We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Functional and Esthetic Outcome Enhancement of Periodontal Surgery by Application of Plastic Surgery Principles.
- Authors
Hürzele, Markus B.; Weng, Dietmar
- Abstract
The closure of surgical wounds in a layer-by-layer fashion, a common principle of plastic surgery, is applied in this article to the field of periodontal surgery with the introduction of a new flap design. The suggested technique is indicated with all periodontal procedures that aim for hard and soft tissue augmentation (guided bone regeneration, mucogingival surgery, or plastic periodontal surgery) where passive, tension-free wound closure is fundamental for wound healing and a successful functional and esthetic outcome. By means of a series of incisions, buccal and lingual flaps are split several times; this results in a double-partial thickness flop and a coronolly positioned palatal sliding flap, respectively. Thus, several tissue layers are obtained and the passive advancement of flaps becomes possible for the coverage of augmented areas. Wound closure with micro-surgical suture material is accomplished in a multilayer approach, which ensures adaptation and closure of the outer tissue layers without any tension. Two case reports demonstrate the new plastic periodontal approach.
- Publication
International Journal of Periodontics & Restorative Dentistry, 1999, Vol 19, Issue 1, p36
- ISSN
0198-7569
- Publication type
Academic Journal