Abstract
In oral surgery, there are two principles required for better performance: (1) adequate visibility that depends on three factors (sufficient access, light, and a surgical field free of excess fluid like blood) and (2) assistance. Surgical techniques can be divided into three main classifications like resective, minimally resective, and non-resective techniques. In periodontal non-resective technique, designing the flaps has an important role. We can achieve enough access by designing appropriate flap. Three major factors must be followed to prevent the complications of flap surgery: (1) prevention of flap dehiscence, (2) prevention of tearing, and (3) prevention of flap necrosis [1]. Regarding the benefits of each flap design and the aim of surgical procedures, the surgeon should have decided on flap design. In this chapter, we mentioned several important flap designs since 1974.
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References
Furness J. Contemporary oral and maxillofacial surgery. Br Dent J. 2013;215(2):99.
Shekar CB. Modified widman flap and papilla preservation flap in maxillary anterior region-a comparative study (Doctoral dissertation, RGUHS); 2006–2009.
Ramfjord SP, Nissle RR. The modified widman flap. J Periodontol. 1974;45(8):601–7. https://doi.org/10.1902/jop.1974.45.8.2.601. PMID: 4529305.
Burgett FG, Knowles JW, Nissle RR, Shick RA, Ramfjord SP. Short term results of three modalities of periodontal treatment. J Periodontol. 1977;48(3):131–5.
Caffesse RG, Ramfjord SP, Nasjleti CE. Reverse bevel periodontal flaps in monkeys. J Periodontol. 1968;39(4):219–35.
Sullivan H, Dinner D, Carman D. Clinical evaluation of the laterally positioned flap. Int Ass Dent Res. 1971;49:169.
Ramfjord SP, Knowles JW, Nissle RR, Shick RA, Burgett FG. Longitudinal study of periodontal therapy. J Periodontol. 1973;44(2):66–77.
Checchi L, Schonfeld SE. A technique for esthetic treatment of maxillary anterior infrabony lesions. Quintessence Int. 1988;19(3):209–13. PMID: 3269576.
App GR. Periodontal treatment for the removable partial prosthesis patient. Another half-century? Dent Clin N Am. 1973;17(4):601–10.
Takei HH, Han TJ, Carranza FA Jr, Kenney EB, Lekovic V. Flap technique for periodontal bone implants: papilla preservation technique. J Periodontol. 1985;56(4):204–10.
Checchi L, Montevecchi M, Checchi V, Bonetti GA. A modified papilla preservation technique, 22 years later. Quintessence Int. 2009;40(4):303–11.
Cortellini P, Prato GP, Tonetti MS. The modified papilla preservation technique. A new surgical approach for interproximal regenerative procedures. J Periodontol. 1995;66(4):261–6.
Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: technological concepts and evolution. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(3):e37–44.
Cortellini P, Prato GP, Tonetti MS. The simplified papilla preservation flap. A novel surgical approach for the management of soft tissues in regenerative procedures. Int J Periodontics Restorative Dent. 1999;19(6):589–99.
Trombelli L, Simonelli A, Minenna L, Vecchiatini R, Farina R. Simplified procedures to treat periodontal intraosseous defects in esthetic areas. Periodontol 2000. 2018;77(1):93–110.
Harrel SK, Rees TD. Granulation tissue removal in routine and minimally invasive procedures. Compend Contin Educ Dent (Jamesburg, NJ: 1995). 1995;16(9):960–2.
Cortellini P, Tonetti MS. A minimally invasive surgical technique with an enamel matrix derivative in the regenerative treatment of intra-bony defects: a novel approach to limit morbidity. J Clin Periodontol. 2007;34(1):87–93.
Sultan N, Jafri Z, Sawai M, Bhardwaj A. Minimally invasive periodontal therapy. J Oral Biol Craniofac Res. 2020;10:161–5.
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Darnahal, A., Boojar, F.M.A. (2021). Flap Design and Modification to Attain Primary Closure. In: Stevens, M.R., Ghasemi, S., Tabrizi, R. (eds) Innovative Perspectives in Oral and Maxillofacial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-75750-2_20
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DOI: https://doi.org/10.1007/978-3-030-75750-2_20
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