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EP39812
Poster Title: Clinical Evaluation of Coronally Advanced Lingual Flap for Maintaining Primary Wound Closure over Titanium Mesh after Guided Bone Regeneration: A Randomized Control Trial
Submitted on 25 Jan 2023
Author(s): Rasha Attia, Hani Elnahass, Maged Anis, Manal Hosny
Affiliations: Cairo University
This poster was presented at 6th Cairo International Dental Congress (6th CIDC)
Poster Views: 159
Submitted on 25 Jan 2023
Author(s): Rasha Attia, Hani Elnahass, Maged Anis, Manal Hosny
Affiliations: Cairo University
This poster was presented at 6th Cairo International Dental Congress (6th CIDC)
Poster Views: 159
Abstract: Objectives: to evaluate the clinical efficacy, in terms of extent of lingual and, maintaining primary wound closure of coronally advanced lingual flap (CALF) technique in comparison to buccal flap advancement alone during horizontal ridge augmentation in the posterior mandible.
Material and methods: fourteen patients were randomly allocated to two different groups: buccal flap advancement referred as NO-CALF group (control), buccal flap advancement with CALF technique referred CALF group (test). Wound healing was monitored weekly for the first 4 weeks then at 2, 4 months postoperatively for any soft tissue dehiscence along the incision line which identified as titanium mesh (TM) exposure. The extent of lingual flap advancement was measured.
Results: The difference between groups was statistically significant (P value <.0001) in term of 1) TM exposure; CALF group showed no exposure while 83.3% of cases in NO-CALF group showed early Class П exposures, 2) the mean lingual flap advancement; 3.9 ± 1.1 mm and 14.4 ± 3.8 mm for the NO-CALF and CALF group respectively.
Conclusions: Tension free primary wound closure was facilitated and maintained during the healing period by applying CALF technique and it is a reliable technique to safely advance the lingual flap coronally.
Summary: Proper flap design for GBR should include advancement for lingual flap with the buccal flap to guarantee maintaining tension free closure.References: Fontana F, Maschera E, Rocchietta I, and Simion M. Clinical classification of complications in guided bone regeneration procedures by means of a nonresorbable membrane. Int J Periodontics Restorative Dent, 2011. 31(3): p. 265-73.
Ronda M and Stacchi C. Management of a coronally advanced lingual flap in regenerative osseous surgery: a case series introducing a novel technique. Int J Periodontics Restorative Dent, 2011. 31(5): p. 505-13.
Ronda M and Stacchi C. A Novel Approach for the Coronal Advancement of the Buccal Flap. Int J Periodontics Restorative Dent, 2015. 35(6): p. 795-801.
Material and methods: fourteen patients were randomly allocated to two different groups: buccal flap advancement referred as NO-CALF group (control), buccal flap advancement with CALF technique referred CALF group (test). Wound healing was monitored weekly for the first 4 weeks then at 2, 4 months postoperatively for any soft tissue dehiscence along the incision line which identified as titanium mesh (TM) exposure. The extent of lingual flap advancement was measured.
Results: The difference between groups was statistically significant (P value <.0001) in term of 1) TM exposure; CALF group showed no exposure while 83.3% of cases in NO-CALF group showed early Class П exposures, 2) the mean lingual flap advancement; 3.9 ± 1.1 mm and 14.4 ± 3.8 mm for the NO-CALF and CALF group respectively.
Conclusions: Tension free primary wound closure was facilitated and maintained during the healing period by applying CALF technique and it is a reliable technique to safely advance the lingual flap coronally.
Summary: Proper flap design for GBR should include advancement for lingual flap with the buccal flap to guarantee maintaining tension free closure.References: Fontana F, Maschera E, Rocchietta I, and Simion M. Clinical classification of complications in guided bone regeneration procedures by means of a nonresorbable membrane. Int J Periodontics Restorative Dent, 2011. 31(3): p. 265-73.
Ronda M and Stacchi C. Management of a coronally advanced lingual flap in regenerative osseous surgery: a case series introducing a novel technique. Int J Periodontics Restorative Dent, 2011. 31(5): p. 505-13.
Ronda M and Stacchi C. A Novel Approach for the Coronal Advancement of the Buccal Flap. Int J Periodontics Restorative Dent, 2015. 35(6): p. 795-801.
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