Modified Widman Flap Surgery

Modified Widman Flap Surgery

Widman’s Flap Operation Objective

• To facilitate root instrumentation.
• To remove pocket lining.

“The Role Of Modified Widman Flap Surgery In Treating Periodontal Pockets”

Widman’s Flap Operation Indications

• Irregular bony contours
• Deep craters
• Pockets on teeth in which a complete removal of root irritants is not clinically possible
• Grade 2 or 3 furcation involvement
• Root resection/hemisection
• Intrabony pockets on distal areas of last molars
• Persistent inflammation in areas with moderate to deep pockets.

“Purpose Of Modified Widman Flap Surgery In Dentistry”

Widman’s Flap Operation Contraindications

• Uncontrolled medical conditions such as:
  • Unstable angina
  • Uncontrolled diabetes
  • Uncontrolled hypertension
  • Myocardial infarction/stroke within 6 months.
• Poor plaque control
• High caries rate
• Unrealistic patient expectations or desires.

“Importance Of Modified Widman Flap For Gum Health”

Full Thickness Flap

It consists of the complete mucoperiosteum, i.e. surface epithelium, connective tissue and periosteum which are raised by a periosteal elevator. It is also called as mucoperiosteal flap.

• Dissection in full thickness flap is blunt.
• Full thickness flap heals by primary intention.
• Procedure is significantly easy.
• In full thickness flap there is no periosteal retention.
• Blood supply to flap is significant.
• Wide zone of keratinized gingiva is absent with full thickness flap.
• Possibility of elimination or reduction of periodontal pocket is present.
• Bleeding, postoperative swelling and postoperative pain and discomfort is less in full thickness flap.
• Possibility of flap penetration is less with full thickness flap.
• Augmentation of band of attached gingiva is possible by full thickness flap.

“Understanding The Role Of Modified Widman Flap Surgery In Gum Disease Treatment”

Full Thickness Flap Indication

It is used to expose the bone surface in osseous surgery.

Full Thickness Contraindications

• Area where treatment for osseous defect with mucogingival problem is not required.
• Thin periodontal tissue with probable osseous dehiscence and osseous fenestration.
• Area where alveolar bone is thin.