Received 26 September 2025

Revised 23 January 2026

Accepted 24 February 2026

Published online 05 March 2026

J Endod Microsurg. 2026;5: 100020.

Under a Creative Commons license

HOW TO CITE THIS ARTICLE (AMA Referencing)

Tkachenko O. A rational proposal in planning and performing the Ochsenbein-Luebke flap in endodontic microsurgery. J Endod Microsurg. 2026;5:100020. https://doi.org/10.23999/j.jem.2026.5.1 

 

ABSTRACT

The choice of incision and flap design in endodontic microsurgery is an important stage that significantly affects the success of the operation. Each flap has its own technique and indications for implementation. It is also necessary to take into account many other important factors: which tooth is being operated on, the length of the tooth root, the size of the periapical lesion, the gingival biotype, the existence of periodontal diseases, etc. It is rational to choose a flap according to the above factors but bearing in mind possible complications as well. One of the flaps that has fewer complications than others is the Ochsenbein-Luebke flap. The indications, contraindications, advantages, disadvantages, possible complications and features of the implementation of this flap were analyzed in the article. A sensible proposal for planning a submarginal flap and indications for its implementation according to the clinical situation of a patient are described.

KEYWORDS

Ochsenbein-Luebke flap, endodontic microsurgery, indications, contraindications