Hu-Friedy Buser/Hourigan Periosteal Elevators

The Modified Buser/Hourigan periosteal elevators are specialized instruments designed for controlled reflection and retraction of the mucoperiosteum during implant, regenerative, and periodontal surgical procedures. These periosteals combine elements of the Buser and Hourigan design philosophies, emphasizing broad, smooth tissue engagement and predictable flap management rather than sharp dissection.

Both the small and large versions are intended for stable, atraumatic elevation of full-thickness flaps, particularly in implant and bone regeneration workflows where maintaining tissue integrity and blood supply is critical.

Design Characteristics

• Broad, smooth working ends designed to distribute force evenly across the periosteum
• Non-aggressive geometry intended for controlled flap elevation rather than cutting
• Rounded blade profiles to support atraumatic reflection and retraction
• Balanced rigidity to provide steady leverage with reliable tactile feedback
• Manufactured from surgical stainless steel for durability and repeated sterilization

Sizes and Intended Use

• Small Buser/Hourigan
Designed for controlled flap elevation in more confined areas or where finer access is required. Well suited for anterior regions, limited surgical fields, and refinement of flap margins during implant and regenerative procedures.

• Large Buser/Hourigan
Features a broader working end to support elevation and retraction of larger flaps. Commonly used for initial flap reflection and wide-area tissue management in implant placement, guided bone regeneration, and reconstructive procedures.

Clinical Advantages

• Predictable mucoperiosteal reflection with reduced point loading
• Supports stable flap management in implant and regenerative workflows
• Helps maintain tissue integrity during full-thickness flap elevation
• Complements sharper or more slender periosteals used for entry and refinement
• Suitable for both anterior and posterior surgical applications depending on size selection

Clinical Takeaway

The Modified Buser/Hourigan periosteal elevators provide dependable, atraumatic flap elevation for clinicians performing implant and regenerative surgery. Available in small and large sizes, they offer flexibility in managing both limited-access sites and broader surgical fields while maintaining controlled, tissue-preserving handling.