Anterior Palatal Island Advancement Flap for Bone Graft Coverage: Technical Note

Background: the most important step in bone graftmanagement is soft tissue coverage. dehiscence of the wound leads to graft exposure and subsequent problems. purpose: this study introduces an axial pattern flap for bone graft coverage in anterior maxilla. patients and methods: use of anterior palatal island advancement flap is presented by the authors. it is a mucoperiosteal flap with axial pattern blood supply, based on nasopalatine artery. it is easy to raise and predictable. results: anterior palatal island advancement flap was effective in bone graft coverage in premaxillary edentulous area. conclusion: it can be used as an aid for bone graft coverage of premaxillary edentulous ridge, where the need for mucosa is small in width but long in length.