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The book flap: a technical note.

Ole T Jensen1, Edward Ellis

  • 1Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, CS3.104, Dallas, TX 75390, USA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|April 22, 2008
PubMed
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This study introduces a bone ridge widening technique for dental implant placement. The method successfully increased ridge width in 90% of over 500 cases with a low complication rate.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Bone Grafting Techniques

Background:

  • Alveolar ridge deficiencies pose challenges for dental implant placement.
  • Augmentation of the alveolar ridge is often necessary to achieve optimal implant stability.
  • Existing augmentation techniques may have limitations or complications.

Purpose of the Study:

  • To describe a novel technique for widening a thin alveolar ridge.
  • To facilitate the placement of dental implants or bone grafts in narrow ridges.
  • To present a reliable surgical method for alveolar ridge augmentation.

Main Methods:

  • A partial soft tissue flap is elevated over the alveolar ridge.
  • The alveolar ridge is split using an osteotome, creating an out-fracture of the buccal plate.

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  • Labial soft tissues are preserved to maintain blood supply to the buccal bone.

    • Main Results:

    • The technique, termed the 'book flap,' has been used in over 500 cases.
    • Approximately 90% of cases achieved adequate width for implant placement.
    • An average width increase of around 3 mm was observed.
    • Infection occurred in approximately 2% of cases.

    Conclusions:

    • The described technique is effective for alveolar ridge widening.
    • The procedure demonstrates a high success rate and a low complication rate.
    • This method offers a valuable option for managing thin alveolar ridges in implant dentistry.