Controlled Palatal Harvest (CPH) technique – Dr Neel Bhatavadekar
Harvesting a palatal CT graft has had problems of uneven thickness, and compromise in quality of graft, with current techniques used. If a graft is too thin or thick, it can compromise healing results at both donor and recipient sites. We utilize a modified approach which provides better control on graft thickness.
The CPH technique provides clinicians better control over the thickness of the palatal graft being harvested. An L- shaped incision is done, with a mesial vertical release in the maxillary palatal premolar region. A thick split-thickness flap is reflected (leaving thin periosteum on the bone), and the graft is then harvested from the flap side. This is unique since usually, the graft is harvested from the bone side. The clinician thus has better control on visualizing both thicknesses as well as CT/adipose tissue and then harvesting a graft of required thickness. This CPH technique has been peer-reviewed and published (Bhatavadekar, Gharpure, Compend Contin Ed Dent 2018)