Do gingival soft tissues benefit from the application of a papilla preservation flap technique in endodontic surgery. After the initial sanative phase, osseous surgery for pocket reduction was completed in sextant 1 and sex tant 3. Flap pedicles have shown better results than free gingival grafts. Preservation of good blood supply to the flap is another important consideration. A modified papilla preservation technique, 22 years later. Modified whales tail technique for the management of bonedefect. You can publish your book online for free in a few minutes. More demanding in narrow interproximal spaces necrosis7. Cortellini and tonetti proposed the minimally invasive surgical technique mist in 2007. A novel incision design for interdental papilla reconstruction. Palacci flap closure to preserve the papilla osseonews.
This video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. In the test defects, a bioabsorbable membrane was positioned. Papillary retention flap design for pocket reduction. Ebscohost serves thousands of libraries with premium essays, articles and other content including the simplified papilla preservation flap. This procedure simplified papilla preservation flap, sppf was designed to provide surgical access to interproximal bony defects while preserving interdental. Modified papilla preservation flap cortellini et al. In all the three cases a free connective tissue graft was used to reconstruct the lost volume of interdental papilla. Pdf a modified papilla preservation technique, 22 years. Pdf an ideal periodontal therapy should establish a state of periodontal. A modified whales tail flap was employed to access the area. Semilunar incisions are made on the palate from the mid palatal aspect to the midpalatal. 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.
Patients experiences with the surgical procedure and postoperative period were evaluated with a questionnaire. The preserved papilla can be incorporated into the facial or the lingual palatal lap b, the reflected flap exposes the underlying bone. Start studying principles of periodontal surgery and wound healing i. Minimally invasive surgical techniques in periodontal. Surgical augmentation of interdental papilla free full text. Papilla preserving incision, additional oblique incision, connective tissue. Jan 15, 2015 the flap design may also be dictated by the aesthetic concerns of the area of surgery. Papilla preserving incision, additional oblique incision. 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. When the interdental areas are too narrow to permit the preservation of flap. Dr ehab rashed remove periapical root infection,preserve the papilla, bone graft the site. A palacci papilla regenerating flap is used the flap is closed with atraumatic compression sutures. Following the elevation of a buccal flap, an inter. Do gingival soft tissues benefit from the application of a.
Does the papilla preservation flap technique induce soft. Papilla preservation flap as aesthetic consideration in periodontal flap surgery article pdf available july 20 with 409 reads how we measure reads. Double papilla repositioned flap for the treatment of. Mar 25, 2017 flap design and suturing for periodontal regeneration of a furcation grade 2 and an intrabony defect. Rezende, sebastiao luiz aguiar greghi and euloir passanezi. Papilla preservation, periodontal plastic surgery, ridge augmentation, roll flap, softtissue augmentation. The preoperative papilla height was recorded by measuring the distance between the contact point and the most coronal point of the papilla. Simplified papilla preservation technique dentistry.
The lateral sliding flap with the free gingival graft. Mar 12, 2017 the preserved papilla can be incorporated into the facial or the lingual palatal lap b, the reflected flap exposes the underlying bone. The flap is mobilized through the interdental space from palatal to buccal. Pdf papilla preservation flap as aesthetic consideration. The periosteal releasing incision given beyond the mgj. In 73% of the cases complete coverage of the membrane was maintained until its removal at 6 weeks. The flap design proposed in this case report served a couple of advantages. Interdental papilla reconstruction combining periodontal. Does the papilla preservation flap technique induce soft tissue. The advantages for this modification lies in the fact to preserve the papilla morphology and enhancement of the softtissue esthetic results.
Case 2 was a surgical incision flap with preservation of papillae on the posterior region of tooth 46 with inlay restoration. Scribd is the worlds largest social reading and publishing site. Through the semilunar incision toward the interdental papillae, the split thickness flap was continued to create a pouch in the interdental area. Periodontal access flaps represent an ischaemiareperfusion flap model. Nelson proposed a technique that combines a free connective tissue graft with a full thickness double papilla graft. Surgical augmentation of interdental papilla a case. An article published in 2007 presented the outcomes of a study comparing the changes in periodontal parameters after endodontic surgery using 3 different approaches. In the mist approach, the defectassociated interdental papilla is accessed either with the simplified papilla preservation flap sppf in narrow interdental spaces or the. The papilla preservation flap was initially proposed to achieve a better primary closure in regenerative surgery of periodontal intrabony defects.
Minimally invasive techniques for regenerative therapy. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Complex and wide defects involving 3 or 4 surfaces of a tooth and reaching the apical third of the root or even extending to the apex have to be approached with the elevation of large flaps, such as the modified papilla preservation technique mppt or the simplified papilla preservation flap sppf, cortellini et al. A minimally invasive surgical approach for periodontal regeneration. Simplified papilla preservation technique free download as powerpoint presentation. A deep intrabony defect in each patient was accessed with the simplified papilla preservation flap. Guided tissue regeneration and papilla preservation with the wales tail flap. The flap is designed with simplified papilla preservation 4746, modified papilla. The comparison of papilla preservation technique and. Pdf papilla preservation flap as aesthetic consideration in. The aim of this article was to describe an abrams techniques modification. A new incision for the marginal mucoperiosteal flap was designed to prevent loss of interdental papilla height.
Modified papilla preservation technique can be used in singlerooted teeth and lower molars without neighboring tooth 24. The pbi and is approaches in endodontic surgery showed similar results in terms of papilla height preservation and recession changes. Papilla preserving modified roll technique for stage 2. Papilla preservation flaps for periodontal regeneration of molars. Surgical augmentation of interdental papilla a case series santhanakrishnan muthukumar. Surgical periodontal flap with conventional incision will result in gingival recession and loss of interdental papillae after treatment. Papilla preservation flap intrasulcular incisions at facial and proximal. Incisions and tissue management in periodontal surgery. 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. The paper presented various surgical and nonsurgical approaches to restore the same. Papilla preservation flap as aesthetic consideration in.
All surgeries were free from clinical complications. A modification of the papilla preservation techniquehasbeenappliedto achieve. Papilla preservation flaps for periodontal regeneration of. Notethatthepapilla covering the defectis still in place. Wide base of the flap ensured good blood supply for uneventful healing. Papilla preserving modified roll technique for stage 2 soft tissue augmentation. 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. A horizontal incision is traced in the buccal gingiva of the interdental space at the base of the papilla, and the papilla is elevated toward the palatal aspect. Borchard and erpenstein incisions and tissue management in periodontal surgery fig. Interdental papilla reconstruction combining periodontal and. Papilla preservation flaps for periodontal regeneration of molars severely compromised by combined furcation and intrabony. 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. This study aims to evaluate the early postoperative healing of papillary incision wounds and its association with 1 patientsiterelated factors and technical surgical aspects as well as with 2 6month clinical outcomes following buccal single flap approach sfa in the treatment of intraosseous periodontal defects. Guided tissue regeneration and papilla preservation with the.
Guided tissue regeneration and papilla preservation with. The technique involves the preservation of the entire papilla, thus eliminating any. Depending on how the interdental papilla is managed, flaps can either split the papilla conventional flap or preserve it papilla preservation. Several os seous defects are seen c, the flap returned to its original position covering the entire interdental spaces. May 11, 2014 nelson proposed a technique that combines a free connective tissue graft with a full thickness double papilla graft. The flap design may also be dictated by the aesthetic concerns of the area of surgery. Evaluation for both cases were obtained by incision papilla preservation of primary closure was perfect, good aesthetic results, minimal gingival recession and the interdental papillae can be maintained properly. Early postoperative healing following buccal single flap. Papilla preserving modified roll technique for stage 2 soft.
Conventional papilla preservation technique mouth dentistry. A curette was used around the necks of 11, 12 and 21 to free the tissue attachment from the root surface, facilitating the displacement of gingivopapillary unit coronally. Modified papilla preservation flap mppf primary intrasulcular incision fig. Jan 29, 20 modified papilla preservation technique can be used in singlerooted teeth and lower molars without neighboring tooth 24. Root coverage using double papilla preservation flap.
Papilla preservation flap as aesthetic consideration in periodontal flap surgery flap surgery is treatment for periodontal disease with alveolar bone destruction. Periodontal regenerative emdogain surgery with papilla. A horizontal incision is traced in the buccal gingiva of the interdental space at the base of the papilla, and the papilla. Jan 29, 20 simplified papilla preservation technique 1. In that study, the results of 184 treated teeth were evaluated 1 year after. The papilla base flap, consisting of the papilla base incision and two releasing incisions, was used to. Entire papilla preservation technique in the regenerative treatment of deep intrabony defects. The labial ridge had previously been regenerated using biooss. Double papilla repositioned flap for the treatment of isolated recession a case report. Comparison of gingival blood flow during healing of. 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.
The other papilla reconstruction techniques include the pedicle flap using the roll technique, semilunar coronally positioned flap, envelope flap which is. Conventional papilla preservation technique free download as powerpoint presentation. Modified papilla preservation technique slideshare. Fifteen patients with deep intrabony interproximal defects were treated. Tonettithe simplified papilla preservation flapa novel surgical approach for the management of soft tissues in regenerative procedures presenter.
In the present study, even in the is group, the palatal portion of the interdental papilla remained on site, without any disruption of. B modified papilla preservation flap cortellini et al. Entire papilla preservation technique in the regenerative. After the initial sanative phase, osseous surgery for pocket reduction was completed in sextant 1 and sextant 3. The double papilla technique combines the esthetic results of pedicle graft with the predictability and usefulness of free gingival graft and is an effective and. Discipline of periodontics, bauru dental school, brazil. Takei clinical research center for periodontal disease, school of dentistry, university of. It was brought in practice by cortellini as minimally invasive surgical technique. Department of periodontics technique which intended to spare the papilla. Modifications in the conventional papilla preservation flap technique can be appropriately used with coronally displaced flap along with bone graft and barrier membrane. Principles of periodontal surgery and wound healing i. Papilla preservation flap periodontal disease click to. Fortythree intraosseous defects in 35 patients were accessed with a.
Pierpaolo cortellini giovanpaolo pini prato maurizio s. Conventional and modified papilla preservation flap ppf. Pdf a modified papilla preservation technique, 22 years later. D schematic drawing of the application of a papilla preservation flap for the management of the defect. Esthetic considerations for the interdental papilla this pdf is available for free download from a site hosted by medknow publications. Jul 19, 2016 this video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. Esthetic considerations for the interdental papilla. A novel surgical procedure for papilla reconstruction. Many papillary preservation flap techniques exist for both resective and regenerative purposes.
A novel surgical approach for the management of soft tissues in regenerative procedures. The simplified papilla preservation flap may be associated with faster recovery of the gingival blood flow post. The same procedure was performed in the control group but with no barrier membrane. The papilla preservation flap is elevated between the teeth to transpose the papilla from the palatal to the buccal. To avoid maxillary anterior softtissue loss, papilla preservation flap surgery was done.
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