I ponownie na emaijlu ujrzałem przypominajkę więc się zalogowałem i coś dopisałem. Poland dentist Fajna rzecz
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To "release" the periostium, you can either score in a horizontal plane using a blade or use scissors. Place the scissors closed on the underside of the flap and open. This will also score the periostium. The rationale is that the periostium will not stretch, so if you augment the ridge, you will not be able to attain primary closure because you have increased the dimension. If you release the periostium, the overlying tissue IS flexible and can be stretched thus you can achieve primary closure, even if you have increased the ridge dimensions. It helps to hold the flap with a tissue forcepwhen you do this. Its amazing how much you can advance a flap. You will get more swelling in my experience when doing this, because you are causing more trauma to the tissue. You also must be careful not to perforate the flap