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Full thickness flap is a simple procedure which provides access to root surface and bone. The procedure leaves minimal post-operative discomfort. It provides limited mobility of flap and is unsuitable for grafting. [6] [2] Split thickness flap involves sharp cutting of tissues and leaving the underlying periosteum intact.
The flap is incised and elevated over the periosteum from distal to proximal. [1] The flap consists of skin, subcutaneous tissue, fat and frontalis muscle and is not thinned. When reaching the brow, all of the skin borders are incised and the flap is carefully released. [1] The full-thickness flap is then sutured into the defect without tension.
In dentistry, open flap debridement is a periodontal procedure in which the supporting alveolar bone and root surfaces of teeth are exposed by incising the gingiva to provide increased access for scaling and root planing.
Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. [5] In its early stage, called gingivitis, the gums become swollen and red and may bleed. [5] It is considered the main cause of tooth loss for adults worldwide.
As of 2013, periodontal disease accounted for 70.8% of teeth lost in patients with the disease in South Korea. [12] Periodontal disease is the second most common cause of tooth loss (second to dental caries) in Scotland. [13] Twice-daily brushing and flossing are a way to help prevent periodontal diseases. [14]
Gingival recession, also known as gum recession and receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth. [1] Gum recession is a common problem in adults over the age of 40, but it may also occur starting in adolescence, or around the age of 10.
An anterior relieving incision is made extending down into the sulcus. This flap design is called “two sided”. A “three sided” flap includes an additional relieving incision posteriorly. The flap is raised using periosteal elevator to expose the area of interest. The flap is held out of the way with an instrument such as a rake retractor.
Gum grafting, also known as a gingival graft or periodontal plastic surgery, is a surgical procedure to reverse gum recession. Gum recession exposes the roots of teeth, [9] which can lead to sensitivity and put teeth at a higher risk of damage or disease [10] due to the loosening of their attachment within the gums and bones of the jaw.