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Surgical Incision Drainage
Surgical Incision Drainage
Drainage
Surgical Incision And Surgical
Drainage Notes
Surgical Endodontics – Presurgical
Considerations
Before initiating the surgical procedure, the clinician should evaluate the following
factors which affect the treatment outcome:
Protocol of treatment
Surgical drainage is indicated when purulent and/or hemorrhagic exudates forms within
the soft tissue or the alveolar bone as a result of a symptomatic periradicular abscess.
Surgical Incision And Surgical
Drainage
Periradicular Surgery
Local Anesthesia and Hemostasis
• Raise the soft tissue to give the best possible view and exposure of the surgical site
• To provide healthy tissue that will cover the area of surgery, decrease pain by
eliminating bone exposure, and aid in obtaining optimal healing
Flap Classifiation
But disadvantages are postsurgical flap dislodgement, loss of soft tissue attachment
level, and crestal bone height.
Rectangular Flap
Surgical Incision And Surgical
Drainage
It is an extension of the triangular flap. Here two vertical releasing incisions and a
horizontal intracellular incision is given.
• Mandibular anterior
• Maxillary canines
• Multiple teeth.
• Wound closure as flap reapproximation and postsurgical stabilization are more difficult
than triangular flap
• The potential for flap dislodgement is greater.
Trapezoidal Flap
Surgical Incision And Surgical
Drainage
It was described by Neumann and Eikan in 1940. Trapezoidal flap is formed by two
releasing incisions which join a horizontal intracellular incision at obtuse angles.
Envelope Flap