Tab1

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INCISION

DESCRIPTION

INDICATION

INSTRUMENTS

EXTERNAL BEVEL

Performed in the coronal direction

Gingivectomy; clinical crown augmentation; gingivoplasty; gingival growth

Kirkland gingivectomy knife; Orbangingivectomy knife; blades 11D; blades 15; 360 degrees, Laser gingivectomy

INTERNAL BEVEL
(reverse or inverted bevel)

Performed in the apical direction, made on the crestof the gingivalmargin, or 0.5 to
2.0 mm away from the
margin

Excisional procedures for new insertion; modified Widman flap; clinical crown augmentation; gingival augmentation

Blades 11,12 or 12B, 15 or 15C

SULCULAR
(of the sulcus)

Performed in the apical direction, madein
the sulcus and performed in the direction of the alveolar crest

Procedures for preservation of the papillae; estheticare as; are as with little kerati-
nized tissue; guided tissue regeneration procedures (GTR)

Blades 11,12 or 12B, 15 or 15C

RELAXING (vertical)

Perpendicular to the gingival marginat the angle soft transition of the teeth

Increaseaccesstoallowtheflaptobe positionedtowardsthecoronalorapical region

Blades 11,12 or 12B, 15 or 15C

FOR THINNING

Internal, extends from the gingival margin inthedirectiontowardsthebaseofthe flaptodiminishthevolumeofconnective
tissueontheinternalsurfaceoftheflap

Palatal flaps; distal wedge procedures; gingivectomy with internal bevel; volumi- nous papillae

Blades 11,12 or 12B, 15 or 15C

CONTRAINCISION

Smallincisionmadeintherelaxinginci- sion,anddirectedtowardsthebaseofthe flap

Laterally positioned pediculated flaps

Blades 11, 15 or 15C

RELAXING INCISION IN THE PERIOSTEUM

Incisionatthebaseoftheflap,cuttingthe subjacentperiosteum

To release the tension on the flap, allow- ing it to advance in the coronal
direction

Blades 11, 15 or 15C