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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; or banging ivectomy knife; blades 11D; blades 15; 360 degrees, Laser gingivectomy

INTERNAL BEVEL
(reverse or inverted bevel)

Performed in the apical direction, made on the crest of the gingival margin, 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; esthetic are 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 margin at the angles of transition of the teeth

Increase access to allow the flap to be positioned towards the coronal or apical region

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

FOR THINNING

Increase access to allow the flap to be positioned towards the coronal or apical region

Palatal flaps; distal wedge procedures; gingivectomy with internal bevel; voluminous papillae

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

CONTRAINCISION

Small incision made in the relaxing incision, and directed towards the base of the flap

Laterally positioned pediculated flaps

Blades 11, 15 or 15C

RELAXING INCISION IN THE PERIOSTEUM

Incision at the base of the flap, cutting the subjacent periosteum

To release the tension on the flap, allowing it to advance in the coronal
direction

Blades 11, 15 or 15C