The Book Flap: A Technical Note

Ole T. Jensen, Edward Ellis

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Purpose: To present a useful technique for widening the thin alveolar ridge for placement of an implant or bone graft. Materials and Methods: A partial soft tissue flap is elevated over the alveolar ridge and the ridge is split with an osteotome. The technique out-fractures the buccal plate and maintains the labial soft tissue to preserve the blood supply to the buccal bone. Results: The book flap has been employed in over 500 cases over the past 12 years. Approximately 90% were successful in providing adequate width to accommodate an implant. Infection occurred in approximately 2% of cases. The average gain in width was around 3 mm. Conclusion: This technique can be employed often and has a very low complication rate.

Original languageEnglish (US)
Pages (from-to)1010-1014
Number of pages5
JournalJournal of Oral and Maxillofacial Surgery
Issue number5
StatePublished - May 2008
Externally publishedYes

ASJC Scopus subject areas

  • Oral Surgery
  • Surgery
  • Otorhinolaryngology


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