Access Flaps

Question 1

Patients have minimal post-op recession and root sensitivity with this new attachment procedure.

Answer 1

LANAP

Question 2

What does LANAP leave?

Answer 2

Connective tissue

Because it just removes the sulcular epithelium.

Question 3

T/F: LANAP Steps:

1) Local anesthesia
2) Laser fiber parallel to the root surface
3) Photothermolysis removes pocket epithelium.
4) Pathogens killed
5) Plaque and calculus removed with an ultrasonic scaler.
6) Second laser pass debrides the pocket and achieves hemostasis.

Answer 3

True

Question 4

According to the ADA, have lasers consistently demonstrated the ability to reduce microorganisms within a periodontal pocket?

Answer 4

NO!

Question 5

Blunt dissection is used for which flap?

Answer 5

Full thickness

Question 6

Sharp dissection is used for which flap?

Answer 6

Split thickness

Question 7

This flap is used in areas of thin bone, dehiscence, and fenestration.

Answer 7

Split thickness flap

Bc there’s already bone loss present, and we don’t want more by creating a full thickness flap.

Question 8

Name for loss of alveolar bone on the buccal of the tooth.

Answer 8

Dehiscence

Question 9

2 types of flap placement.

Answer 9

1) Replaced

2) Positioned

Question 10

Replaced Flap

Answer 10

Put back

Question 11

Types of positioned flaps

Answer 11

Apically, coronally, or laterally positioned.

Question 12

Positioned flap AKA

Answer 12

Moved

Question 13

Procedure in which you scale and RP WITHOUT reflecting a flap.

Answer 13

Closed procedure.

Has poorer results in deeper pockets,

Question 14

A procedure in which you reflect a flap to visualize and access:
Root surfaces
Alveolar bone
Furcations

Answer 14

Open procedures

Question 15

This procedure has no reattachment, and it removes a good amount of keratinized gingiva.

Answer 15

Gingivectomy

Question 16

Modified Widman has what kind of beveled incision?

Answer 16

Internal

Question 17

Type of flap done in a MWF

Answer 17

Full thickness

Question 18

Pocket depth that’s an indication for a MWF.

Answer 18

5 -7 mm

Question 19

Is the MWF pocket elimination?

Answer 19

NO

Question 20

MWF replaced or positioned?

Answer 20

Replaced

Question 21

Minimal loss of crestal alveolar bone and minimal post-op discomfort with this flap.

Answer 21

MWF

Question 22

MWF heals by primary or secondary intention?

Answer 22

Primary

Question 23

Modified Widman is AKA what?

Answer 23

Open flap curettage

Question 24

MWF Protocol:

Answer 24

1) First incision - Paramarginal
2) Full thickness flap reflection
3) Second incision - Sulcular
4) Third incision - Horizontal/Interdental
5) Remove soft tissue collar
6) Root debridement
7) Reposition flap and suture

Question 25

Modified Widman is known as what kind of flap surgery?

Answer 25

Mini Flap

Question 26

What is a Mini Flap?

Answer 26

You don't reflect the flap past the MGJ - you STAY WITHIN THE ATTACHED GINGIVA.