Rc Helicopter Break - Designing An Apicoectomy Flap And Incisions - On The Cast
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Case description
Key points wrt apicoectomy flap design:
Endodontic surgery is dealing with "typically" healthy gingival tissue - therefore the use of papilla sparing flap design is, perhaps, encouraged.
The papilla sparing incision consists of 2 incisions:
The first 45 degree angled incision barely makes the mucosa hemorrhage. It develops a split thickness design.
Return through the initial split thickness incision and angle the blade approximating an intrasulcular incision - contact bone.
This style permits an easy re-approximation and suturing of the flap.
Endodontic surgery is dealing with "typically" healthy gingival tissue - therefore the use of papilla sparing flap design is, perhaps, encouraged.
The papilla sparing incision consists of 2 incisions:
The first 45 degree angled incision barely makes the mucosa hemorrhage. It develops a split thickness design.
Return through the initial split thickness incision and angle the blade approximating an intrasulcular incision - contact bone.
This style permits an easy re-approximation and suturing of the flap.
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