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. 2015 Jul-Dec;7(2):42-4.
doi: 10.4103/2006-8808.185655.

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

Amin Rahpeyma  1 , Saeedeh Khajehahmadi  2
Affiliations

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

Amin Rahpeyma et al. J Surg Tech Case Rep. 2015 Jul-Dec.

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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Figures

Figure 1
Figure 1
Wedge of the bone was harvested from anterior mandibular subapical osteotomy
Figure 2
Figure 2
(a) Cone-beam computed tomography of anterior maxilla with thin width alveolar ridge. (b) Maxillary anterior buccal onlay bone grafting. (c) Tensionless coverage of bone graft with Anterior Palatal Island Advancement Flap. (d) Postoperative photograph 3 weeks after operation. (e) Implant insertion into the bone graft and adjacent fresh extraction socket
Figure 3
Figure 3
(a and b) Schematic pictures of the flap
Figure 4
Figure 4
Healing caps in position on implant body and ideal gingival relationship
See this image and copyright information in PMC

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