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Fundamental principles in periodontal plastic surgery and mucosal augmentation : A narrative review


Burkhardt, Rino; Lang, Niklaus P (2014). Fundamental principles in periodontal plastic surgery and mucosal augmentation : A narrative review. Journal of Clinical Periodontology, 41(Suppl s15):98-107.

Abstract

AIM: To provide a narrative review of the current literature elaborating on fundamental principles of periodontal plastic surgical procedures.
METHODS: Based on a presumptive outline of the narrative review, MESH terms have been used to search the relevant literature electronically in the PubMed and Cochrane Collaboration databases. If possible, systematic reviews were included. The review is divided into three phases associated with periodontal plastic surgery: a) pre-operative phase, b) surgical procedures and c) post-surgical care. The surgical procedures were discussed in the light of a) flap design and preparation, b) flap mobilization and c) flap adaptation and stabilization.
RESULTS: Pre-operative paradigms include the optimal plaque control and smoking counselling. Fundamental principles in surgical procedures address basic knowledge in anatomy and vascularity, leading to novel appropriate flap designs with papilla preservation. Flap mobilization based on releasing incisions can be performed up to 5 mm. Flap adaptation and stabilization depend on appropriate wound bed characteristics, undisturbed blood clot formation, revascularization and wound stability through adequate suturing.
CONCLUSION: Delicate tissue handling and tension free wound closure represent prerequisites for optimal healing outcomes.

Abstract

AIM: To provide a narrative review of the current literature elaborating on fundamental principles of periodontal plastic surgical procedures.
METHODS: Based on a presumptive outline of the narrative review, MESH terms have been used to search the relevant literature electronically in the PubMed and Cochrane Collaboration databases. If possible, systematic reviews were included. The review is divided into three phases associated with periodontal plastic surgery: a) pre-operative phase, b) surgical procedures and c) post-surgical care. The surgical procedures were discussed in the light of a) flap design and preparation, b) flap mobilization and c) flap adaptation and stabilization.
RESULTS: Pre-operative paradigms include the optimal plaque control and smoking counselling. Fundamental principles in surgical procedures address basic knowledge in anatomy and vascularity, leading to novel appropriate flap designs with papilla preservation. Flap mobilization based on releasing incisions can be performed up to 5 mm. Flap adaptation and stabilization depend on appropriate wound bed characteristics, undisturbed blood clot formation, revascularization and wound stability through adequate suturing.
CONCLUSION: Delicate tissue handling and tension free wound closure represent prerequisites for optimal healing outcomes.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Fixed and Removable Prosthodontics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2014
Deposited On:30 Jan 2015 09:22
Last Modified:05 Apr 2016 19:01
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0303-6979
Additional Information:Special Issue: Proceedings of the 10th European Workshop on Periodontology. Edited by Maurizio Tonetti. The workshop was funded by an unrestricted educational grant from Geistlich-to the European Federation of Periodontology. All manuscripts were fully peer-reviewed.
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1111/jcpe.12193
PubMed ID:24641005

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