Periodontal disease chapter
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Sliding Flap

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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

  1. Identify an adjacent healthy donor site.

  2. Prepare, clean and scarify the recipient site then create a flap at least 2.5 times wider than the defect on an adjacent site.

  3. 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).

  4. Slide the flap laterally onto recipient site and fix with interrupted sutures (5/0 at 1.5mm intervals) to adjacent gingiva and alveolar mucosa.

  5. 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).

 

 

 

 

Sliding Flap 1

Sliding Flap 2

Sliding Flap 3

Sliding Flap 4

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