Modified Coronally Advanced Flap in Bone Augmentation Procedure: Case Series and Technical Notes

Area of Science:

• Dental surgery
• Periodontology
• Bone regeneration

Background:

• Effective soft tissue management is crucial for predictable bone augmentation outcomes.
• Flap elongation via periosteal releasing incisions can alter soft tissue architecture, affecting vestibule position and muco-gingival line.
• Current correction methods may reduce supra-crestal tissue volume.

Purpose of the Study:

• To introduce a technique for flap elongation that avoids coronal displacement of the vestibule position.
• To provide clear anatomical reference points for a reproducible surgical approach.

Main Methods:

• A technique for flap elongation is described, focusing on preserving the native vestibule position.
• The method utilizes specific anatomical landmarks for guidance.
• The approach aims to prevent loss of vestibule position during the procedure.

Main Results:

• The presented technique allows for flap elongation while maintaining the vestibule position.
• The use of defined anatomical reference points enhances predictability.
• This approach potentially avoids the reduction in supra-crestal tissue volume associated with conventional methods.

Conclusions:

• The described technique offers a predictable strategy for flap elongation in bone augmentation.
• It effectively manages soft tissues by preserving vestibule position.
• This method contributes to improved outcomes in bone regeneration procedures.