Flap folding suture
Flap folding suture
The Flap Folding Suture (FFS), developed by Prof. Jung-Chul Park (Dankook University), is a specialized periodontal suturing technique designed to maximize keratinized tissue and stabilize soft tissue volume around dental implants. [1, 2, 3, 4, 5]
Core Purpose & Benefits
Prevents Soft Tissue Migration: Traditional interrupted sutures often fail to stabilize the tissue properly, causing the gums to "climb" up the healing abutment. This can lead to soft tissue volume loss, necrosis, and diminished keratinized tissue. [1]
Maximizes Keratinized Gingiva: The FFS technique securely folds and positions the flap to prevent this migration, preserving and thickening the attached gingiva. [1, 2, 3, 4, 5]
Improved Healing Dynamics: 3D digital analyses of clinical cases show that FFS significantly improves soft-tissue volume maintenance around the implant site compared to conventional sutures. [1]
Technique & Usage
During implant uncovery or placement, the paramarginal flap is folded and secured internally. This helps retain the structural integrity of the mucosa and avoids the need for more invasive procedures like free gingival grafts (FGG). [1, 2, 3, 4]
You can explore detailed clinical steps and surgical demonstrations of this technique directly through Prof. JC Park's Back to the Suture Channel or browse his educational implant resources on eDental Supply. Academic data and 3D volumetric analysis regarding the effectiveness of the flap folding suture are also available via KoreaMed. [1]
What is flap folding suture and how should I do? English version
Flap folding suture의 논문 설명 및 임상에서의 적용법 설명 (KOREAN version)
Are you looking for Original article?
Please visit here for open access.
http://www.jdras.org/journal/view.html?doi=10.14368/jdras.2021.37.3.130
How does it heal?
After implant placement, keratinized zone has been shrunken, which is quite often situation.
In order to increase the KG, lingualized incision has been placed and full thickness flap was raised.
Flap folding suture (Lingual approach) was made and you can see the KG on the buccal side has been increased and well secured under the undercut of healing abutment.
2 more months later, KG has been well remodeled into the strong gingiva. This implant will be well protected by thick KG.
10 days later, flap is ALWAYS well secured and you can see the vertical incision line is almost completely healed with minimal scar. STABILITY is the key again, for hard and soft tissue!