Histologic Study of Cellular Mobilization and Repair Following a Periosteal Retention Operation Via Split Thickness Mucogingival Flap Surgery

Abstract

IN RECENT YEARS mucogingival surgery has established itself as a very satisfactory approach in the treatment of advanced periodontal disease. Correlated with the clinical techniques in mucogingival surgery, various histologic studies were undertaken to better understand the response of the tissues subjected to these clinical techniques. The findings of these investigations soon demonstrated the destructive effects of some techniques, in contrast to other techniques which were far less destructive to the tissues and gave more satisfactory results.In December 1959 at Glenwood Springs, Colorado,! Staffileno reported the histologic findings of an experimental study of a surgical technique that was seldom employed in mucogingival surgery at that time. This surgical technique was a split thickness mucogingival flap which left the periosteal connective tissue intact on the bone. Simultaneously at this same meeting Ochsenbein presented a double flap procedure which involved separating the alveolar mucosa from the periosteum and then stripping the periosteum from the bone. Thereafter this same periosteum would be sutured over

Influence of buccal bony crest width on marginal dimensions of peri‐implant hard and soft tissues after implant installation. An experimental study in dogs

“…Moreover, by elevating the periosteum, the blood supply of the exposed bone surface will be compromised, leading to osteoclastic activity and bone resorption (Wilderman ; Staffileno et al. ; Wood et al. ).…”

Quantitative Long-Term Determinations of the Alveolar Bone Mineral Mass in Man by I Absorptiometry II. Following periodontal surgery

“…1960, STAFFILENO et coll. 1962, 1966, WILDERMAN 1963, CAFESSE et coll. 1968) and in man (RAMFJORD & COSTICH 1963, PFEIFER 1963, 1965.…”

Flapless immediate implant placement with or without immediate loading: a histomorphometric study in beagle dog

“…In this context, we should highlight that the surgical trauma (raising the flap). which implies the detachment of the periosteum and its connective desinsertion to the underneath bone surface, will cause vascular damage and an acute inflammatory response, which will mean the resorption of the exposed bone surface (Wilderman 1963, Staffileno et al 1966, Wood et al 1972, Bragger et al 1988). This could partially explain the dimensional alterations suffered by the alveolus after tooth extraction (Araújo & Lindhe 2005) and by the alveolus after extraction and immediate implant placement (Araújo et al 2005).…”