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논문 기본 정보

자료유형
학술저널
저자정보
신승일 (경희대학교)
저널정보
대한치과의사협회 대한치과의사협회지 대한치과의사협회지 Vol.50 No.8
발행연도
2012.8
수록면
474 - 481 (8page)

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초록· 키워드

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The periodontal flap surgery is the most widely utilized surgical procedure to reduce the pocket depth and to access the subgingival root surfaces for scaling and root planing. The diagnosis of the periodontal lesion and the objective of the surgery will dictate the type of flap procedure which will be utilized to obtain the best result. The incisions, type of flap and the selection of suturing design must be planned and executed to fit the problem. Periodontal flaps are designed to preserve gingival integrity and to gain access to root surfaces for residual calculus removal and to thoroughly remove granulation tissue so bone defects can be visualized and treated. Gentle and efficient procedures result in optimum healing and minimal postoperative pain. When flaps need to be repositioned apically or less often, coronally, then the flaps must sit passively at the appropriate level before suturing. To ensure this, buccal and lingual flaps need to be elevated beyond the mucogingival junction so the elasticity of the mucosa allows for flap mobility. Sometimes it may be necessary to extend the flap elevation apically with a split incision approach to minimize the effect of the less elastic periosteum. Vertical incisions can aid in flap positioning by allowing the clinician to suture the flap at a different level to the adjacent untreated gingiva. In osseous periodontal surgery, flaps are apically positioned to minimize postoperative pocket depth. In regenerative periodontal surgery including implant surgery, soft tissue coverage of bony defects, graft materials, membranes, and biologic agents is important so sulcular incisions and tight suturing techniques are crucial.

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ABSTRACT
Ⅰ. 서론
Ⅱ. 치주판막 절개의 개관
Ⅲ. 치주판막 절개의 응용
Ⅳ. 총괄 및 결론
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