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14 Cards in this Set

  • Front
  • Back
Most flaps are placed on the
____ or ____ side as this facilitates access and vision.
buccal or labial
Relieving incisions are usually
only placed at the ____ end of the flap.
mesial
Most flaps are ____ sided  occasionally one  sided (envelope) or three sided flaps may be used
two
ENVELOPE FLAP (ONE‐SIDED FLAP) 

Advantage
avoidance of vertical incision
easy re-approximation to original position
ENVELOPE FLAP (ONE‐SIDED FLAP) 

Disadvantage
difficult reflection
gret tension -> tearing
limited access
Triangular flap

Advantage
adequate blood supply
Good visualisation
Stability and re-approximation
Easily modified
Triangular flap
Disadvantage
limited access to long roots
tension created when held with a retractor
TRAPEZOIDAL FLAP (THREE‐SIDED FLAP)

Advantage
excellen access
no tension
easy re-approximation
TRAPEZOIDAL FLAP (THREE‐SIDED FLAP)

Disadvantage
produces gingival recession
SEMILUNAR FLAP 

Advantage
no recession of gingiva
SEMILUNAR FLAP 

disadvantage
limited access and visual
Ochsenbein‐Luebke Flap 

advantage
no recession of gingiva
Ochsenbein‐Luebke Flap 

disadvantage
cannot be used for small roots or cysts
need wide keratinised gingiva
STEPS OF THE SURGICAL EXTRACTION ?
Flap design
RAISE A MUCOPERIOSTEAL FLAP 
BONE REMOVAL 
DELIVER THE TOOTH 
DEBRIDEMENT OF THE WOUNDSUTURES PLACED