The concept of the Soft Brushing is to disorganize the collagen fibers of the fibrous periosteum: the stiffness is reduced and the flap release increases just by using the brushes. The brush tools do not cut anything. The flap release is the result of the separation of the periosteum fibers.

The brushing is made after a full thickness flap elevation: as deep as possible. Brushing is only possible after a full thickness flap elevation, which has to be as deep as possible.

There are 2 methods of brushing: Soft and slightly aggressive. When you are moving Apical to coronal you use the soft method. When you are moving coronal to apical, the brushing action is used with slightly more aggressive pushing, applying more pressure to the fibers. This is used for example when the periodontal tissue has been scarred.

The Technique: The brushing is done after a full thickness flap elevation. The brushing can only be used after a full thickness flap has been elevated. The flap should be as deep as possible. Pull the flap up and downward with forceps and start brushing with the small size (regular or angulated for a posterior area). The movement is very precise. The brush is applied against the periosteum and a circular motion is used to displace the fibers. 

After the first release, you can use the medium or XL for larger flaps.

Additional Tips: The flap releases rapidly and easily. You can retract and release as much as 1cm at a time. Sometimes the fibers may offer more resistance and it will take a little bit more time. Keep brushing until the fibers are displaced adequately and the flap is released adequately. For the lingual flap, it is very easy to gently separate the mylohyoid muscle just by brushing. It is possible also to brush the periosteum of the lingual flap. After brushing, you can check the periosteum and you will find that it has not been damaged.

Innovative kit is used to manage soft tissue in less invasive way by using the brushing technique.

• No incision is needed
• Bleeding is limited
• Less stress for the Patients
• Pain is limited and manageable
• Inflammation is minimised
• Kit can be used for both lingual and buccal periosteum

The kit contains 5 instruments:
1. Regular
2. Angulated R (right) for posterior area
3. Angulated L (left) for posterior area
4. Medium size
5. XL size