The double split flap: a surgical approach for regenerative treatment of interproximal defects |
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Authors: | Tobias Thalmair Stefan Fickl Wolfgang Bolz Hannes Wachtel |
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Affiliation: | Private Institute for Periodontology and Implantology, Munich, Germany;;Department of Periodontology and Implant Dentistry, New York University, New York, NY, USA;;Department of Prosthodontics, Dental School, Free University of Berlin, Berlin, Germany |
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Abstract: | Aims 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. |
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Keywords: | internal flap inter-proximal defect regenerative treatment surgical approach |
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