INBDE (Integrated National Board Dental Examination) Practice Exam

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Which flap is not reflected beyond the mucogingival junction?

  1. Full thickness

  2. Split thickness

  3. Modified Widman

  4. Apically positioned

The correct answer is: Modified Widman

In periodontal surgery, the Modified Widman flap is designed to reflect the full thickness of the soft tissue to allow access for thorough scaling and root planing while preserving as much of the gum tissue as possible. This technique does not involve reflection beyond the mucogingival junction, making it the correct answer in this case. Options A, B, and D involve flap reflection beyond the mucogingival junction. Full thickness flaps involve the entire thickness of the soft tissues, split thickness flaps involve only the superficial layers, and apically positioned flaps are used to cover denuded root surfaces to improve aesthetics or reduce sensitivity.