FLAP RELEASE 

(6'')

Periosteal incision or

Soft Brushing 

 

HORIZONTAL APICAL MATTRESS

(19'')

The needle enters the buccal flap apically, 1 to 1.5mm away from the flap margin, beyond the muco-gingival junction, into alveolar mucosa. It goes to the palate, in & out twice (first inner surface to outer surface & then outer to inner surface of the palatal flap). It comes back to the buccal flap, entering at the inner surface of this flap, exiting at the same level of the first entry. By tightening the knot a gum bead is created.