Modified Periosteal Releasing Incision (MPRI) for Primary Closure: Visualization of the Mental Nerve

Periodontal procedures often require flap advancement for adequate coverage of the surgical site, with tension-free primary closure essential for successful outcomes. Although the periosteal releasing incision is frequently performed, it may necessitate deeper or more incisions, which could result in consequences such as edema, bleeding, paresthesia, and discomfort for the patient. To address these issues, the modified periosteal releasing incision was proposed to minimize trauma into the submucosa. In this paper, we update the technique, emphasizing its application in visualizing the mental nerve to avoid nerve damage during significant flap advancement in the posterior mandible. The technique provides an alternative approach to traditional techniques, ensuring patient safety and improving surgical outcomes. Future research is needed to explore its benefits and applications in various clinical scenarios.