Modified semilunar coronally advanced flap: A case series
Journal name: Journal of Indian Society of Periodontology
Original article title: Modified semilunar coronally advanced flap: A case series
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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B. S. Jagadish Pai, Smitha Anitha Rajan, R. Padma, Girish Suragimath, Shridhar Annaji, K. Vinesh Kamath
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Modified semilunar coronally advanced flap: A case series
Year: 2013 | Doi: 10.4103/0972-124X.107488
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Gingival recession, characterized by the apical migration of the gingiva and exposure of the tooth root, poses both aesthetic concerns for patients and therapeutic challenges for clinicians. Several factors contribute to this condition, including periodontal disease, mechanical trauma, and orthodontic movements. Traditionally, periodontal treatment aims to save teeth while addressing the associated aesthetic issues, urging a focus on maintaining a healthy gingival appearance around restored teeth. Various classifications of gingival recession exist, with different surgical techniques available for correction, each demonstrating a range of success rates.
Modified Semilunar Coronally Advanced Flap Technique
One significant advancement in periodontal plastic surgery is the modified semilunar coronally advanced flap technique, introduced by Kamran Haghighat in 2006. This technique is designed for treating gingival recession on adjacent teeth, utilizing a semilunar incision that allows for better vascularity and minimally invasive dissection. The procedure involves careful debridement of exposed root surfaces and mobilization of a partial thickness flap, with the aim of achieving complete root coverage while maintaining the integrity of the adjacent papillae. In clinical cases, the technique has shown a high success rate, with significant root coverage maintained over a period of nine months post-surgery, demonstrating an effective approach for patients presenting with recession defects.
Conclusion
The modified semilunar coronally advanced flap technique represents a valuable option for addressing gingival recession, particularly for patients with significant aesthetic concerns and thicker tissue biotypes that lend themselves to partial thickness dissection. By allowing improved control over flap repositioning and reducing the potential for scarring from traditional vertical incisions, this approach enhances the predictability of treatment outcomes in periodontal plastic surgery. Overall, the technique addresses both the functional and aesthetic needs of patients suffering from gingival recession, making it a noteworthy contribution to periodontal treatment modalities.
FAQ section (important questions/answers):
What is gingival recession and its main causes?
Gingival recession is the exposure of the tooth due to the apical migration of the gingiva. Common causes include periodontal disease, mechanical trauma, tooth malposition, orthodontic treatment, and iatrogenic factors.
What is the purpose of periodontal plastic surgery?
Periodontal plastic surgery aims to correct or eliminate deformities of the gingiva to improve aesthetics and facilitate root coverage in cases of gingival recession. The procedures can vary in techniques and complexity.
What is the modified semilunar coronally advanced flap technique?
This technique involves creating a semilunar incision followed by a partial thickness flap to cover recession defects. It allows for better vascularity and positioning of the flap while minimizing scarring.
What criteria determine the success of root coverage procedures?
Successful root coverage is based on criteria such as gingival margin location, probing depth, attachment levels, and aesthetic harmony with surrounding tissues. Complete coverage is ideal, particularly for Class I and II recessions.
What benefits does the modified semilunar flap provide in treatment?
The modified semilunar flap offers enhanced control over flap repositioning, reduced apical tissue retraction, and better outcomes in highly scalloped gingival margins, particularly for patients with thicker tissue biotypes.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Modified semilunar coronally advanced flap: A case series”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Incision:
An incision is a surgical cut made into the soft tissues of the body. In the context of periodontal plastic surgery, incisions are strategically placed to perform a flap procedure that allows the clinician to access and reposition the gingiva for improved esthetics and root coverage. Proper incision technique is crucial to minimize tissue trauma and ensure optimal healing outcomes.
2) Post:
The term 'post' in this context typically refers to the time frame following a surgical procedure. Post-operative care is essential for monitoring healing, managing discomfort, and ensuring the success of the surgical intervention. It involves follow-up evaluations, assessments of tissue response, and adherence to care instructions provided by the clinician.
3) Surface:
Surface refers to the outer layer or area of a body part. In periodontal treatment, the root surface of teeth that are exposed due to gingival recession is of great interest. Treatment aims to cover this surface to restore the gum tissue, improve aesthetics, and reduce sensitivity. Healing and adaptation of the soft tissue to the root surface are critical for successful outcomes.
4) Male:
The term 'male' indicates the gender of the patient. Gender can play a role in the prevalence and characteristics of periodontal disease and gingival recession. Understanding patient demographics, including age and gender, can influence treatment planning and expected outcomes in periodontal plastic surgery procedures.
5) Inflammation:
Inflammation is the body's response to injury or infection characterized by swelling, redness, and pain. In dental contexts, inflammation indicates periodontal disease presence, affecting treatment decisions. Successful periodontal procedures require the resolution of inflammatory processes to ensure proper healing, minimize tissue damage, and achieve satisfactory postoperative results.
6) Bleeding:
Bleeding during or after surgical procedures can indicate complications or inadequate hemostasis. In periodontal surgery, controlling bleeding is critical for patient safety and maintaining visibility for surgical precision. Successful root coverage techniques must carefully address bleeding to promote successful healing and avoid disrupting the newly positioned tissue.
7) Disease:
Disease refers to a pathological condition disrupting normal bodily functions. In periodontal contexts, periodontal disease is a primary concern that can lead to gingival recession. Understanding the disease's nature and associated factors is vital for determining appropriate treatment strategies and assessing the prognosis of surgical interventions.
8) Reason:
Reason signifies the rationale or motivation behind a patient's visit or treatment choice. In this analysis, patients seek periodontal surgery for reasons such as aesthetics, sensitivity, and functional improvement. Identifying patient concerns and their motivations is crucial for tailoring surgical approaches and achieving satisfactory outcomes and expectations.
9) Arrow:
The arrow likely denotes a reference point in diagrams illustrating surgical techniques. In surgical procedures, clear indications are critical for successful flap positioning and incision placement. Such illustrations enhance understanding of the procedure and help practitioners visualize the anatomical landmarks critical for achieving optimal results.
10) Blood:
Blood is vital in indicating the health status of tissues during surgery. Adequate blood supply ensures healing and supports tissue viability. In periodontal surgeries, maintaining blood flow to the surgical site enhances healing, contributing to successful root coverage and minimizing postoperative complications. Monitoring blood loss is equally important for patient safety.
11) Sign:
A sign represents an observable indication of a condition or response. In a surgical context, signs such as healing status, tissue color, and swelling provide key feedback on the procedure's success. Clinicians assess these signs to determine the effectiveness of treatment and to guide any necessary interventions.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Modified semilunar coronally advanced flap: A case series’. Further sources in the context of Science might help you critically compare this page with similair documents:
Treatment outcome, Surgical Procedure, Gingival Recession, Periodontal plastic surgery, Mucogingival surgery, Interdental papilla, Keratinized tissue, Case selection.