Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Mucogingival Pouch Flap for Sandwich Bone Augmentation: Technique and Rationale

Park, Sang-Hoon DDS*; Wang, Hom-Lay DDS, MSD

doi: 10.1097/01.id.0000188379.46220.91
Article
Buy

This article introduces a novel flap design, mucogingival pouch flap (MPF), to enhance the clinical outcome of sandwich bone augmentation. MPF uses a pouch flap reflection via mucogingival junction extension incisions to provide an improved graft retention, minimized membrane exposure, preserved papilla dimension, and soft tissue camouflage for improved esthetics.There are 4 implant-associated buccal dehiscence defects in 3 patients treated with sandwich bone augmentation technique in conjunction with MPF. All cases yielded an adequate new bone thickness of 1.5–3.5 mm as well as a height of 84% to 100% at 6 months. Rationales, indications, contraindications, advantages, and disadvantages for MPF designs are further discussed.

*Graduate Resident, Periodontics/Prevention/Geriatrics, School of Dentistry, University of Michigan, Ann Arbor, MI.

†Professor and Director of Graduate Periodontics, Department of Periodontics/Prevention/Geriatrics, School of Dentistry, University of Michigan, Ann Arbor, MI.

Reprint requests and correspondence to:

Hom-Lay Wang, DDS, MSD; Professor and Director of Graduate Periodontics; University of Michigan; School of Dentistry; 1011 N. University Avenue; Ann Arbor, MI 48109-1078; Phone: (734) 763-3383; Fax: (734) 936-0374; E-mail: homlay@umich.edu

© 2005 Lippincott Williams & Wilkins, Inc.