{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:39:38Z","timestamp":1760920778436,"version":"build-2065373602"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Various flap designs have been proposed by numerous authors for the maintenance of passive primary soft tissue closures following guided bone regeneration (GBR) procedures. A previous publication by the present author documented the maintenance of passive soft tissue primary closures 96.1% of the time at least 6 months after GBR therapy in all areas of the mouth. Although seemingly impressive, a 96.1% success rate means that there is premature membrane exposure 3.9% of the time. A new flap design is introduced for use in conjunction with previously described flap designs to lessen the incidence of premature membrane exposure.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A total of 173 sites treated with GBR therapy were examined up to 6 months postoperatively to assess the ability to maintain passive soft tissue primary closure. Any membrane exposure during this 6\u2010month postoperative period was deemed a failure, even if the site was successfully treated with an implant placement and restoration.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> A total of 171 of 173 GBR\u2010treated sites demonstrated the maintenance of a soft tissue passive primary closure 6 months postoperatively, yielding a success rate of 98.8%.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> The introduction of the proposed flap design for use in conjunction with previously described flap designs significantly reduced the incidence of premature membrane exposure after a variety of GBR procedures.<\/jats:p>","DOI":"10.1902\/jop.2006.050392","type":"journal-article","created":{"date-parts":[[2006,8,2]],"date-time":"2006-08-02T11:15:42Z","timestamp":1154517342000},"page":"1452-1457","source":"Crossref","is-referenced-by-count":20,"title":["Maintaining Primary Closure After Guided Bone Regeneration Procedures: Introduction of a New Flap Design and Preliminary Results"],"prefix":"10.1002","volume":"77","author":[{"given":"Paul A.","family":"Fugazzotto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198805000-00004"},{"key":"e_1_2_7_3_1","first-page":"19","article-title":"Generation of new bone around titanium implants using a membrane technique: An experimental study in rabbits","volume":"4","author":"Dahlin C","year":"1989","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1990.61.3.157"},{"key":"e_1_2_7_5_1","first-page":"292","article-title":"Guided bone regeneration around titanium implants: Report of treatment of 1503 sites with clinical reentries","volume":"17","author":"Fugazzotto PA","year":"1997","journal-title":"Int J Periodontics Restorative 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