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The International Journal of Oral & Maxillofacial Implants
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Int J Oral Maxillofac Implants 29 (2014), No. 1     14. Feb. 2014
Int J Oral Maxillofac Implants 29 (2014), No. 1  (14.02.2014)

Online Article, Page 10-12, doi:10.11607/jomi.3059, PubMed:24451876


Online Article: Split-Thickness Flap with a Semicircular Punched-Ridge Pedicled Periosteal Flap for Implant Restoration in Highly Atrophic Patients: A Technical Note
Seemann, Rudolf / Perisanidis, Christos / Traxler, Hannes / Ewers, Rolf
Attached gingiva is a crucial aspect of healthy peri-implant tissue. Severely atrophied jaws have minimal quantities of attached gingiva. Any surgical procedure bears the potential risk of further loss of attached gingiva. The split-thickness flap described here provides excellent access. Using a biopsy punch, the periosteum is easily cut in semicircular fashion on the labial surface of the bone so that it remains pedicled on the lingual or palatal ridge. The split-thickness flap permits fixation of the gingival flap to the periosteum. The periosteal flap is closed with sutures to achieve soft tissue closure over the implants even in case of simultaneous vestibuloplasty.

Keywords: split thickness flap, periosteal flap