Papilla preservation technique with enamel matrix derivative. The aim of this article was to describe an abrams technique s modification. This procedure simplified papilla preservation flap, sppf was designed to provide surgical access to interproximal bony defects while preserving interdental soft tissues, even in narrow. Comparison of gingival blood flow during healing of. Papilla preservation technique and use of palatal semilunar incision 3 mm apical to gingival margin. Surgical periodontal flap with conventional incision will result in gingival recession and loss of interdental papillae after treatment. Retzepi periodontology unit, eastman dental institute, university college london, london, uk. Simplified papilla preservation technique by giving an oblique incision in the interdental papilla in cases where the interdental distance is less than 2 mm. Do gingival soft tissues benefit from the application of a. Entire papilla preservation technique with and without biomaterials in the treatment of isolated intrabony defects. The whales tail flap technique is designed to preserve interdental tissue in guided tissue regeneration. A palacci papilla regenerating flap is used the flap is closed with atraumatic compression sutures.
A modified papilla preservation technique, 22 years later. Ebscohost serves thousands of libraries with premium essays, articles and other content including the simplified papilla preservation flap. Cortellini et al in 1999 proposed the simplified papilla preservation flap technique 8. Conventional papilla preservation technique free download as powerpoint presentation.
Mar 12, 2017 ilie technique for employing a papilla preservation flap is as follows. Papilla preservation flap surgery technique maintains esthetic value and a better approach edures. Does the papilla preservation flap technique induce soft. Simplified method of interimplant papilla preservation around immediate implant in the maxillary aesthetic zone a case report sheethalan 1, archana mootha 1 and thiyaneshwaran nesappan 2 1department of periodontology, saveetha dental college, chennai, india. Surgical augmentation of interdental papilla a case. The labial ridge had previously been regenerated using biooss.
Rezende, sebastiao luiz aguiar greghi and euloir passanezi. All granulation tissue was removed from the defects and root surfaces were scaled and planed using hand and ultra. Conventional papilla preservation technique mouth dentistry. Discipline of periodontics, bauru dental school, brazil. 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. Papilla preservation technique combined with emdogain in the treatment of intrabony defects. Interdental papilla reconstruction combining periodontal and. Simplified method of interimplant papilla preservation around.
In 73% of the cases complete coverage of the membrane was maintained until its removal at 6 weeks. 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. Guided tissue regeneration and papilla preservation with the. The papilla amplification flap for the treatment of a localized periodontal defect associated with a palatal groove. A new surgical approach for interproximal regenerative procedures published on apr 1, 1995 in journal of periodontology 2. Pierpaolo cortellini giovanpaolo pini prato maurizio s. Papilla preservation flap periodontal surgery youtube. Modified papilla preservation technique slideshare. Ilie technique for employing a papilla preservation flap is as follows. 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. The whales tail flap technique is designed to preserve.
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. 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. This tunnellike technique can be recommended for further research to support the success identified in. Wide intrabony defect treated with the modified papilla. This procedure simplified papilla preservation flap, sppf was designed to provide surgical access to interproximal bony defects while preserving interdental soft. 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. Titaniumreinforced interdental peaks as a simple method for. Papilla preservation and tunneling technique in root coverage part 1 description. 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. Simplified papilla preservation technique slideshare. 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.
Guided tissue regeneration and papilla preservation with the wales tail flap. Ilie preserved papilla can be incorporated into the facial or lingualpalatal flap, although it is most commonly integrated into the facial flap. Introduction interdental papilla represents a small visible. The same procedure was performed in the control group but with no barrier membrane. The specific aim of the study was to compare the main periodontal parameters in 2 groups of patients 6 months after surgery.
Jul 19, 2016 this video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. The simplified papilla preservation flap in the regenerative. Simplified method of interimplant papilla preservation. The entire papilla preservation technique was successfully applied to the three selected cases, resulting in an uneventful postsurgical period and a substantial defect fill over the 8month followup. Nordland and sandhu published their landmark paper showing not only the successful technique but also more than 10 years of post operative longevity. A deep intrabony defect in each patient was accessed with the simplified papilla preservation flap.
Oct 08, 2015 this paper discusses two different surgical approaches in treating three cases with papillary loss in the first case the reconstruction of papilla was achieved by using a semilunar coronally repositioned papilla technique and in second and the third case reconstruction of the papilla was achieved by modification of nodlands microsurgical. 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. Esthetic considerations for the interdental papilla. Entire papilla preservation technique with and without. This procedure simplified papilla preservation flap, sppf was designed to provide surgical access to interproximal bony defects while preserving interdental soft tissues, even in narrow interdental spaces and posterior teeth. Pdf a modified papilla preservation technique, 22 years later. How to raise a papilla flap like a periodontist in 90 secs. This type of flap was first described by takei et al in 1985. This paper describes a case where the whales tail flap was used associated to autologous osseous graft and bovine collagen membrane in an.
Kasaj preoperative probing pocket depth ppd at the distal aspect of tooth 11 was 7 mm. Cortellini et al in 1999 proposed the simplified papilla preservation flap technique8. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Hence, a nu keywordsinterdental papilla, papilla preservation, papilla reconstruction, papilla regeneration, black triangle. Does the papilla preservation flap technique induce soft tissue modifications over time in endodontic surgery procedures. Papillary retention flap design for pocket reduction.
It allows the full papilla to be raised with the buccal flap so that. In part 1 of this surgical instructional video series, dr. Modified papilla preservation technique periodontology surgery. Papilla preservation flap as aesthetic consideration in. Simplified papilla preservation technique dentistry. This case report aims towards assessment of papilla preservation flap in the treatment of a 27 year old female with generalized chronic moderate periodontitis leading to pathological migration in anterior esthetic zone, with 9 months followup. The minimalinvasive technique enabled primary wound healing with minimal recession and considerable attachment gain after 6 months. Surgical augmentation of interdental papilla a case series.
Papilla preservation technique combined with emdogain in the. Setting a reading intention helps you organise your reading. A novel surgical procedure specifically designed to access interdental spaces in the regenerative treatment of deep intrabony defects is presented. A novel surgical approach for the management of soft tissues.
Tonettithe simplified papilla preservation flapa novel surgical approach for the management of soft tissues in regenerative procedures presenter. The authors hypothesized that the use of a papilla preservation technique flap would not produce any significant difference in parameters related to gingival healing compared with the intrasulcular flap is. Apr 24, 2018 dr barbagallo g psaila a, durso u, longo a guided tissue regeneration of interproximal angular intrabony defect with simplified papilla preservation technique resume a procedure of guided tissue regeneration applied for the resolution of an angular defect mesial to 1. Jan 29, 20 simplified papilla preservation technique 1. Surgical reconstruction of lost interdental papilla. Guided tissue regeneration and papilla preservation with. A modified papilla preservation technique, 22 years later article pdf available in quintessence international berlin, germany. Fifteen patients with deep intrabony interproximal defects were treated. Modified whales tail technique for the management of bone. Palacci flap closure to preserve the papilla osseonews.
The comparison of papilla preservation technique and. Simplified papilla preservation technique free download as powerpoint presentation. Papilla preservation flap periodontal disease click to. Interdental papilla reconstruction combining periodontal and orthodontic therapy in adult periodontal patients. A new papilla preservation technique for periodontal regeneration. A novel surgical approach for the management of soft tissues in regenerative procedures. 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. In the test defects, a bioabsorbable membrane was positioned. Scribd is the worlds largest social reading and publishing site. Patients experiences with the surgical procedure and postoperative period were evaluated with a questionnaire. This was the modified and simplified papilla preservation technique.
A new surgical approach for interproximal regenerative procedures. Papilla preservation and tunneling technique in root coverage. Modified papilla preservation2, simplified papilla preservation3 and whales tail technique4. Modified papilla preservation technique free download as powerpoint presentation. The other papilla reconstruction techniques include the pedicle flap using the roll technique, semilunar coronally positioned flap, envelope flap which is. 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. Comparison of gingival blood flow during healing of simplified papilla preservation and modified widman flap surgery. Titaniumreinforced interdental peaks as a simple method for papilla preservation. Pdf a modified papilla preservation technique, 22 years. Papilla preservation flap as aesthetic consideration in periodontal flap surgery flap surgery is treatment for periodontal disease with alveolar bone destruction.
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. Interdental papilla augmentation procedure following orthodontic treatment in a periodontal patient. Apr 26, 2017 minimally invasive surgical technique mist dr. For many years it was thought that once the interdental papilla was lost it was impossible to replace it. Papilla preservation techniques, simplified papilla preservation flap, modified papilla. Periodontal regenerative emdogain surgery with papilla preservation. This is the first report to describe the use of this flap associated to autogenous bone graft. Damodharan deepalakshmi, ramakrishnan swamy ahathya, sunitha raja, aravind kumar surgical reconstruction of lost interdental papilla. This parallel group, randomized, multicenter, controlled clinical trial involved 112 patients in 8 periodontal practices in 4 countries.
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