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Órgano Ofical de la Facultad de Estomatología de la Benemérita Universidad Autónoma de Puebla

2024, Number 77

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Oral 2024; 25 (77)

Apical positioned flap: surgical exposure and conservation of keratinized gingiva in impacted third molar

Hernández-León CR, Martínez-Gutiérrez D

Language: Spanish
References: 14
Page: 2285-2288
PDF size: 203.93 Kb.


ABSTRACT

Introduction. Orthodontic traction is a frequently performed movement, in which the amount of keratinized gingiva (KG) surrounding the tooth should be taken into account to ensure a good long-term periodontal prognosis. Case report. A 33-yearold female patient was referred to the periodontics clinic of the Universidad Popular Autónoma del Estado de Puebla (UPAEP), dental school by the orthodontics clinic of the same institution for surgical exposure of tooth organ 18 and future tractionmesialization to close the gap of the missing tooth organ 16. A trapezoidal flap was designed and positioned apically with the help of simple stitches to continue with the placement of the orthodontic button. Conclusions. The postoperative period after three weeks showed the maintenance of 3 mm of KG and at 1 year follow-up the same amount of gingiva is maintained, which favors the long-term periodontal prognosis.


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