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.