Abstract | AIMS AND BACKGROUND: Primary wound closure has been advocated to be indispensable for a successful outcome of guided tissue regeneration-procedures. Yet narrow inter-proximal spaces often lack sufficient tissue quantity in order to facilitate a tension free re-adaptation of periodontal flaps. In order to maintain an uneventful healing process, the concept of layer-wise wound closure is applied to periodontal surgery. MATERIAL AND METHOD: This article describes the introduction of a modified flap design, the double split flap. RESULTS AND CONCLUSION: By preparation of a second, internal flap and a wound in a layer-wise fashion, it is assumed that primary healing will be more predictable to achieve.
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Authors | Tobias Thalmair, Stefan Fickl, Wolfgang Bolz, Hannes Wachtel |
Journal | Journal of clinical periodontology
(J Clin Periodontol)
Vol. 36
Issue 10
Pg. 877-81
(Oct 2009)
ISSN: 1600-051X [Electronic] United States |
PMID | 19663999
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Dental Enamel Proteins
- enamel matrix proteins
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Topics |
- Adult
- Alveolar Bone Loss
(surgery)
- Bone Transplantation
(methods)
- Dental Enamel Proteins
(therapeutic use)
- Follow-Up Studies
- Gingiva
(transplantation)
- Guided Tissue Regeneration, Periodontal
(methods)
- Humans
- Male
- Mouth Mucosa
(transplantation)
- Surgical Flaps
(classification)
- Suture Techniques
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