Treatment of intrabony defects with modified perforated. Modified papilla preservation technique free download as powerpoint presentation. Tonettithe simplified papilla preservation flapa novel surgical approach for the management of soft tissues in regenerative procedures presenter. Several modifications of the socket shield procedure and simultaneous implant placement have been presented since its inception. Fifteen patients with deep intrabony interproximal defects were treated.
Whales tail technique vijay dm, deepika p c, sharma h m j int. Dr ehab rashed remove periapical root infection,preserve the papilla, bone graft the site then place dental implant along with ctg. 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. A modified papilla preservation technique, 22 years later. Several studies had suggested that osseointegration might be achieved through immediate implant placement, 3 but. Apr 24, 2018 regarding the surgical technique, it has been proposed the simplified papilla preservation technique. Modified whales tail technique for the management of bonedefect.
Numerous studies have been attempted to determine various ways to regenerate interdental papilla. Jul 19, 2016 this video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. Ten patients 10 sites with optimal plaque control were treated according to the modified papilla preservation technique. Papilla preserving modified roll technique for stage 2 soft tissue augmentation sangeeta dhir department of periodontology and oral implantology, dr. Papilla preservation and tunneling technique in root coverage. Conventional 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. In 1995 and 1999, cortellini described a modification to the conventional papilla preservation flap. The labial ridge had previously been regenerated using biooss. Papilla preservation flap as aesthetic consideration in periodontal flap surgery flap surgery is treatment for periodontal disease with alveolar bone destruction. Anew surgicalapproach forinterproximalregenerative procedures pierpaolocortellini,t giovanpaolopiniprato, andmaurizios. The aim of this article was to describe an abrams techniques modification. This study reports the secondary analysis of a randomized. Papilla preserving incision, additional oblique incision.
Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Surgical reconstruction of interdental papilla using an interposed subepithelial connective tissue graft. Ilie technique for employing a papilla preservation flap is as follows. Titaniumreinforced interdental peaks as a simple method for papilla preservation. Modified whales tail technique for the management of bone. 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. Our patients occlusal conditions limited the amount of intrusion feasible and may have had an impact on the final results. Simplified method of interimplant papilla preservation around.
The modified papilla preservation technique with bioresorbable barrier membranes in the treatment of. Entire papilla preservation technique in the regenerative. Twelve patients presenting with at least one isolated deep intrabony defect received regenerative periodontal treatment with entire papilla preservation epp technique. Periodontal regeneration of human intrabony defects with. Palacci flap closure to preserve the papilla osseonews. 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.
Esthetic considerations for the interdental papilla this pdf is available for free download from a site hosted by medknow publications. This pdf is available for free download from a site hosted by. Do gingival soft tissues benefit from the application of a papilla preservation flap technique in endodontic surgery. 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. Periodontal regenerative technologies are applied to improve short and longterm clinical outcomes of periodontally compromised teeth, presenting with deep pockets and reduced periodontal support. 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. Specific surgical approaches have been reported to obtain primary flap closure to preserve interdental tissue, the papillapreservation technique, modified papillae. Immediate implant combined with modified socketshield. Simplified method of interimplant papilla preservation. Preservation of papillary integrity is essential for maintaining aesthetics. 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. A novel surgical approach for the management of soft tissues in regenerative procedures.
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. Interdental papilla reconstruction combining periodontal and. A modification of the papilla preservation techniquehasbeenappliedto achieve primary closureofthe interproximal tissue over barriermembranes placed coronal to the alveolar crest. Surgical management of wide intrabony defect underlying. Jan 29, 20 simplified papilla preservation technique 1. The modifications in papilla preservation flap designs are also. The socket shield procedure is a novel technique for postextraction implant placement. 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. Improved wound stability with a modified minimally.
Entire papilla preservation technique in the regenerative treatment of deep intrabony defects. Management of bone defect in anterior teeth using modified. A new surgical approach for interproximal regenerative procedures. Pdf a modified papilla preservation technique, 22 years later. Papilla preservation flap as aesthetic consideration in.
Modified papilla preservation technique can be used in singlerooted teeth and. Ebscohost serves thousands of libraries with premium essays, articles and other content including the simplified papilla preservation flap. 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. Modified papilla preservation technique periodontology surgery. Interdental papilla reconstruction combining periodontal and orthodontic therapy in adult periodontal patients. Dec 30, 2015 visit for full video presentation and more.
Papilla preservation flap periodontal disease click to. Papilla preservation and regeneration in reconstructive. 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. 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. Scribd is the worlds largest social reading and publishing site. Papilla preserving incision, additional oblique incision, connective tissue. Article pdf available in quintessence international 405. The other papilla reconstruction techniques include the pedicle flap using the roll technique, semilunar coronally positioned flap, envelope flap which is. Thomas han outlines the clinical decision making rational for choosing a specific surgical technique for diverse papilla regenerative challenges in the anterior region.
Conventional papilla preservation technique mouth dentistry. Do gingival soft tissues benefit from the application of a. The granulation tissue filling the defect was dissected and removed, leaving the interdental and palatal tissues untouched. 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. Tonetto a modification of the papilla preservation techniquehasbeenappliedto achieve. Pdf a modified papilla preservation technique, 22 years. 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. 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. 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. Ambedkar institute of dental sciences and hospital, patna, bihar, india. Tonettithe modified papilla preservation technique with bioresorbable barrier membranes in the treatment of intrabony defects. Surgical technique for socket shield procedure springerlink. Guided tissue regeneration and papilla preservation with the.
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. 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. Simplified papilla preservation technique free download as powerpoint presentation. Esthetic considerations for the interdental papilla. Reconstruction of advanced bone defect associated with. Papilla preserving modified roll technique for stage 2 soft. Guided tissue regeneration and papilla preservation with the wales tail. Titaniumreinforced interdental peaks as a simple method for.
The paper presented various surgical and nonsurgical approaches to restore the same. Jul 20, 2017 this study evaluates the clinical outcomes of a novel tunnel. 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. 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. Fickl s, zuhr o, wachtel h, stappert cf, stein jm, hurzeler mb. Endodontic surgery is a viable treatment option for failure of orthograde endodontic retreatment or when it proves unfeasible. Ilie preserved papilla can be incorporated into the facial or lingualpalatal flap, although it is most commonly integrated into the facial flap. 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. Comparison of two surgical techniques for the reconstruction. Papilla preservation and tunneling technique in root. Dimensional changes of the alveolar ridge contour after. A palacci papilla regenerating flap is used the flap is closed with atraumatic compression sutures. The aim of this article was to describe an abrams technique s modification.
The modified whales tail technique was used, and alloplastic bone. In part 1 of this surgical instructional video series, dr. Efficacy of a new papilla generation technique in implant. Papilla preservation and tunneling technique in root coverage part 1 description. 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.
Papilla preservation and regeneration in reconstructive therapy description. Interdental papilla reconstruction combining periodontal. Improved wound stability with a modified minimally invasive. 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.
This video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. 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. Simplified papilla preservation technique dentistry. Pierpaolo cortellini giovanpaolo pini prato maurizio s. Only a buccal flap was raised while the interdental papilla was left in situ. Modified papilla preservation technique slideshare. Guided tissue regeneration and papilla preservation with. 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. Bone levels and interdental space width can be measured radiographically and to the basic system. Titaniumreinforced interdental peaks as a simple method. Guided tissue regenerationdeproteinized bovine bone. Regarding the surgical technique, it has been proposed the simplified papilla preservation technique. Mar 12, 2017 ilie technique for employing a papilla preservation flap is as follows.
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