The Single Flap Approach: Regenerative Procedure Selection
10 online lessons

Simplified periodontal regeneration techniques for the treatment of infrabony defects.

Who the course is for:
All specialists willing to learn more about simplified periodontal regeneration techniques for the treatment of infrabony defects.

The treatment of deep infraosseous lesions is still perceived as a challenging task for periodontists. The difficulties related to flap design, suture technique choice, and the choice of the appropriate regenerative technique have led to the widespread perception of regenerative treatment as a technically complex and expensive procedure.
The purpose of this video course is precisely to dispel this myth, presenting all the necessary steps to successfully implement the Single Flap Approach (SFA) technique: a simplified approach to infraosseous regeneration capable of ensuring both the success of the treatment outcome and the simplification of clinical procedures.

What is the Single Flap Approach and how is it done?
The Single Flap Approach can be described as the elevation of a single vestibular or lingual/palatine flap, allowing to leave the tissues on the opposite side intact.
The SFA technique has repeatedly proven to be more effective - in terms of surgical access as well as in combination with regenerative materials - compared to traditional papilla preservation techniques. Recently it was shown how the use of the enamel matrix derivative leads to better clinical performance when combined with SFA than any other flap design. This technique can be used successfully in 90% of the clinical scenarios involving deep intrabony defects, regardless of severity, number of residual walls and position.

The improvement in the clinical conditions of a deep infraosseous lesion that can be achieved with SFA can be summed up as:
-substantial gain of clinical attachment
-easier bone filling and better histological outcome
-reduction of the probing depth to a easy to maintain condition
-limited post-operative recession

Topics covered in the course:

• Predictable deep infrabony defect treatment with proven long-term outcome stability
• Single Flap Approach step-by-step application
• Incision customization, biomaterial selection and suture technique election
• Membranes and biological agents election and management

At the end of the course, you will be able to:

• Diagnose, plan and treat deep infrabony defects with simple regenerative techniques that can be successfully adopted in complex as well as simple cases
• Perform the SFA technique from case selection to the incision design, from root and defect instrumentation to suture techniques
• Identify the case-specific features of the defect and of the neighbouring soft tissues for proper treatment planning
• Use membranes and biological agents with or without the use of bone substitutes, according to the case-specific features and the aesthetic needs of the patient
• Perform the SFA technique in combination with connective tissue grafts to improve the aesthetic result
• Offer to your patients an effective, non-invasive treatment, combining safety and outcome success
• Exploit the practical advantages that a simplified procedure carries both for the operator (e.g. optimization of chair time, use of less surgical equipment, etc.) and for the patient (less pain and discomfort, higher respect of the pre-existing esthetics)