Such a surgical approach aims at the regeneration of periapical tissue, resulting in the formation of a new attachment apparatus, by exclusion of pathogenic agents within the physical confines of the affected root and by enucleation of the periapical lesion. Papilla preservation flap periodontal disease click to. Modified papilla preservation technique allowed complete coverage of the teflon membrane and primary closure of the mucoperiosteal flaps in the interdental space in 93% of cases. Papilla preserving incision, additional oblique incision, connective tissue. Titaniumreinforced interdental peaks as a simple method for papilla preservation. Periodontal regenerative technologies are applied to improve short and longterm clinical outcomes of periodontally compromised teeth, presenting with deep pockets and reduced periodontal support. Mar 12, 2017 ilie technique for employing a papilla preservation flap is as follows. Papilla preservation flap as aesthetic consideration in periodontal flap surgery flap surgery is treatment for periodontal disease with alveolar bone destruction. The granulation tissue filling the defect was dissected and removed, leaving the interdental and palatal tissues untouched. The purpose of this case report is to describe the efficacy of a modified whales tail technique to achieve primary closure and thereby aid in regeneration of an interdental osseous defect between maxillary central incisors complicated by an aberrant frenal attachment. Do gingival soft tissues benefit from the application of a papilla preservation flap technique in endodontic surgery. The purpose of this study was to test the effectiveness of the modified papilla preservation technique in obtaining and maintaining primary closure of the interdental space over bioresorbable membranes. Jan 29, 20 simplified papilla preservation technique 1. Anew surgicalapproach forinterproximalregenerative procedures pierpaolocortellini,t giovanpaolopiniprato, andmaurizios.
A modification of the papilla preservation techniquehasbeenappliedto achieve primary closureofthe interproximal tissue over barriermembranes placed coronal to the alveolar crest. Whales tail technique vijay dm, deepika p c, sharma h m j int. Tonettithe simplified papilla preservation flapa novel surgical approach for the management of soft tissues in regenerative procedures presenter. Papilla preservation and tunneling technique in root. A modified papilla preservation technique, 22 years later. Tonetto a modification of the papilla preservation techniquehasbeenappliedto achieve. Thomas han outlines the clinical decision making rational for choosing a specific surgical technique for diverse papilla regenerative challenges in the anterior region. In part 1 of this surgical instructional video series, dr. Modified whales tail technique for the management of bonedefect in anterior teeth anu kuriakose, majo ambooken, jayan jacob, priya john department of periodontics, mar baselious dental college, kothamagalam, ernakulam, kerala, india.
Preservation of papillary integrity is essential for maintaining aesthetics. Treatment of intrabony defects with modified perforated. Twelve patients presenting with at least one isolated deep intrabony defect received regenerative periodontal treatment with entire papilla preservation epp technique. The paper presented various surgical and nonsurgical approaches to restore the same. The socket shield procedure is a novel technique for postextraction implant placement. Only a buccal flap was raised while the interdental papilla was left in situ. The labial ridge had previously been regenerated using biooss. Interdental papilla reconstruction combining periodontal.
Ambedkar institute of dental sciences and hospital, patna, bihar, india. Numerous studies have been attempted to determine various ways to regenerate interdental papilla. Ten patients 10 sites with optimal plaque control were treated according to the modified papilla preservation technique. Jul 20, 2017 this study evaluates the clinical outcomes of a novel tunnel. Entire papilla preservation technique in the regenerative.
A palacci papilla regenerating flap is used the flap is closed with atraumatic compression sutures. Esthetic considerations for the interdental papilla this pdf is available for free download from a site hosted by medknow publications. Ilie technique for employing a papilla preservation flap is as follows. Simplified method of interimplant papilla preservation. The aim of this article was to describe an abrams techniques modification.
Apr 24, 2018 regarding the surgical technique, it has been proposed the simplified papilla preservation technique. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. These data indicate that the modified papilla preservation technique can be successfully applied to obtain primary closure of the interdental space in regenerative procedures with barrier membranes. Simplified papilla preservation technique dentistry. Our patients occlusal conditions limited the amount of intrusion feasible and may have had an impact on the final results. Immediate implant combined with modified socketshield. Guided tissue regeneration and papilla preservation with the. The simplified papilla preservation flap sppf an oblique incision fig 3a is made across the defect associated papilla from the gingival margin at the buccal line angle of the involved tooth to reach the mid interproximal portion of the papilla under the contact point of the adjacent tooth.
Conventional papilla preservation technique free download as powerpoint presentation. The modified papilla preservation technique with bioresorbable barrier membranes in the treatment of. This study reports the secondary analysis of a randomized. Modified papilla preservation technique slideshare. Dr ehab rashed remove periapical root infection,preserve the papilla, bone graft the site then place dental implant along with ctg. Comparison of two surgical techniques for the reconstruction. The surgical procedure on the uci included the use of a papilla preservation technique, which was applied to preserve the papilla and obtain primary closure of the interdental space fig. Tonettithe modified papilla preservation technique with bioresorbable barrier membranes in the treatment of intrabony defects. The modifications in papilla preservation flap designs are also. Palacci flap closure to preserve the papilla osseonews. Endodontic surgery is a viable treatment option for failure of orthograde endodontic retreatment or when it proves unfeasible. Such approach allows surgical access to interproximal intrabony defects providing, concurrently, the interdental soft tissues preservation, coronal positioning of the buccal flap by a modified mattress suture and the primary closure of the. Surgical periodontal flap with conventional incision will result in gingival recession and loss of interdental papillae after treatment.
The purpose of the study was to describe and evaluate a novel marginal incision technique the papilla base incision, which preserves the integrity of the interdental papilla during and. Comparison of two surgical techniques for the reconstruction of interdental papilla s shruthi 1, sheela kumar gujjari 2, kiran prakash mallya 3 1 department of periodontology, sri siddhartha dental college and hospital, a constituent of sri siddhartha university, agalkote, tumkur, india 2 department of periodontology, jss dental college and hospital, a constituent of jss university, mysore. A new surgical approach for interproximal regenerative procedures. This video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. Modified whales tail technique for the management of bonedefect. The modified whales tail technique was used, and alloplastic bone. Titaniumreinforced interdental peaks as a simple method. Longterm evaluation period after the use of papilla preservation technique, revealed stable results, although a partial exposure of the buccal root surface of some teeth did occur. Papilla preserving modified roll technique for stage 2 soft. Papilla preserving modified roll technique for stage 2. The aim of this article was to describe an abrams technique s modification. Pdf a modified papilla preservation technique, 22 years later. Papilla preservation flap as aesthetic consideration in. Papilla preservation flap surgery technique maintains esthetic value and a better approach edures.
View the article pdf and any associated supplements and figures for a period of 48 hours. A modification of the papilla preservation technique has been applied to achieve primary closure of the interproximal tissue over barrier membranes placed coronal to the alveolar crest. Papilla preserving incision, additional oblique incision. The other papilla reconstruction techniques include the pedicle flap using the roll technique, semilunar coronally positioned flap, envelope flap which is. Scribd is the worlds largest social reading and publishing site.
Interdental papilla reconstruction combining periodontal and. Simplified method of interimplant papilla preservation around. Esthetic considerations for the interdental papilla. In 73% of the cases complete coverage of the membrane was maintained until its removal at 6 weeks. Interdental papilla reconstruction combining periodontal and orthodontic therapy in adult periodontal patients. Efficacy of a new papilla generation technique in implant. Papilla preserving modified roll technique for stage 2 soft tissue augmentation sangeeta dhir department of periodontology and oral implantology, dr. Pdf a modified papilla preservation technique, 22 years.
Several modifications of the socket shield procedure and simultaneous implant placement have been presented since its inception. In 1995 and 1999, cortellini described a modification to the conventional papilla preservation flap. Improved wound stability with a modified minimally invasive. Regarding the surgical technique, it has been proposed the simplified papilla preservation technique. Several studies had suggested that osseointegration might be achieved through immediate implant placement, 3 but. Dec 30, 2015 visit for full video presentation and more. Papilla preservation and regeneration in reconstructive. Surgical management of wide intrabony defect underlying. Fickl s, zuhr o, wachtel h, stappert cf, stein jm, hurzeler mb. Specific surgical approaches have been reported to obtain primary flap closure to preserve interdental tissue, the papillapreservation technique, modified papillae. Guided tissue regeneration and papilla preservation with. This was the modified and simplified papilla preservation technique. Modified whales tail technique for the management of bone. Periodontal regeneration of human intrabony defects with.
Management of bone defect in anterior teeth using modified. The techniques include papilla preservation flap, modified papilla preservation, and simple papilla preservation flap to prevent inadvertent papillary loss as a result of flap surgery. It had been clearly shown in both animal and clinical studies that the alveolar ridge remodeling took place soon after tooth extraction, which would particularly affect the shape of buccal lamella. All defects were treated by one surgeon bg with the modified papilla preservation technique mppt in large interdental spaces the width of interdental space 2 mm or with the simplified papilla preservation flap sppf in narrow interdental spaces the width of interdental space 2 mm or less 28, 29. Conventional and modified papilla flap preservation technique is used for wide interdental spaces in the anterior and premolar region and simplified papilla preservation flap surgery technique can be used in narrow and. Pierpaolo cortellini giovanpaolo pini prato maurizio s.
Ebscohost serves thousands of libraries with premium essays, articles and other content including the simplified papilla preservation flap. Article pdf available in quintessence international 405. A novel surgical approach for the management of soft tissues in regenerative procedures. Modified papilla preservation technique free download as powerpoint presentation. Reconstruction of advanced bone defect associated with. Papilla preservation and tunneling technique in root coverage part 1 description.
Guided tissue regeneration and papilla preservation with the wales tail. Surgical reconstruction of interdental papilla using an interposed subepithelial connective tissue graft. Simplified papilla preservation technique free download as powerpoint presentation. Esthetic considerations for the interdental papilla black triangle beneath the contact point, the situation this pdf is available for free download from a site hosted by medknow publications could be described as class iii. Fifteen patients with deep intrabony interproximal defects were treated. Modified papilla preservation technique can be used in singlerooted teeth and. Bone levels and interdental space width can be measured radiographically and to the basic system. Abrams roll flap, performed at the implant second surgical stage, allows for the correction of small horizontal defects by enhancing the buccal soft tissue thickness and improves the buccal soft tissue profile. Edward pat allen describes in great detail root preparation, instrumentation, and flap management techniques utilized in settingup the root coverage of multiple adjacent recession defects. Q u i n t e s s e n c e i n t e r n at i o n a l a modified papilla preservation technique, 22 years later luigi checchi, md, dds1marco montevecchi, dds1. Ilie preserved papilla can be incorporated into the facial or lingualpalatal flap, although it is most commonly integrated into the facial flap.
Modified papilla preservation technique periodontology surgery. Jul 19, 2016 this video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. Entire papilla preservation technique in the regenerative treatment of deep intrabony defects. The technique involves the preservation of the entire papilla, thus eliminating any potential loss of height as a result of the surgical or healing process. Titaniumreinforced interdental peaks as a simple method for.
Improved wound stability with a modified minimally. This pdf is available for free download from a site hosted by. The specific aims of this report are 1 to analyse the radiographic bone changes 1 year after therapy and 2 to assess the association between radiographic defect angle. Do gingival soft tissues benefit from the application of a. Papilla preservation and tunneling technique in root coverage.
Conventional papilla preservation technique mouth dentistry. Papilla preservation and regeneration in reconstructive therapy description. Guided tissue regenerationdeproteinized bovine bone. Surgical technique for socket shield procedure springerlink. The technique of papilla preservation that we applied, compared with the modified technique, provides better access to the palatal defect because it is applicable on the buccal and palatal aspects.
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