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ePaper created 2017-10-13, 10:01:15 | version 1.38.0
F l a p d e s i g n i n p e r i a p i c a l s u r g e r y Flap design: New perspectives in periapical surgery Maria Peñarrocha Diago,a Juan Cervera Ballestera & David Peñarrocha Oltraa a Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain C o r r e s p o n d i n g a u t h o r : Dr. María Peñarrocha Diago Unidad de Cirugía Bucal. Clínicas Odontológicas Facultad de Medicina y Odontología de Valencia Universitat de València Gascó Oliag, 1 46021 Valencia Spain Abstract Flap design in periapical surgery should be adequate for the planned surgical procedure, o(cid:2)ering good access to the zone surrounding the affected apexes without altering the soft-tissue circulation. A full- thickness flap including mucosa, submucosal connective tissue and peri- osteum should be raised. A description is provided of the most frequently used types of flaps in periapical surgery: 1. Luebke–Ochsenbein flap, involving submarginal incision, with semilunar or Partsch flap variants; 2. Neumann flap with intrasulcular incision in its triangular and trapezoidal versions; maria.penarrocha@uv.es 3. papilla base incision flap; H o w t o c i t e t h i s a r t i c l e : 4. papilla-preserving flap; and Peñarrocha Diago M, Cervera Ballester J, Peñarrocha Oltra D. Flap design: New perspectives in periapical surgery. J Oral Science Rehabilitation. 2017 Sep;3(3):56–61. 5. palatal flap. Designing the flap is a key aspect of periapical surgery: It should ensure adequate exposure of the surgical field and allow the surgeon to work quickly and comfortably. Furthermore, there should be no tension capable of complicating the work of the dental professional or of causing patient discomfort, and soft-tissue damage due to retractor compression is to be avoided. A good flap design with delicate manipulation of the soft tissue is necessary for successful periapical surgery. K e y w o r d s Periapical surgery, endodontic surgery, surgical technique, flap design. 56 Volume 3 | Issue 3/2017 Journal of Oral Science & Rehabilitation