L4 Variations in flap design

Question 1

Typical sites for distal wedges

Answer 1

Max tuberosity
Mand retromolar
Edentulous ridges

Question 2

Distal wedge advantages

Answer 2

Access to bone and furcation
Allow internal thinning of bulky tissue
Possible to obtain primary closure

Question 3

Distal wedge design
Least difficult
Best access
Preserves most keratinized tissue

Answer 3

Trangular: least difficult
Square: access
Linear: keratinized tissue

Question 4

Conservative flaps used in what area

Answer 4

Maxillary anterior

Question 5

Modified widman flap
What is it
Types of incisions made

Answer 5

Scalloped, replaced mucoperiosteal flap w/ internal bevel incision leading to primary incision
Scallop incision
Elevation
Sulcular incision
Interdental incision

Question 6

Modified widman flap
Initial incision size
Elevation

Answer 6

.5-1mm scallop

2-3mm elevation

Question 7

Amount of scalloping based on

Answer 7

probe depths
gingival contours
underlying soft tissues
osseous topography