Serveur d'exploration sur le patient édenté

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Flap designs for periodontal healing

Identifieur interne : 004795 ( Main/Exploration ); précédent : 004794; suivant : 004796

Flap designs for periodontal healing

Auteurs : Leonardo Trombelli ; Roberto Farina

Source :

RBID : ISTEX:1CF3CC25605C92A1A374128F31259E2097D8FD73

English descriptors

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.

Url:
DOI: 10.1111/etp.12015


Affiliations:


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Le document en format XML

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<term>Adequate wound stability</term>
<term>Alveolar bone</term>
<term>Attachment gain</term>
<term>Biological agents</term>
<term>Bone crest</term>
<term>Brin clot</term>
<term>Buccal</term>
<term>Buccal aspect</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Closure</term>
<term>Contact area</term>
<term>Coronal</term>
<term>Coronal portion</term>
<term>Cortellini</term>
<term>Debridement</term>
<term>Defect</term>
<term>Defect debridement</term>
<term>Farina</term>
<term>Flap</term>
<term>Flap designs</term>
<term>Gingival</term>
<term>Gingival margin</term>
<term>Graft</term>
<term>Healing response</term>
<term>Horizontal incision</term>
<term>Incision</term>
<term>Interdental</term>
<term>Interdental area</term>
<term>Interdental papilla</term>
<term>Interdental space</term>
<term>Interdental supracrestal</term>
<term>Interdental tissue</term>
<term>Interdental tissues</term>
<term>Internal mattress sutures</term>
<term>Interproximal</term>
<term>Interproximal tissue maintenance</term>
<term>Intrabony</term>
<term>Intrabony defects</term>
<term>Intraosseous</term>
<term>Intraosseous defect</term>
<term>Intrasulcular</term>
<term>Intrasulcular incision</term>
<term>Mattress</term>
<term>Mattress suture</term>
<term>Microsurgical approach</term>
<term>Mppt</term>
<term>Osseous defect</term>
<term>Palatal</term>
<term>Papilla</term>
<term>Papilla preservation technique</term>
<term>Paramount importance</term>
<term>Periodontal</term>
<term>Periodontal healing</term>
<term>Periodontal intraosseous defect</term>
<term>Periodontal intraosseous defects</term>
<term>Periodontal reconstructive procedures</term>
<term>Periodontal regeneration</term>
<term>Periodontal repair</term>
<term>Periodontol</term>
<term>Pini prato</term>
<term>Primary closure</term>
<term>Primary intention healing</term>
<term>Reconstructive</term>
<term>Reconstructive procedures</term>
<term>Regeneration</term>
<term>Regenerative</term>
<term>Regenerative treatment</term>
<term>Root debridement</term>
<term>Root surface</term>
<term>Semilunar incision</term>
<term>Single flap approach</term>
<term>Soft tissues</term>
<term>Supracrestal</term>
<term>Surgical</term>
<term>Surgical approach</term>
<term>Suture</term>
<term>Suture technique</term>
<term>Suturing</term>
<term>Tonetti</term>
<term>Trombelli</term>
<term>Trombelli farina</term>
<term>Undetached papilla</term>
<term>Uneventful tissue formation</term>
<term>Wound stability</term>
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<term>Adequate wound stability</term>
<term>Alveolar bone</term>
<term>Attachment gain</term>
<term>Biological agents</term>
<term>Bone crest</term>
<term>Brin clot</term>
<term>Buccal</term>
<term>Buccal aspect</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Closure</term>
<term>Contact area</term>
<term>Coronal</term>
<term>Coronal portion</term>
<term>Cortellini</term>
<term>Debridement</term>
<term>Defect</term>
<term>Defect debridement</term>
<term>Farina</term>
<term>Flap</term>
<term>Flap designs</term>
<term>Gingival</term>
<term>Gingival margin</term>
<term>Graft</term>
<term>Healing response</term>
<term>Horizontal incision</term>
<term>Incision</term>
<term>Interdental</term>
<term>Interdental area</term>
<term>Interdental papilla</term>
<term>Interdental space</term>
<term>Interdental supracrestal</term>
<term>Interdental tissue</term>
<term>Interdental tissues</term>
<term>Internal mattress sutures</term>
<term>Interproximal</term>
<term>Interproximal tissue maintenance</term>
<term>Intrabony</term>
<term>Intrabony defects</term>
<term>Intraosseous</term>
<term>Intraosseous defect</term>
<term>Intrasulcular</term>
<term>Intrasulcular incision</term>
<term>Mattress</term>
<term>Mattress suture</term>
<term>Microsurgical approach</term>
<term>Mppt</term>
<term>Osseous defect</term>
<term>Palatal</term>
<term>Papilla</term>
<term>Papilla preservation technique</term>
<term>Paramount importance</term>
<term>Periodontal</term>
<term>Periodontal healing</term>
<term>Periodontal intraosseous defect</term>
<term>Periodontal intraosseous defects</term>
<term>Periodontal reconstructive procedures</term>
<term>Periodontal regeneration</term>
<term>Periodontal repair</term>
<term>Periodontol</term>
<term>Pini prato</term>
<term>Primary closure</term>
<term>Primary intention healing</term>
<term>Reconstructive</term>
<term>Reconstructive procedures</term>
<term>Regeneration</term>
<term>Regenerative</term>
<term>Regenerative treatment</term>
<term>Root debridement</term>
<term>Root surface</term>
<term>Semilunar incision</term>
<term>Single flap approach</term>
<term>Soft tissues</term>
<term>Supracrestal</term>
<term>Surgical</term>
<term>Surgical approach</term>
<term>Suture</term>
<term>Suture technique</term>
<term>Suturing</term>
<term>Tonetti</term>
<term>Trombelli</term>
<term>Trombelli farina</term>
<term>Undetached papilla</term>
<term>Uneventful tissue formation</term>
<term>Wound stability</term>
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<front>
<div type="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.</div>
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