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SURGICAL FLAPS
level: SURGICAL FLAPS
Questions and Answers List
level questions: SURGICAL FLAPS
Question
Answer
A soft tissue flap that is incised and reflected so that underlying bine can be removed to expose teeth, roots and pathological tissue
SURGICAL FLAP
TRUE OR FALSE: The incision of a flap must be carried out with a firm, discontinuous stroke
FALSE
TRUE OR FALSE: The width of the flap may be small
FALSE
TRUE OR FALSE: Flap design and incision should be carried out in such a way that injury of anatomic structures is avoided.
TRUE
TRUE OR FALSE: The base of the flap must be boarder than the free gingival margin
TRUE
TRUE OR FALSE: The flap should be a partial-thickness mucoperiosteal flaps
FALSE
TRUE OR FALSE: The flap itself must be smaller than the bone deficit in apicoectomy
FALSE
TYPES OF FLAPS:created after π – shaped incision, which is formed by a horizontal incision along the gingiva, and two oblique vertical releasing incisions extending to the buccal vestibule
TRAPEZOIDAL FLAP
TYPES OF FLAPS:This flap is the result of an L-shaped incision with a horizontal incision made along the gingival sulcus and a vertical or oblique incision
TRIANGULAR FLAP
TYPES OF FLAPS:performed labially or buccally on both jaws
TRIANGULAR FLAP
TYPES OF FLAPS:This type of flap is the result of an extended horizontal incision along the cervical lines of the teeth
ENVELOPE FLAP
TYPES OF FLAPS:The incision is made in the gingival sulcus and extends along four or five teeth
ENVELOPE FLAP
TYPES OF FLAPS:used for surgery of incisors, premolars and molars, on the labial or buccal and palatal or lingual surface.
ENVELOPE FLAP
TYPES OF FLAPS:This flap is the result of a curved incision, which begins just beneath the vestibular fold and has a bow shaped course with the convex part towards the attached gingiva
SEMILUNAR FLAP
TYPES OF FLAPS:used in apicoectomy and removal of small cysts and root tips
SEMILUNAR FLAP
TYPES OF FLAPS:These flaps are used in surgical procedures of the palate
Result of a Y-shaped and X-shaped incision
TYPES OF FLAPS:Use for oroantral communication
PEDICLE FLAPS
TYPES OF FLAPS(PEDICLE FLAPS):This is a typical trapezoidal flap created buccally, corresponding to the area which is to be covered, and is usually used on dentulous patients
BUCCAL FLAP
TYPES OF FLAPS(PEDICLE FLAPS):It is the result of two oblique incisions that diverge up wards, and extend as far as the tooth socket
BUCCAL FLAP
TYPES OF FLAPS(PEDICLE FLAPS):After creating the flap, the periosteum is incised transversally, making it more elastic so that it may cover the orifice that results from the tooth extraction
BUCCAL FLAP
TYPES OF FLAPS(PEDICLE FLAPS):The _____ is a variation of the buccal flap
oblique buccal flap
TYPES OF FLAPS(PEDICLE FLAPS):It is the result of an anteroposterior incision, so that its base is perpendicular to the buccal area, posterior to the wound
oblique buccal flap
TYPES OF FLAPS(PEDICLE FLAPS):The flap is rotated about 70-80 degree and is placed over the socket
oblique buccal flap
TYPES OF FLAPS(PEDICLE FLAPS):This type of flap is used in edentulous patients so that the vestibular depth is maintained
PALATAL FLAP
TYPES OF FLAPS(PEDICLE FLAPS):The resulting palatal mucoperiosteal flap is rotated posteriorly and buccally, always including the vessels that emerge from the corresponding greater palatine foramen
PALATAL FLAP
TYPES OF FLAPS(PEDICLE FLAPS):After rotation, the flap is placed over the orifice of the socket, the wound margins are debrided, and the flap is sutured with the buccal tissues
PALATAL FLAP
TYPES OF FLAPS(PEDICLE FLAPS):A gingival dressing is applied for a few days at the void created and healing is achieved by secondary intention
PALATAL FLAP
TYPES OF FLAPS(PEDICLE FLAPS):This flap is palatobuccal and is perpendicular to the alveolar ridge
PEDICLE BRIDGE FLAP
TYPES OF FLAPS(PEDICLE FLAPS):After creation, the flap is rotated posteriorly or anteriorly, to cover the orifice of the oroantral communication, without compromising the vestibular fold
PEDICLE BRIDGE FLAP
TYPES OF FLAPS(PEDICLE FLAPS):This type of flap is used only on edentulous parts of the alveolar ridge
PEDICLE BRIDGE FLAP
TYPES OF FLAPS(INDICATIONS):Extensive surgical procedures – like removal of impacted canine with odontoma
TRAPEZOIDAL FLAP
TYPES OF FLAPS(INDICATIONS):Surgical removal of root tips, small cysts and apicoectomy procedures
TRIANGULAR FLAP
TYPES OF FLAPS(INDICATIONS):When the surgical procedure involves the cervical lines of the teeth labially (or buccally) and palatally (or lingually)
ENVELOPE FLAP
TYPES OF FLAPS(INDICATIONS):Apicoectomy (palatal root)
ENVELOPE FLAP
TYPES OF FLAPS(INDICATIONS):Removal of impacted teeth, cysts.
ENVELOPE FLAP
TYPES OF FLAPS:An incision is made along the midline of the palate, as well as two anterolateral incisions, which are anterior to the canines
FLAPS RESULTING FROM Y-SHAPED INCISION
TYPES OF FLAPS:This types of flap are indicated in surgical procedures involving the removal of small exostosis
FLAPS RESULTING FROM Y-SHAPED INCISION
TYPES OF FLAPS:This type of flap is used in larger exostosis and is basically an extension of the Y-shaped incision
FLAP RESULTING FROM X-SHAPED INCISION
TYPES OF FLAPS:The difference is that two more posterolateral incisions are made, which are necessary for adequate access to the surgical field
FLAP RESULTING FROM X-SHAPED INCISION
TYPES OF FLAPS:This flap is designed such that major branches of the greater palatine artery are not damaged
FLAP RESULTING FROM X-SHAPED INCISION
TYPES OF FLAPS(ADVANTAGE):Provides excellent access, allows surgery to be performed on more than one or two teeth
TRAPEZOIDAL FLAP
TYPES OF FLAPS(ADVANTAGE):Produces no tension in the tissues, allows easy reapproximation of the flap to its original position and hastens the healing process
TRAPEZOIDAL FLAP
TYPES OF FLAPS(ADVANTAGE):Ensures an adequate blood supply
TRIANGULAR FLAP
TYPES OF FLAPS(ADVANTAGE):Satisfactory visualization
TRIANGULAR FLAP
TYPES OF FLAPS(ADVANTAGE):Very good stability and reapproximation
TRIANGULAR FLAP
TYPES OF FLAPS(ADVANTAGE):Avoidance of vertical incision
ENVELOPE FLAP
TYPES OF FLAPS(ADVANTAGE):Easy reapproximation to original position
ENVELOPE FLAP
TYPES OF FLAPS(ADVANTAGE):Small incision and easy reflection
SEMILUNAR FLAP
TYPES OF FLAPS(ADVANTAGE):No intervention at the periodontium
SEMILUNAR FLAP
TYPES OF FLAPS(DISADVANTAGE):Produces a defect in the attached gingiva
TRAPEZOIDAL FLAP
TYPES OF FLAPS(DISADVANTAGE):Limited access to long roots
TRIANGULAR FLAP
TYPES OF FLAPS(DISADVANTAGE):Tension is created when the flap is held with a retractor, and it causes a defect in the attached gingiva
TRIANGULAR FLAP
TYPES OF FLAPS(DISADVANTAGE):Difficult reflection (mainly palatally), great tension with a risk of the ends tearing
ENVELOPE FLAP
TYPES OF FLAPS(DISADVANTAGE):Limited visualization in apicoectomy
ENVELOPE FLAP
TYPES OF FLAPS(DISADVANTAGE):Limited access, possibility of injury of palatal vessels and nerves
ENVELOPE FLAP
TYPES OF FLAPS(DISADVANTAGE):Possibility of the incision being performed right over the bone lesion due to miscalculation
SEMILUNAR FLAP
TYPES OF FLAPS(DISADVANTAGE):Scarring mainly in the anterior area
SEMILUNAR FLAP
TYPES OF FLAPS(DISADVANTAGE):Difficulty of reapproximation and suturing due to absence of specific reference points
SEMILUNAR FLAP