The eversed crestal flap: A surgical modification in endosseous implant procedures

Successful osseointegration of dental implants largely depends on flap management during implant installation. To obtain optimal biologic conditions for osseointegration, implants and associated bone should be completely covered with soft tissue during the entire healing period. To achieve this, a modified flap design, the eversed crestal flap, is proposed. This technique is aimed at eversion of flap margins by using a combination of vertical mattress and simple sutures to enable tight coaptation of flaps, thus ensuring primary wound closure throughout the healing process.