Category Archives: Principles of Complicated Exodontia

Technique for Developing a Mucoperiosteal Flap

Technique for Developing a Mucoperiosteal Flap Several specific considerations are involved in developing flaps for surgical tooth extraction. The first step is to incise the soft tissue to allow reflection of the flap. The no. 15 blade is used on a no. 3 scalpel handle, and it is held it the pen grasp (Fig. 8-9). The blade is held at a slight angle to the teeth, and the incision is made posteriorly to anteri

Types of Mucoperiosteal Flaps

Types of Mucoperiosteal Flaps A variety of intraoral tissue flaps can be used. The most common incision is the envelope or sulcular, incision, which produces the envelope flap. In the dentulous patient the incision is made in the gingival sulcus to the crestal bone, through the periosteum, and the full thickness mucoperiosteal flap is apically reflected see  (fig. 8-2, A). This usually provides sufficient ac

Design Parameters for Soft Tissue Flaps

Design Parameters for Soft Tissue Flaps To provide adequate exposure and promote rapid healing,the flap must be correctly designed. The surgeon must remember that several parameters exist when designing a flap for a specific situation. A, Flap must have base that is broader than free gingival margin, 8, If flap is too narrow atbase, blood supply “!lay be inadequate, which may lead to flap necrosis.BA A, To h

PRINCIPLE OF FLAP DESIGN, DEVELOPMENT AND MANAGEMENT

PRINCIPLE OF FLAP  DESIGN, DEVELOPMENT AND MANAGEMENT  The term local flap indicates a section of soft tissue that (1) is outlined by a surgical incision, (2) carries its own blood supply, (3) allows surgical access to underlying tissues, (4) can be replaced in the original position, and (5) can be maintained with sutures and is expected to heal. Soft tissue flaps are frequently used in oral surgical, period

Principles of Complicated Exodontia

Principles of Complicated Exodontia The removal of most erupted teeth can be achieved by closed or forceps delivery but occasionally this technique does not suffice. The surgical or open extraction technique is the method used for recovering roots that were fractured during routine extraction or teeth and cannot be extracted by the routine closed methods for a variety of reasons. In addition, removal of mult

Principles of Complicated Exodontia

Principles of Complicated Exodontia PRINCIPLES OF FLAP DESIGN, DEVELOPMENT, AND MANAGEMENT Design Parameters for Soft Tissue Flaps Types of Mucoperiosteal Flaps Technique for Developing a Mucoperiosteal Flap Principles of Suturing PRINCIPLESAND TECHNIQUES FOR SURGICAL EXTRACTION lndications for Surgical Extraction Technique for Open Extraction of Single-Rooted Tooth Technique for Surgical Removal of Multirooted Tee