The surgical reconstruction of the lost periodontal attachment apparatus is a highly technique-sensitive procedure, where the choice and the technical performance of the flap design in a specific patient with a specific defect plays a key role. When considering the technical aspects of periodontal reconstructive procedures, the selection of a specific flap design and related suture technique must be based on the predictability to achieve optimal primary closure of the healing wound, thus creating an essential biologic prerequisite for periodontal regeneration. The clinical value to adapt the selection of the surgical approach to the anatomy of the treated area as well as the physical and biological characteristics of the regenerative materials adopted has been emphasized by several Authors. Along with the use of the appropriate regenerative technology, the surgical procedures should provide conditions for primary intention healing supporting adequate wound stability allowing uneventful tissue formation and maturation. In this respect, flap design and suture technique appear of paramount importance to maximize the reconstructive potential of membrane, graft biomaterials and biological agents. The purpose of the present article is to critically revise the surgical options which have been described in the literature, outlining the technical steps as well as the indications and contraindications for each flap design when used to correct the periodontal intraosseous defect.
Flap design for periodontal healing.
TROMBELLI, Leonardo;FARINA, Roberto
2012
Abstract
The surgical reconstruction of the lost periodontal attachment apparatus is a highly technique-sensitive procedure, where the choice and the technical performance of the flap design in a specific patient with a specific defect plays a key role. When considering the technical aspects of periodontal reconstructive procedures, the selection of a specific flap design and related suture technique must be based on the predictability to achieve optimal primary closure of the healing wound, thus creating an essential biologic prerequisite for periodontal regeneration. The clinical value to adapt the selection of the surgical approach to the anatomy of the treated area as well as the physical and biological characteristics of the regenerative materials adopted has been emphasized by several Authors. Along with the use of the appropriate regenerative technology, the surgical procedures should provide conditions for primary intention healing supporting adequate wound stability allowing uneventful tissue formation and maturation. In this respect, flap design and suture technique appear of paramount importance to maximize the reconstructive potential of membrane, graft biomaterials and biological agents. The purpose of the present article is to critically revise the surgical options which have been described in the literature, outlining the technical steps as well as the indications and contraindications for each flap design when used to correct the periodontal intraosseous defect.I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
