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This technique is not recommended.
Soft tissue grafting can be performed in this case.
The flap should be stretched in such case.
With Augma bone graft cement, no horizontal releasing incision is recommended to gain a tension-free flap. The flap should be under tension during the closure. Therefore, the flap should be minimally reflected according to the protocols, while the flap closure is accomplished by stretching.
The sutures do not have any influence on muscle engagement. The flap design and the way it is reflected, together with a lack of releasing incisions, are the factors that prevent muscle engagement.
The flap is the part that should not be connected to the muscles; therefore, the flap is minimally reflected, as explained in the protocols. The sutures are not the issue.
Do not perform any periosteum-releasing incisions. The protocols for Augma bone graft cement instruct to maintain tension on the flap during the closure. In this way, the flap is minimally reflected and stretched for closure.
A full-thickness flap is necessary.