BY

. 4309076

Classification of intraoral flap

* location
* thickness
* outline

Classification of intraoral flap

:location
-Buccal flap
-Lingual flap
-Palatal flap

Classification of intraoral flap

:out line
1) envelope flap
-triangular flap
-trapezoid flap
2) semilunar flap
3) pedicle flap

Envelope flap
* incision ridge
Triangular flap
*access envelope

flap

Trapezoid flap

*access Triangular
blood

supply

flap

Semilunar flap

- flap buccal
- alveolar mucosa attached gingi
alveolar mucosa

- access

crown restoration

Pedicle flap

- buccal,lingual palatal
-
- axial blood supply flap
- palatal flap oroantral fistula
greater palatine artery

Principle of flap design

1. Blood supply
2. Flap

3.

flap sound bone

4.

anatomic structure

5. Flap
6.

full thickness

vertical incision interdental

vertical incision

1. Palatal area
2. Lingual surface of mandible
3. canine eminence
4. Through muscle attachment
5. region of mental foramen

suturing



1.
2. primary

healing

3. secondary

blee

4. tissue socket formation c

5. socket


FLAP
1. blade holder
2. blade
3. periosteal elevator,
periosteal retractor
4. tissue forceps
5. needle
6. needle holder
7. scissors
8. suture materials

Blade holder

No. 3

No. 7

blade

No. 10

No. 11

No. 12

No. 15

periosteal elevator

periosteal retractor

Tissue forceps

Tooth forceps

Nontooth forceps

needle

1. Cutting edge

2. Reverse cutting edge

3. Taper or Round edge


1. curve
2. straight


1. Traumatic needle

2. Atraumatic needle

Needle holder

Scissors

Suture material

Ideal property

1. Non-electrolyte, Non-allergenic, Non-carcinogenic

2.
3.
4. Low tissue reaction
5.
6.
7.
8.
9.
10.


1. Moisture and serum proof
2. Sterilization
3. Biocompatibility
4. Easy visible
5. Low cost
6. Easy use

Size of suture material

1-0, 2-0, 3-0, 4-0, 5-0, 6-0, 7-0, 8-0

1(0), 2(0), 3(0) 1/0, 2/0

0, 00, 000, 0000


oral surgery
3-0

2-0

flap oroantral fistula

Type of suture materials

-absorbable :catgut, collagen, PGA, polyglactin

-non absorbable :nylon, steel, silk

-natural :catgut, silk, cotton

-synthesis :PGA, nylon

-monofilament :catgut, nylon, polypropylene

-multifilament :cotton, silk, PGA

Type of suture material

1. Polyglycolic acid (PGA)

Dexon

absorbable
multifilament
14-18

120
pH

2. Polyglactin
Vicryl

absorbable
multifilament
20-30
60 P

3. Silk

Mersilk ,
sofsilk , NC-silk
non absorbable
multifilament

4. Nylon
monofilament Ethilon, Dermalon, Monosof
multifilament Nurolon, Surgilon
non absorbable

5. Wire suture material

gold, tantalum, vitallium, silver, copper, stainless steel
stainless steel
monofilament multifilament
retention

6. Staple
U-shape

, , ,

7. Tapes
Steri-strips
adhesive tape strips


1.
2.
3.
4.
5.
6.

tissue forceps

, , debris

7.

interrupted
8.

9.

10.

11.

12.

)
13.

14. (mobile flap)
(fixed flap)

15.

interdentalpapilla

 papilla

needle holder

1/3

Type of suture
1. Interrupted suture
2. Continuous suture
3. Continuous lock suture
4. Mattress suture
5. Figure of eight suture
6. Subcuticular suture

1. Interrupted suture

1. Interrupted suture

2. Continuous suture

2. Continuous suture

3. Continuous lock suture

continuous
suture lock






interrupted
suture

3. Continuous lock suture

4. Mattress suture

area wound contraction
skin abdominal hip
2
Vertical mattress suture

Horizontal mattress suture

4.1 Vertical mattress suture

dead space
blood
supply
healing

4.1 Vertical mattress suture

4.2 Horizontal mattress suture

4.2 Horizontal mattress suture

5. Figure of eight suture

8



gingival
papilla

5. Figure of eight suture

6. Subcuticular suture

 ( Tying knots )

2
1. Surgeons knot
2. Square knot


2
1. (hand tie)
2. (instrument tie)

2 two hand knot one hand
knot




surgeons knot square
knot

 (instrument

tie)

Reference
1. Flap .

.
2. Suture &

Suture material

. .

3. /
,
2

4. Jonathan Pedlar/John W.

Frame,Oral&Maxillofacialsurgery

SPECIAL THANKS