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The double split flap: a surgical approach for regenerative treatment of interproximal defects.

AbstractAIMS 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.
AuthorsTobias Thalmair, Stefan Fickl, Wolfgang Bolz, Hannes Wachtel
JournalJournal of clinical periodontology (J Clin Periodontol) Vol. 36 Issue 10 Pg. 877-81 (Oct 2009) ISSN: 1600-051X [Electronic] Denmark
PMID19663999 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Dental Enamel Proteins
  • enamel matrix proteins
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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