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6.1.Wound healing, anatomic basis, and flap formation

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​​​​​​​Kursvorschau © youvivo GmbH / SpringerMedizin​​​​​​​

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Learning objectives

Once you have completed this e.tutorial, you will:

  • be familiar with the basis and principles of wound healing
  • understand which anatomical characteristics are required for soft tissue surgery
  • have knowledge of the various incision and flap formation techniques used in oral implantology

Abstract

Knowledge of the wound healing process, the anatomy of vascular supply to the mucosa and gingiva, as well as incision techniques for flap formation is essential for surgical procedures in oral implantology. The goals of surgical soft tissue techniques include avoiding scar formation, creating adequate soft tissue volume, and preserving the interdental papillae. Magnification aids and microsurgical instruments can help keep procedures as atraumatic as possible. Adhering to the principles of incision for flap formation makes precise wound adaptation, rapid revascularization, and optimal blood supply possible. The biologic width, the dentogingival complex, and the gingival morphotype determine the principles of incision. Mucosal and mucoperiosteal flaps, as well as a combination thereof, keep obstruction of the soft tissue blood supply to a minimum and permit full coverage of the surgical field.

Authors

G. Iglhaut, M. Schlee, K.L. Ackermann, A. Sculean

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