Anterior Palatal Island Advancement Flap for Bone Graft Coverage: Technical Note

BACKGROUND: The most important step in bone graft management is soft tissue coverage. Dehiscence of the wound leads to graft exposure and subsequent problems. PURPOSE: This study introduces an axial pattern flap for bone graft coverage in anterior maxilla. PATIENTS AND METHODS: Use of Anterior Palatal Island Advancement Flap is presented by the authors. It is a mucoperiosteal flap with axial pattern blood supply, based on nasopalatine artery. It is easy to raise and predictable. RESULTS: Anterior Palatal Island Advancement Flap was effective in bone graft coverage in premaxillary edentulous area. CONCLUSION: It can be used as an aid for bone graft coverage of premaxillary edentulous ridge, where the need for mucosa is small in width but long in length.