Resumen de Management of soft tissues in bone regeneration/reconstruction using the modified double-flap incision technique. Periostium preservation technique
Constantino Colmenero Ruiz, Arturo Flores Gallardo, David Enrique Villares López, Jorge Ripollés de Ramón, Víctor Serrano Sánchez
Introduction: Implant techniques require the presence of bone structures that are adequate in quality and quantity in order to place osteointegrated fixations in a predictable manner. On occasions, the bone substrate is insufficient and bone reconstruction/regeneration techniques that require complete primary closure are needed in order to ensure success in the formation of new bone tissue. The purpose of this study is to describe a series of eight clinical cases in which the Modified Double-Flap Incision Technique was used to reconstruct areas of bone defect in the posterior mandibular region that limited placement of osteointegrated fixations.
Methods: This is a prospective study of eight clinical cases, from our private practice, with bone deficit in the posterior mandibular region, who required rehabilitation treatment with fixed implant-supported prosthetics. The Modified Double Flap Incision Technique (DFITm) was used in all cases.
Results: We achieved a complete primary closure at 15 days and proper placement of the implants in the regenerated area was possible in all cases.
Conclusion: The modified double flap incision technique allows to carry out adequate primary closure without tension in cases that require bone reconstruction or regeneration, avoiding the appearance of dehiscence that would lead to treatment failure.
