Does modified Widman flap reduce pocket depth?
One of the commonly performed procedures for this purpose is the modified Widman flap. [12] This procedure has shown to reduce pocket depths and promote attachment gain.
What is an envelope flap oral surgery?
The envelope flap (Figure 1), or ‘sulcular flap’, is a one-sided extended crevicular incision freeing the interdental papillae. As a result, it requires sufficient length to permit adequate reflection and visualisation of the surgical area.
Is periodontal flap surgery painful?
Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.
What is gingival flap surgery?
During flap surgery, the gum is cut and folded back (this folded gum is called a flap) so that the root of the tooth is exposed. Then the root can be cleaned, and plaque and calculus is removed. The gums are then secured back into place with stitches.
When do you use modified Widman flap?
The modified Widman flap surgery is not aimed at surgical eradication of pocket walls, including bony walls. It is aimed at maximum healing in areas of previous periodontal pockets with minimum loss of peri odontal tissues during and after the surgery.
What is undisplaced flap?
THE UNDISPLACED FLAP. • Currently, it is the most commonly performed type of periodontal surgery. • It differs from the modified Widman flap in that the soft tissue pocket wall is removed with the initial incision; thus it may be considered an internal bevel gingivectomy.
How is flap surgery done?
dentists can perform a flap procedure to stop the progression of gum disease. It involves incising the gums and temporarily pulling the tissue away from the teeth to treat the roots and jawbone directly. dental practice provides multiple forms of anesthesia and sedation to ensure your comfort during the procedure.
Can dentist remove gum flap?
What Is an Operculectomy Like? An operculectomy is a minor surgical procedure where your dentist will remove the infected gum flap with either a scalpel, laser, or electrocautery. Your dentist will use a local anesthetic before surgery.
What is ENAP in periodontics?
ENAP is an abbreviation of the term ‘excisional new attachment procedure’.
What is a modified Widman flap?
Actually, the modified Widman flap surgery may be considered a modification of subgingival curettage with the raising of flaps, assuring better access to the root surfaces and a better control of removal of the pocket lining with a lesser mechanical trauma to the gingival tissues than during curettage.
How big is the incision in a modified Widman flap?
First incision is at 0.5- 1mm from the margin in Modified Widman procedure where as in Original Widman flap it starts 1-2mm from the margin. Bone architecture is not corrected in Modified Widman procedure whereas minimal recontouring is indicated in Original Widman procedure.
When to use the modified Widman flap in Perio dontitis?
Indications: The modified Widman flap is indicated in cases of perio-dontitis with pocket depths of 5-7 mm. It can be used in combination with other procedures such as osseous resection, regenerative procedures, hemisection procedure and procedures involving wedge excision.
How are flap incisions used in periodontal surgery?
The para-marginal internal bevel incision accomplishes three important objectives. It removes the pocket lining. It conserves the relatively uninvolved outer surface of the gingiva. It produces a sharp, thin flap margin for adaptation to the bone-tooth junction.
Why does the incision need to be wider than the flap?
The vertical incision must extend beyond the mucogingival line, reaching the alveolar mucosa, to allow for the release of the flap to be displaced. The base of the flap should be wider than the flap margin so that the blood supply to the flap is not jeopardized. This is mainly because of the reason that all the lateral blood supply to …….