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J Surg Tech Case Rep. 2015 Jul-Dec;7(2):42-4. doi: 10.4103/2006-8808.185655.

Anterior Palatal Island Advancement Flap for Bone Graft Coverage: Technical Note.

Author information

1
Associate Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
2
Assistant Professor of Oral and Maxillofacial Pathology, Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

BACKGROUND:

The most important step in bone graft management is soft tissue coverage. Dehiscence of the wound leads to graft exposure and subsequent problems.

PURPOSE:

This study introduces an axial pattern flap for bone graft coverage in anterior maxilla.

PATIENTS AND METHODS:

Use of Anterior Palatal Island Advancement Flap is presented by the authors. It is a mucoperiosteal flap with axial pattern blood supply, based on nasopalatine artery. It is easy to raise and predictable.

RESULTS:

Anterior Palatal Island Advancement Flap was effective in bone graft coverage in premaxillary edentulous area.

CONCLUSION:

It can be used as an aid for bone graft coverage of premaxillary edentulous ridge, where the need for mucosa is small in width but long in length.

KEYWORDS:

Anterior maxilla; bone graft; dental implant; palatal advancement flap

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