Flap extension attained by vertical and periosteal-releasing incisions

A prospective cohort study

Jung Chul Park, ChangSung Kim, Seongho Choi, Kyoo Sung Cho, Jung Kiu Chai, Ui-Won Jung

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objectives: To evaluate the effect of vertical and periosteal-releasing incisions (PRI) on the extension of the buccal flap in a trapezoidal flap design. Material and methods: Thirty patients scheduled for implant surgery accompanied by bone augmentation were recruited. The amount of flap extension pulled with a minimal tension of 5g using a dynamometer was measured before and after the first and the second vertical incisions (VI) and PRI. The results were compared based on gender, surgical site and operator's experience. Results: The first VI extended flap length by 1.1 ± 0.6mm, 113.4% more compared with the original flap length. The second VI increased flap length by 1.9 ± 1mm (124.2%), and the PRI significantly extended flap length by 5.5 ± 1.5mm (171.3%) (P<0.001). The length of the first and the second VI and the amount of flap extension by each incision were compared, and there were no statistically significant differences between gender, surgical site (maxilla vs. mandible) and operator's experience (faculty vs. residents). Conclusion: Vertical and PRI in a trapezoidal flap design can be successfully utilized to attain tension-free primary closure during implant or periodontal surgeries. However, the PRI appears to be the only determinant key factor that can significantly extend the length of the flaps, while host- and operator-related factors might not have any significant effect on such flap extension.

Original languageEnglish
Pages (from-to)993-998
Number of pages6
JournalClinical Oral Implants Research
Volume23
Issue number8
DOIs
Publication statusPublished - 2012 Aug 1

Fingerprint

Cohort Studies
Prospective Studies
Cheek
Maxilla
Mandible
Bone and Bones

All Science Journal Classification (ASJC) codes

  • Oral Surgery

Cite this

@article{f5c0f7aed696424693649437879c4fbc,
title = "Flap extension attained by vertical and periosteal-releasing incisions: A prospective cohort study",
abstract = "Objectives: To evaluate the effect of vertical and periosteal-releasing incisions (PRI) on the extension of the buccal flap in a trapezoidal flap design. Material and methods: Thirty patients scheduled for implant surgery accompanied by bone augmentation were recruited. The amount of flap extension pulled with a minimal tension of 5g using a dynamometer was measured before and after the first and the second vertical incisions (VI) and PRI. The results were compared based on gender, surgical site and operator's experience. Results: The first VI extended flap length by 1.1 ± 0.6mm, 113.4{\%} more compared with the original flap length. The second VI increased flap length by 1.9 ± 1mm (124.2{\%}), and the PRI significantly extended flap length by 5.5 ± 1.5mm (171.3{\%}) (P<0.001). The length of the first and the second VI and the amount of flap extension by each incision were compared, and there were no statistically significant differences between gender, surgical site (maxilla vs. mandible) and operator's experience (faculty vs. residents). Conclusion: Vertical and PRI in a trapezoidal flap design can be successfully utilized to attain tension-free primary closure during implant or periodontal surgeries. However, the PRI appears to be the only determinant key factor that can significantly extend the length of the flaps, while host- and operator-related factors might not have any significant effect on such flap extension.",
author = "Park, {Jung Chul} and ChangSung Kim and Seongho Choi and Cho, {Kyoo Sung} and Chai, {Jung Kiu} and Ui-Won Jung",
year = "2012",
month = "8",
day = "1",
doi = "10.1111/j.1600-0501.2011.02244.x",
language = "English",
volume = "23",
pages = "993--998",
journal = "Clinical Oral Implants Research",
issn = "0905-7161",
publisher = "Blackwell Munksgaard",
number = "8",

}

Flap extension attained by vertical and periosteal-releasing incisions : A prospective cohort study. / Park, Jung Chul; Kim, ChangSung; Choi, Seongho; Cho, Kyoo Sung; Chai, Jung Kiu; Jung, Ui-Won.

In: Clinical Oral Implants Research, Vol. 23, No. 8, 01.08.2012, p. 993-998.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Flap extension attained by vertical and periosteal-releasing incisions

T2 - A prospective cohort study

AU - Park, Jung Chul

AU - Kim, ChangSung

AU - Choi, Seongho

AU - Cho, Kyoo Sung

AU - Chai, Jung Kiu

AU - Jung, Ui-Won

PY - 2012/8/1

Y1 - 2012/8/1

N2 - Objectives: To evaluate the effect of vertical and periosteal-releasing incisions (PRI) on the extension of the buccal flap in a trapezoidal flap design. Material and methods: Thirty patients scheduled for implant surgery accompanied by bone augmentation were recruited. The amount of flap extension pulled with a minimal tension of 5g using a dynamometer was measured before and after the first and the second vertical incisions (VI) and PRI. The results were compared based on gender, surgical site and operator's experience. Results: The first VI extended flap length by 1.1 ± 0.6mm, 113.4% more compared with the original flap length. The second VI increased flap length by 1.9 ± 1mm (124.2%), and the PRI significantly extended flap length by 5.5 ± 1.5mm (171.3%) (P<0.001). The length of the first and the second VI and the amount of flap extension by each incision were compared, and there were no statistically significant differences between gender, surgical site (maxilla vs. mandible) and operator's experience (faculty vs. residents). Conclusion: Vertical and PRI in a trapezoidal flap design can be successfully utilized to attain tension-free primary closure during implant or periodontal surgeries. However, the PRI appears to be the only determinant key factor that can significantly extend the length of the flaps, while host- and operator-related factors might not have any significant effect on such flap extension.

AB - Objectives: To evaluate the effect of vertical and periosteal-releasing incisions (PRI) on the extension of the buccal flap in a trapezoidal flap design. Material and methods: Thirty patients scheduled for implant surgery accompanied by bone augmentation were recruited. The amount of flap extension pulled with a minimal tension of 5g using a dynamometer was measured before and after the first and the second vertical incisions (VI) and PRI. The results were compared based on gender, surgical site and operator's experience. Results: The first VI extended flap length by 1.1 ± 0.6mm, 113.4% more compared with the original flap length. The second VI increased flap length by 1.9 ± 1mm (124.2%), and the PRI significantly extended flap length by 5.5 ± 1.5mm (171.3%) (P<0.001). The length of the first and the second VI and the amount of flap extension by each incision were compared, and there were no statistically significant differences between gender, surgical site (maxilla vs. mandible) and operator's experience (faculty vs. residents). Conclusion: Vertical and PRI in a trapezoidal flap design can be successfully utilized to attain tension-free primary closure during implant or periodontal surgeries. However, the PRI appears to be the only determinant key factor that can significantly extend the length of the flaps, while host- and operator-related factors might not have any significant effect on such flap extension.

UR - http://www.scopus.com/inward/record.url?scp=84863865991&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863865991&partnerID=8YFLogxK

U2 - 10.1111/j.1600-0501.2011.02244.x

DO - 10.1111/j.1600-0501.2011.02244.x

M3 - Article

VL - 23

SP - 993

EP - 998

JO - Clinical Oral Implants Research

JF - Clinical Oral Implants Research

SN - 0905-7161

IS - 8

ER -