooth in an arch. Modified Widman Flap provides access for root planing Requires primary closure of the flap. Modified Widman Flap is elevated only 2 to 3 mm apical to the alveolar crest.

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    Distal wedge refers to internal thinning by removal of a block of tissue. Wedges are used to remove excess soft tissue distal to a terminal tooth in an arch. Modified Widman Flap provides access for root planing Requires primary closure of the flap. Modified Widman Flap is elevated only 2 to 3 mm apical to the alveolar crest.

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    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    578 tayangan45 halaman

    Periodontal Flap Surgery 2

    Diunggah oleh

    Emine Alaaddinoglu
    Distal wedge refers to internal thinning by removal of a block of tissue. Wedges are used to remove excess soft tissue distal to a terminal tooth in an arch. Modified Widman Flap provides access for root planing Requires primary closure of the flap. Modified Widman Flap is elevated only 2 to 3 mm apical to the alveolar crest.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 45

    Variations in Flap Design

    Thinned palatal flaps Wedges


    Distal wedge Proximal wedge Edentulous area

    Conservative flap approaches

    Thinned palatal flap Pre-treatment considerations

    Designing a thinned palatal flap


    Probe depths Gingival contour Pocket location Objective
    Pocket elimination (resection) Regeneration

    Underlying tissues
    Soft tissue Osseous tissues

    Palatal flap views

    Initial incisions

    Removal of tissue collar

    Undermining incisions

    Tissue removal

    Flap closure

    Pre-treatment

    Primary incisions

    Soft tissue removed

    Osseous resection

    Sutured

    Healed

    Distal Wedge Designs

    Distal Wedge
    A periodontal surgical procedure for removal of excessive soft tissue distal to a terminal tooth in an arch A wedge refers to internal thinning by removal of a block of tissue

    Special areas for wedges


    Maxillary tuberosity Mandibular retromolar area Edentulous ridges

    Distal wedge advantages


    Provide access to bone and furcations Allow internal thinning of bulky tissue It is possible to obtain primary closure of the wound after reduction of bulky tissue

    Anatomical limitations
    Access Vasculature and nerves
    Lingual nerve (mandibular) Greater palatine foramen (maxillary) Loose connective tissues, raphe

    Distal wedge designs


    Triangular: least difficult, least invasive Square cut: provides best access Linear: most effective at preserving keratinized gingiva

    triangular

    square

    linear

    Proximal wedges are similar in design to square cut distal wedges

    Conservative Flap Designs


    Intended to minimize recession Good for maxillary anterior teeth Types
    Flap curettage (open flap debridement/ flap curettage) Modified Widman Flap Excisional New Attachment Procedure (ENAP)

    Modified Widman Flap


    Provides access for root planing Requires primary closure of the flap

    Initial incision has 0.5 to 1 mm scallop, but may also be intrasulcular

    The modified Widman flap is elevated only 2 to 3 mm apical to the alveolar crest

    Intrasulcular incision

    Interdental incision

    Soft tissue debridement and root planing

    With conservative flaps, there is little or no bone resection. The flap is adapted to obtain primary closure

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