- Designed by Dr. Joseph Choukroun to extend the flap without the need for incision
Concept:
- The concept is to "disorganize the collagen fibers of the fibrous periosteum" without cutting them
- This is done by a gentle brushing motion rather than the traditional method of incising or scoring the periosteum with a scalpel
- This reduces the stiffness of the flap allowing the flap to release farther
- The flap is released as a result of the separation of the periosteum fibers
Clinical Applications:
- Valuable tool in the armamentarium for:
- Periodontal surgical procedures
- Bone grafting and guided bone regeneration (GBR)
- Procedures involving PRF, PRP, and other regenerative materials
Techniques:
- There are two brushing methods that can be used:
- Soft pressure and moderate pressure
- When moving Apically to Coronally you want to brush softly
- When moving Coronally to Apically you want to apply more pressure when brushing
- You can begin brushing when the full thickness of the flap is elevated, making sure to brush as deep as possible
- Pull the flap back with forceps and start brushing with the small size (regular or angulated for the posterior area)
- After the first release you can use the medium or large for large flap areas
- This allows you to extend the flap significantly with minimal trauma
- In the lingual flap, it is very easy to separate the mylohyoid muscle very gently by just by brushing
- It is also possible to brush the periosteum of the lingual flap
- Take the headache out of flap surgery, and increase your ability to gain primary closure with the ST-UP Soft Brushing Kit
Components:
- Kit Includes 5 Instruments:
- (1) Regular Tip
- (1) Angulated Right Tip for use in the Posterior
- (1) Angulated Left Tip for use in the Posterior
- (1) Medium Tip
- (1) Large Tip
