Flap Advancement For Bone Augmentation In Patients With Thin Tissue Phenotype: The Mucosal Detachment Technique

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Achieving successful bone augmentation in implant dentistry relies heavily on effective flap advancement, particularly in patients with thin tissue phenotypes. Traditional flap advancement techniques, such as vertical releasing incisions and periosteal scoring, often pose challenges by compromising vascular integrity, increasing postoperative complications, and limiting predictability in guided bone regeneration (GBR). This thesis introduces the Mucosal Detachment Technique (MDT), a novel approach designed to enhance flap mobility while minimizing trauma and preserving blood supply. Through a detailed clinical case and an ex vivo comparative study, this work evaluates MDT against conventional techniques, demonstrating its superior ability to achieve tension-free primary closure. The findings show that MDT enables significantly greater coronal advancement while maintaining tensile strength, reducing the risk of wound dehiscence, and improving surgical outcomes. By avoiding vertical incisions and utilizing controlled mucosal separation, MDT presents a minimally invasive alternative for optimizing regenerative procedures, making it particularly beneficial for cases requiring extensive augmentation. The results of this research contribute to the ongoing evolution of flap management strategies in implant dentistry, offering clinicians a refined technique to enhance both surgical predictability and patient recovery.

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