The Role of Incision Design and Location in the Healing Processes of Alveolar Ridges and Implant Host Sites

This research examined the nature and role of a linea alba, found consistently at the crest of edentulous ridges in dogs. Angiovist dye was used to outline the microvasculature in these regions. The findings demonstrated a zone of avascularity directly beneath each linea alba. When novel incision designs were used in the gingivae and the outlined mucoperiosteal flaps were elevated and then replaced, alterations in underlying bone morphology were noted. In a subsequent study during which implants were placed, a direct relationship was noted between incision design and level of pericervical bone support. Keywords: alveolar bone, implant, incision, linea alba, vascularity