New perspectives in periapical surgery: Flap detachment and retraction

Retraction separates the flap in order to facilitate access to and visibility of the bone without damaging the flap. The sulcus technique, described in apicoectomy of the mandibular premolars, allows safe stabilization of the retractor supported on the bone without harming the surrounding tissue. Such support can be complemented by placing a piece of dressing impregnated with epinephrine to improve hemostasis and minimize damage to the flap. Adequate soft-tissue management not only results in a better postoperative course, with less pain and inflammation, but also guarantees optimum wound healing. Furthermore, an adequate flap design will produce more efficient surgery with a shorter operating time.

Editorial note: The full article was published in the 1/2018 issue of the Journal of Oral Science and Rehabilitation.

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