FULL & SPLIT

raise a full thickness flap to mucogingival junction, split thickness beyond it

 

ROOT

plane the root to remove any debris expose the smear layer of the dentinal tubules & the cementum

tetracyclin with lidocain 3 minutes for root conditioning: opens dentin tubules, desinfects & promotes fibroblasts growth

 

6 0 PTFE suture politetrafluorethylene

 

suture the mesial vertical incision first, rotating your pedicle to its final position

 

only after that we go for the vertical sling mattress suture using the back of the tooth involved

 

we only tighten on the second pass, & on the second pass we don’t perforate the flap

 

only after this we finish the closing of the mesial vertical incision

 

and finally a single suture at the distal to do further advancement, it goes in the interproximal, perforates the palate & get back to the flap

 

we have very nice closure at this point