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Lap design
There are many different flap designs for implant surgery. In practically all situations a mid-crestal incision can be employed (Fig). This is especially so when the quantity of attached gingiva and the width of the underlying bone is expected to be of adequate width. In the posterior mandible a slightly buccal and in the anterior maxilla a slightly palatal mid-crestal incision provide for good retraction.
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As bone looses width, height, volume, the attached gingiva gradually decreases and is prone to abrasions caused by the overlying prosthesis. In addition high muscle attachments and
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