Vascularized connective tissue flap for bone graft coverage.

Alan S. Herford, Todd C. Cooper, Carlo Maiorana, Marco Cicciù

Research output: Contribution to journalArticle

Abstract

Alveolar defects are characterized by missing soft and hard tissues. It is often necessary to combine secondary procedures to address the soft-tissue component. The authors describe a technique that uses a split-thickness flap design that is placed over the crest of the remaining ridge and extends in a palatal direction. This allows advancement of the flap with its exposed connective tissue over the bone graft and provides restoration of both bone and keratinized tissue. Seventeen patients with defects involving the anterior maxilla who required grafting procedures were including in this study. All patients had an autogenous bone graft (n = 17) combined with osseointegrated implants (n = 41). A split-thickness flap design was used at the time of bone graft placement (primary) in 9 patients and at the time of implant uncovering (secondary) in 8 patients. There were no cases of flap necrosis or dehiscence with exposure of the bone graft. All patients demonstrated an increase in keratinized tissue involving the peri-implant area. An apical repositioned split-thickness flap provides an increased zone of keratinized tissue with improved esthetics and implant maintenance. This technique can be performed simultaneously with the grafting procedure, thus avoiding extensive undermining of the adjacent soft tissue.

Original languageEnglish
Pages (from-to)279-285
Number of pages7
JournalJournal of Oral Implantology
Volume37
Issue number2
DOIs
Publication statusPublished - Apr 2011

Fingerprint

Connective Tissue
Transplants
Bone and Bones
Maxilla
Esthetics
Necrosis
Maintenance

ASJC Scopus subject areas

  • Oral Surgery

Cite this

Vascularized connective tissue flap for bone graft coverage. / Herford, Alan S.; Cooper, Todd C.; Maiorana, Carlo; Cicciù, Marco.

In: Journal of Oral Implantology, Vol. 37, No. 2, 04.2011, p. 279-285.

Research output: Contribution to journalArticle

Herford, Alan S. ; Cooper, Todd C. ; Maiorana, Carlo ; Cicciù, Marco. / Vascularized connective tissue flap for bone graft coverage. In: Journal of Oral Implantology. 2011 ; Vol. 37, No. 2. pp. 279-285.
@article{b4d21183ce3a4c2bba679100891c31e4,
title = "Vascularized connective tissue flap for bone graft coverage.",
abstract = "Alveolar defects are characterized by missing soft and hard tissues. It is often necessary to combine secondary procedures to address the soft-tissue component. The authors describe a technique that uses a split-thickness flap design that is placed over the crest of the remaining ridge and extends in a palatal direction. This allows advancement of the flap with its exposed connective tissue over the bone graft and provides restoration of both bone and keratinized tissue. Seventeen patients with defects involving the anterior maxilla who required grafting procedures were including in this study. All patients had an autogenous bone graft (n = 17) combined with osseointegrated implants (n = 41). A split-thickness flap design was used at the time of bone graft placement (primary) in 9 patients and at the time of implant uncovering (secondary) in 8 patients. There were no cases of flap necrosis or dehiscence with exposure of the bone graft. All patients demonstrated an increase in keratinized tissue involving the peri-implant area. An apical repositioned split-thickness flap provides an increased zone of keratinized tissue with improved esthetics and implant maintenance. This technique can be performed simultaneously with the grafting procedure, thus avoiding extensive undermining of the adjacent soft tissue.",
author = "Herford, {Alan S.} and Cooper, {Todd C.} and Carlo Maiorana and Marco Cicci{\`u}",
year = "2011",
month = "4",
doi = "10.1563/AAID-JOI-D-09-00146.1",
language = "English",
volume = "37",
pages = "279--285",
journal = "Journal of Oral Implantology",
issn = "0160-6972",
publisher = "Allen Press Inc.",
number = "2",

}

TY - JOUR

T1 - Vascularized connective tissue flap for bone graft coverage.

AU - Herford, Alan S.

AU - Cooper, Todd C.

AU - Maiorana, Carlo

AU - Cicciù, Marco

PY - 2011/4

Y1 - 2011/4

N2 - Alveolar defects are characterized by missing soft and hard tissues. It is often necessary to combine secondary procedures to address the soft-tissue component. The authors describe a technique that uses a split-thickness flap design that is placed over the crest of the remaining ridge and extends in a palatal direction. This allows advancement of the flap with its exposed connective tissue over the bone graft and provides restoration of both bone and keratinized tissue. Seventeen patients with defects involving the anterior maxilla who required grafting procedures were including in this study. All patients had an autogenous bone graft (n = 17) combined with osseointegrated implants (n = 41). A split-thickness flap design was used at the time of bone graft placement (primary) in 9 patients and at the time of implant uncovering (secondary) in 8 patients. There were no cases of flap necrosis or dehiscence with exposure of the bone graft. All patients demonstrated an increase in keratinized tissue involving the peri-implant area. An apical repositioned split-thickness flap provides an increased zone of keratinized tissue with improved esthetics and implant maintenance. This technique can be performed simultaneously with the grafting procedure, thus avoiding extensive undermining of the adjacent soft tissue.

AB - Alveolar defects are characterized by missing soft and hard tissues. It is often necessary to combine secondary procedures to address the soft-tissue component. The authors describe a technique that uses a split-thickness flap design that is placed over the crest of the remaining ridge and extends in a palatal direction. This allows advancement of the flap with its exposed connective tissue over the bone graft and provides restoration of both bone and keratinized tissue. Seventeen patients with defects involving the anterior maxilla who required grafting procedures were including in this study. All patients had an autogenous bone graft (n = 17) combined with osseointegrated implants (n = 41). A split-thickness flap design was used at the time of bone graft placement (primary) in 9 patients and at the time of implant uncovering (secondary) in 8 patients. There were no cases of flap necrosis or dehiscence with exposure of the bone graft. All patients demonstrated an increase in keratinized tissue involving the peri-implant area. An apical repositioned split-thickness flap provides an increased zone of keratinized tissue with improved esthetics and implant maintenance. This technique can be performed simultaneously with the grafting procedure, thus avoiding extensive undermining of the adjacent soft tissue.

UR - http://www.scopus.com/inward/record.url?scp=79960142383&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960142383&partnerID=8YFLogxK

U2 - 10.1563/AAID-JOI-D-09-00146.1

DO - 10.1563/AAID-JOI-D-09-00146.1

M3 - Article

C2 - 20553154

AN - SCOPUS:79960142383

VL - 37

SP - 279

EP - 285

JO - Journal of Oral Implantology

JF - Journal of Oral Implantology

SN - 0160-6972

IS - 2

ER -