Single‐Flap Approach With Buccal Access in Periodontal Reconstructive Procedures

Abstract

Challenging intraosseous defects, surgically accessed with a buccal SFA and treated with a combined graft/guided tissue regeneration technique, may heal with a substantial CAL gain. Limited postsurgical recession indicates that SFA may represent a suitable option to surgically treat defects in areas with high esthetic demands.

Does the Papilla Preservation Flap Technique Induce Soft Tissue Modifications over Time in Endodontic Surgery Procedures?

“…In detail, the purpose of PBI is to obtain access to the periapical lesion without mobilizing the interdental papilla, thus preserving that tissue for flap repositioning and suturing in order to achieve a satisfying esthetic outcome. This aim was similar to those proposed in studies about periodontal surgery without papilla mobilization (15,16). One recent article even reported an improvement in the height of gingival buccal and interdental recession in teeth treated with the so-called single-flap approach (17), which is comparable with the PBI flap.…”

Periodontal tissue generation using autologous dental ligament micro-grafts: Case report with 6 months follow-up

“…Wetting the collagen III sponge with the micro-graft suspension after tissue dissociation, we reconstitute an activated undifferentiated tissue, able to produce by itself BMP-2 and VEGF for vascular net claiming and cell bridging. Then this cell suspension was grafted in the osseous defect with a mini-invasive surgical technique to avoid the depletion of the residual regenerating activity of the surrounding tissues that can occur after an extensive surgical trauma [31][32][33][34][35] . For the first 3 months we avoided performing an x-ray, although the emission dose is very low, in order to exclude any x-rays damaging the proliferating cells.…”

Minimally Invasive Single Flap Approach With Connective Tissue Wall for Periodontal Regeneration

“…These new surgical techniques aim a complete tissue preservation in order to achieve and maintain primary closure on top of the applied regenerative material during the critical stages of healing and to save space for blood clot formation and maturation [6,7].…”