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Anterior Palatal Island Advancement Flap for Bone Graft Coverage: Technical Note
Amin Rahpeyma1, Saeedeh Khajehahmadi2
1Associate Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Journal of Surgical Technique and Case Report
|August 12, 2016
Summary
This study presents the Anterior Palatal Island Advancement Flap for effective bone graft coverage in the anterior maxilla. This technique ensures successful soft tissue closure, preventing graft exposure and complications.
Area of Science:
- Oral and Maxillofacial Surgery
- Regenerative Medicine
- Dental Implants
Background:
- Soft tissue coverage is critical for successful bone graft management.
- Wound dehiscence can lead to graft exposure and complications.
Purpose of the Study:
- To introduce an axial pattern flap for bone graft coverage in the anterior maxilla.
Main Methods:
- The Anterior Palatal Island Advancement Flap, a mucoperiosteal flap with an axial blood supply from the nasopalatine artery, was utilized.
- The flap is described as easy to raise and predictable.
Main Results:
- The Anterior Palatal Island Advancement Flap demonstrated effectiveness in achieving bone graft coverage.
- Successful coverage was noted in the premaxillary edentulous area.
Conclusions:
- The Anterior Palatal Island Advancement Flap is a valuable aid for bone graft coverage in the premaxillary edentulous ridge.
- It is particularly useful when a long, narrow mucosal area is required.

