Hur Yong, Lee Po, Ogata Yumi, Jeong Y Natalie, Sohn Dong-Seok
Department of Periodontology, Tufts University School of Dental Medicine, Boston, MA.
Department of Dentistry and Oral and Maxillofacial Surgery, Catholic University Hospital of Daegu, Daegu, Korea.
J Oral Implantol. 2025 Feb 1;51(1):21-26. doi: 10.1563/aaid-joi-D-24-00118.
Periodontal surgery often requires flap advancement for adequate coverage of the surgical site with tension-free primary closure essential for successful outcomes. Although the periosteal releasing incision is frequently performed, it may necessitate deeper or more incisions, which could result in consequences such as edema, bleeding, paresthesia, and discomfort for the patient. To address these issues, the modified periosteal releasing incision was proposed to minimize trauma into the submucosa. In this paper, we update the technique, emphasizing its application in visualizing the mental nerve to avoid nerve damage during significant flap advancement in the posterior mandible. The technique provides an alternative approach to traditional techniques, ensuring patient safety and improving surgical outcomes. Future research is needed to explore its benefits and applications in various clinical scenarios.
牙周手术通常需要推进皮瓣,以便充分覆盖手术部位,并进行无张力的一期缝合,这对成功的手术结果至关重要。尽管经常进行骨膜松解切口,但可能需要更深或更多的切口,这可能会给患者带来水肿、出血、感觉异常和不适等后果。为了解决这些问题,人们提出了改良骨膜松解切口,以尽量减少对黏膜下层的创伤。在本文中,我们更新了该技术,强调其在可视化颏神经方面的应用,以避免在下颌后部进行较大皮瓣推进时损伤神经。该技术为传统技术提供了一种替代方法,确保了患者安全并改善了手术效果。未来需要开展研究,以探索其在各种临床场景中的益处和应用。