Related Experiment Videos
Modified semilunar coronally advanced flap
1Department of Periodontology, School of Dentistry, Oregon Health Sciences University, Portland, OR 97239-3097, USA. haghigha@ohsu.edu
Journal of Periodontology
|June 30, 2006
Summary
A modified semilunar coronally advanced flap technique effectively treats multiple adjacent teeth with mucogingival recession. This periodontal surgery offers stable root coverage and better flap control for successful outcomes.
Area of Science:
- Periodontal Plastic Surgery
- Mucogingival Reconstruction
Background:
- Mucogingival recession defects present challenges in periodontal plastic surgery, with varying success rates for existing procedures.
- A modified semilunar coronally advanced flap technique is presented for treating recession on multiple adjacent teeth.
Observation:
- The surgical technique involves specific semilunar incisions and coronally advancing the interdental papilla using split-thickness dissection.
- This flap design enhances the mobility and stability of the repositioned pedicle.
Findings:
- Seven cases treated with this modified flap technique demonstrated uncomplicated healing.
- The treated sites remained stable during 8 to 22 months of post-surgical observation.
Implications:
- This technique is particularly useful for residual recession defects after soft tissue autografts and in patients with a thicker tissue biotype suitable for partial-thickness dissection.
- Adequate tissue thickness is crucial to prevent complications like tooth or alveolar bone fenestrations.
- The modified flap offers superior control over flap repositioning compared to previous semilunar coronally advanced flap procedures.