DEPARTMENT OF PERIODONTOLOGY

DENTAL COLLEGE OF RIMS,IMPHAL

External Bevel Incision Internal Bevel Incision
-The incised surface of the -Submarginal incisions with the
tissues are visible facially. incised edge in the sulcus.

INDICATIONS: INDICATIONS:
1)This incision is used in gingivectomy, gingivoplasty. 1)This incision is used in periodontal flap surgery
2) Crown lengthening. (Modified Widman flap, Undisplaced flap, Apically displaced flap).
3)In case of gingival overgrowths. 2)Presence of persistent moderate to deep pockets(>5mm)
4)Elimination of suprabony pockets ,regardless of their 3)Presence of osseous defect.
depth. 4)Furcation involvement.
CONTRAINDICATIONS: CONTRAINDICATIONS:
1)In case of deep pockets (when it goes beyond the 1) Presence of unprepared, soft and edematous gingival tissue.
mucogingival junction). 2)If there is presence of lack of or very thin and narrow attached
2)If there is presence of osseous defects. gingiva.
3)Aesthetic considerations,particularly in the anterior
maxilla

ADVANTAGES: ADVANTAGES:
1)Relatively easy procedure. 1)Removes the pocket lining.
2)Access and visualization for root debridement. 2) Produces a sharp ,thin-flap margin for the adaptation to the
3)Predictable morphology. bone-tooth junction.
4)Probing depth decreases. 3) Conserves the relatively uninvolved outer surface of the
5)Aesthetic result if appropriately done. gingiva , which, if apically positioned, becomes attached gingiva.
DISADVANTAGES:
DISADVANTAGES: 1)Difficult to use in aesthetic region.
1)Limited application. 2)It causes post-operative gingival recession.
2)Post-operative pain. 3)If used in presence of gingival recession, it causes further
3)This incision causes extensive loss of tissue. post-operative gingival recession .
4) Healed by secondary intention(hence healing is
prolonged).

Submitted by:

DR. NEHA GHOSH INTERNEE BATCH (2023-2024) DR. NANI HANIA