Indications
To cover a root surface denuded by gingival defect or periodontal
disease, and widen the zone of attached gingiva. This technique
is commonly used to eliminate clefts in gingiva at carnassials or
cuspid (canine) teeth.
Method
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Identify an adjacent healthy donor site.
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Prepare, clean and scarify the recipient site then create a
flap at least 2.5 times wider than the defect on an adjacent
site.
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Make a mixed partial thickness/full thickness flap of epithelium
and connective tissue. This requires leaving the periosteum
on the bone in the area that will be left exposed (i.e. at the
donor site).
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Slide the flap laterally onto recipient site and fix with interrupted
sutures (5/0 at 1.5mm intervals) to adjacent gingiva and alveolar
mucosa.
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An absorbable suspensory suture around recipient tooth will
prevent the flap from slipping apically.
A dressing of Tinct. Myrrh and Benzoin can be applied and the site
flushed twice daily with chlorhexidine (CHX Guard Solution:
St Jon VRx).
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