A comparative study of the wound healing of three types of flap design used in periapical surgery

Kramper, Bruce J.; Kamiński, E.; Osetek, E.M.; Heuer, Michael A.

doi:10.1016/s0099-2399(84)80248-4

Cited by 37 publications

(33 citation statements)

References 31 publications

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“…First, the semilunar incision, the most popular flap design technique with anterior teeth, is no longer recommended because of inadequate access and scar formation (39). Second, the removal of sutures is done within 48 to 72 h, not a week (1,5).…”

Section: Soft-tissue Management: New Concepts and Practicementioning

confidence: 99%

Modern Endodontic Surgery Concepts and Practice: A Review

Kim¹,

Kratchman²

2006

Journal of Endodontics

667

570

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Section: Soft-tissue Management: New Concepts and Practicementioning

confidence: 99%

Modern Endodontic Surgery Concepts and Practice: A Review

Kim¹,

Kratchman²

2006

Journal of Endodontics

667

570

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“…Wound healing in the dermis of aged individuals has been reported with minimal scarring. Female patients had a tendency towards more substantial scarring of gingiva (10 %) than males (3.1 %), but this difference was not statistically significant [16].…”

Section: Discussionmentioning

confidence: 75%

“…A similar study by Kramper et al [16] evaluated three commonly used incisions and found very little or no scar with intrasulcular incision, while scarring was quite evident with submarginal and semilunar incisions.…”

Section: Discussionmentioning

confidence: 87%

Comparative Study Between Two Flaps—Trapezoidal flap (TZF) and Ocshenbein-Leubke Flap (OLF) in Periapical Surgeries

Ahmed¹,

Rastogi²,

Baad³

et al. 2013

J. Maxillofac. Oral Surg.

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The ultimate goal in surgical endodontics is not only the eradication of periapical pathosis but also preservation of periodontal tissues using suitable surgical techniques. Treatment outcomes are no longer acceptable without considering the esthetic consequences of all involved dentoalveolar structures. It is critical that incisions and tissue elevations and reflections are performed in a way that facilitates healing by primary intention. The large variety of flaps available for periapical surgeries reflects the number of variables to be considered before choosing an appropriate flap design. In this study; Ocshenbein-Leubke (OL) and trapezoidal (TZ) flaps have been compared in terms of their efficacy and comfort. Twenty patients of ASA category I, between the age group of 12-40 years were randomly selected to undergo periapical surgery by utilizing one of two flaps. All the subjects were free of periodontal disease. Demographic variables were found to be statistically similar. OL flap was found to be better than TZ flap with respect to time of flap reflection, accessibility, duration of surgery and post-operative pain. The OL flap takes less time for reflection with nearly the same accessibility, less post-operative pain and less complication as compared to TZ flap. We conclude that OL flap gives better results when compared to TZ flap.

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“…Follow-up radiographs were compared with postoperative radiographs (Figs. [2][3][4][5][6][7][8][9] to define radiographic periapical healing as either complete, incomplete (scar tissue formation), uncertain (some reduction of former radiolucency), or unsatisfactory (no reduction or enlargement of former radiolucency) according to the criteria established by Rud et al (8) and Molven et al (9). A specific healing class was assigned when two examiners agreed on the same healing class.…”

Section: Collection Of Datamentioning

confidence: 99%

“…Flap elevation and the exposure of marginal tissues (ie, periodontal tissue and alveolar bone) may result in changes in tissue levels around the teeth within the flap area after apical surgery. Experimental studies in dogs (4,5) and in cats (6) have documented some of the clinical and histological changes after mucogingival flap surgery used in surgical endodontics. However, these data cannot be transferred directly to the clinical situation in patients in whom multiple patient-, tooth-, and treatment-related covariables may influence the mucogingival healing.…”

mentioning

confidence: 99%