TIPOS DE RETALHO | ODONTO DICAS

Summary

This video provides a detailed explanation of various dental flap techniques used in oral surgeries. It covers several types of flaps, including the Envelope, Newman, Modified Newman, Pare, Pichler, Wasmund, and Osb flaps, as well as Y and Double Y incisions for specific procedures like palatal torus removal. The video emphasizes understanding the unique applications of each flap based on the surgical needs, highlighting the importance of proper flap selection and incision techniques for successful outcomes in different dental surgeries.

Takeaways

• 😀 The Envelope Flap is a simple surgical flap that involves raising the papilla and vestibular gingiva without any relaxing incisions.
• 😀 The Newman Flap involves a sulcular incision with a relaxing incision on one side, offering greater flexibility in the surgical area.
• 😀 A Modified Newman Flap uses two relaxing incisions to provide even more flexibility and access compared to the standard Newman flap.
• 😀 The Pichler Flap uses a semilunar incision with a concavity directed apically (toward the tooth's apex).
• 😀 The Wasmund Flap is a trapezoidal flap used above the inserted gingiva, offering better access while preserving the papilla.
• 😀 The Osb Flap is similar to the Wasmund flap but mimics the architecture of the papilla for more precise access.
• 😀 The Y Flap is specifically used for palatal surgeries, such as removing palatal tori, and features a Y-shaped incision to provide better access.
• 😀 The Double Y Flap extends the Y-incision posteriorly, offering even more access for certain surgical procedures.
• 😀 It is essential to choose the appropriate flap depending on the surgical area, such as periodontal, endodontic, or maxillary sinus lift surgeries.
• 😀 Understanding the proper construction and application of each flap type is crucial for successful surgical outcomes and efficient healing.

Q & A

What is the 'Retalho Envelope' and how is it created?

The 'Retalho Envelope' is a type of surgical flap where an incision is made around the tooth to be removed, with a focus on detaching both the papilla and vestibular gingiva. This procedure does not require a relaxant incision, and the flap is typically created by gently separating the tissue without making additional cuts.

How does the 'Retalho de Newman' differ from the 'Retalho Envelope'?

The 'Retalho de Newman' includes a relaxant incision, which allows for more flexibility in the tissue. It involves an intrasulcular incision along the papilla, and it can have one or two relaxant incisions, depending on the complexity of the surgery.

What makes the 'Retalho de Newman Modificado' unique?

The 'Retalho de Newman Modificado' involves two relaxant incisions, unlike the standard 'Retalho de Newman,' which may only have one. This modification allows for greater flexibility and access to the surgical area.

What is the 'Retalho de Pichler' and how is it characterized?

The 'Retalho de Pichler' is a type of flap where the incision is semi-lunar in shape, with the concavity directed apically (toward the tooth apex). This is the reverse of the 'Retalho de Pichler' where the concavity faces coronally or cervical.

What is the purpose of the 'Retalho de Wasmund'?

The 'Retalho de Wasmund' is a trapezoidal flap that is used above the inserted gingiva, often applied when accessing the gum and papilla areas for more intricate surgeries. It helps in removing tissue around the gingiva without compromising the papilla.

What does the 'Retalho de Osb' look like and how is it used?

The 'Retalho de Osb' is a trapezoidal flap similar to the 'Retalho de Wasmund,' but with a more linear base. It follows the architecture of the papilla and is used in cases where more precision is needed to access the vestibular papilla and gingiva.

What is the purpose of an incision in a 'Y' shape in dental surgery?

A 'Y' shaped incision is used for accessing the palatal area, specifically when removing palatal tori. The Y shape ensures better access and avoids damaging structures like the incisors while allowing for two relaxant branches that expand the surgical access.

What is the difference between a 'single Y' incision and a 'double Y' incision?

A single Y incision involves a Y-shaped cut that provides access to the anterior palatal region, whereas a double Y incision extends the Y shape both anteriorly and posteriorly, providing even greater access to the entire palatal area.

When should each type of flap be selected in a surgical procedure?

The selection of a flap depends on the type of surgery and the required access. For example, the 'Retalho Envelope' is used for basic cases with minimal need for tissue manipulation, while the 'Retalho de Newman' or 'Retalho de Wasmund' may be chosen for more complex cases requiring greater access and flexibility. Each flap is tailored to the surgical field and the specific needs of the procedure.

Why is it important to review anatomy when choosing an incision technique?

Reviewing anatomy is crucial because the positioning and extension of incisions must take into account anatomical structures like the incisors and the palatal area. Understanding these anatomical features ensures that incisions are made in the correct locations to optimize access without damaging critical tissues.