A modified version of takeis papilla preservation technique. Papilla preservation and tunneling technique in root. In narrow interdental spaces, a diagonal incision is given closer to the lingual side simplified papilla preservation flap, whereas a horizontal butt joint incision is performed at the base of papilla in wide interdental spaces, modified papilla preservation technique mppt, incorporating the whole papilla into the palatal or lingual flaps. 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. Papilla preservation flap as aesthetic consideration in. The surgical technique is used to re contour, preserve and re construct the soft tissues. Ilie preserved papilla can be incorporated into the facial or lingualpalatal flap, although it is most commonly integrated into the facial flap.
Cortellini et al14 used a modified approach and reported a significant reduction in membrane exposures in the interproximal space 27% of 15 treated cases. Papilla preservation and tunneling technique in root coverage part 1 description. Papilla preserving incision, additional oblique incision, connective tissue. Interdental papilla reconstruction combining periodontal and. Esthetic considerations for the interdental papilla. Surgical reconstruction of lost papilla around implant with a modified technique. Use either the papilla preservation technique or the modified papilla preservation technique because the interproximal width is greater than 2mm. Surgical techniques are diverse, but none have given predictable results. A whales tail technique flap for papilla preservation was performed together with a regenerative.
It lies below a cellular aggregation known as the enamel organ. Simplified papilla preservation technique free download as powerpoint presentation. Case report surgical reconstruction of lost papilla around. If the width of the interproximal space is 3mm, one would use simplified papilla preservation technique false. 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. 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. Minimally invasive treatment for reconstruction of deficit interdental papillae. Simplified method of interimplant papilla preservation around. The aim of this article was to describe an abrams technique s modification. Figs a to d modified papilla preservation flap interdentally between teeth 36 and 37.
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. The aim of this article was to describe an abrams techniques modification. Early postoperative healing following buccal single flap. Specifically, an abutment with modified subgingival contours is used to enhance support of the surgically reformed papilla. It was brought in practice by cortellini as minimally invasive surgical technique. This video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. Modified papilla preservation technique slideshare. Simplified papilla preservation technique dentistry. 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. Periodontal regenerative technologies are applied to improve short and longterm clinical outcomes of periodontally compromised teeth, presenting with deep pockets and reduced periodontal support. 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. In part 1 of this surgical instructional video series, dr. Thomas han outlines the clinical decision making rational for choosing a specific surgical technique for diverse papilla regenerative challenges in the anterior region. Jan 29, 20 simplified papilla preservation technique 1.
Surgical approaches included three treatment modalities, papilla recontouring, papilla preservation and papilla reconstruction. Minimally invasive treatment for reconstruction of deficit. However, only 50% of the mesial papilla was regained after the healing period. A palacci papilla regenerating flap is used the flap is closed with atraumatic compression sutures. 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. Papilla preservation and regeneration in reconstructive therapy description. New method generates human hair growth from dermal papilla. In embryology and prenatal development, the dental papilla is a condensation of ectomesenchymal cells called odontoblasts, seen in histologic sections of a developing tooth. Pdf a modified papilla preservation technique, 22 years. Simplified method of interimplant papilla preservation. Our patients occlusal conditions limited the amount of intrusion feasible and may have had an impact on the final results.
Suture materials and suture techniques perio periodontal. Guided tissue regeneration and papilla preservation with the wales tail. Surgical management of wide intrabony defect underlying midline. Modified frenectomy technique a modified surgical technique for management of ectopic frena has been developed and performed at. B modified papilla preservation flap cortellini et al.
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. This was the modified and simplified papilla preservation technique. Papilla preserving modified roll technique for stage 2 soft. A modified papilla preservation technique, 22 years later article pdf available in quintessence international berlin, germany. Primary closure was maintained over time in 67% of the sites.
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. Papilla preserving modified roll technique for stage 2. 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 novel surgical approach for the management of soft tissues in regenerative procedures. In 1995 and 1999, cortellini described a modification to the conventional papilla preservation flap.
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. Papilla preserving modified roll technique for stage 2 soft tissue augmentation sangeeta dhir department of periodontology and oral implantology, dr. Papilla preservation flap periodontal disease click to. The dental papilla appears after 810 weeks intra uteral life. For this purpose, the papilla preservation flap can be combined with classic frenectomy to efficiently preserve the papilla. 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. This technique resulted in a significant gain of papillary volume in bothcoronal and facial directions. 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. This article presents a multidisciplinary treatment approach to regenerate the interdental papilla between an implant and a periodontically compromised tooth using surgical procedures and a customized abutment.
Pdf a modified papilla preservation technique, 22 years later. This is a better modification of papilla preservation technique but on diastema and bigger defects. Palacci flap closure to preserve the papilla osseonews. Regarding the surgical technique, it has been proposed the simplified papilla preservation technique. Modified frenectomy technique a modified surgical technique for management of ectopic frena has been developed and performed at the department of. 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. The modified papilla preservation technique with bioresorbable barrier membranes in the treatment of. Guided tissue regeneration and papilla preservation with the. Guided tissue regeneration and papilla preservation with the wales tail flap. A modification of the papilla preservation techniquehasbeenappliedto achieve primary closureofthe interproximal tissue over barriermembranes placed coronal to the alveolar crest.
A new surgical approach for interproximal regenerative procedures. Guided tissue regeneration and papilla preservation with. Loss of interdental papilla marks phonetics, functional and esthetic problem. Introduction goals 1 primary closure of the flaps in interdental spaces 2 avoid the collapse of nonself supporting. Papilla preservation and regeneration in reconstructive. Take the collagen coated t75 flask and hair follicle dermal papilla cell growth medium from the refrigerator and allow them to equilibrate to room temperature decontaminate the bottle and flask with 70% alcohol in a sterile hood. Surgical periodontal flap with conventional incision will result in gingival recession and loss of interdental papillae after treatment. Do gingival soft tissues benefit from the application of a. Modified papilla preservation technique mppt cortellini et al. Interdental papilla plays a vital role in determining aesthetics. Scribd is the worlds largest social reading and publishing site. Interdental papilla reconstruction combining periodontal and orthodontic therapy in adult periodonta.
Tonetto a modification of the papilla preservation techniquehasbeenappliedto achieve. Discipline of periodontics, bauru dental school, brazil. It was further decided to combine the technique with bone graft and gtr membrane for a more. A modification of this flap involves a trapezoidal incision where a. Efficacy of a new papilla generation technique in implant. Papilla preserving incision, additional oblique incision. Ambedkar institute of dental sciences and hospital, patna, bihar, india. Tonettithe simplified papilla preservation flapa novel surgical approach for the management of soft tissues in regenerative procedures presenter. Modified whales tail technique for the management of bone. Rezende, sebastiao luiz aguiar greghi and euloir passanezi. Loss of interdental papilla is seen as unaesthetic black triangles in the interdental space. Clinical performance of access flap surgery in the treatment of the. Papilla augmentation using platelet rich fibrin a case report dr.
To gain access to the roots and bone surfaces, a flap was raised by intrasulcular incisions and the modified and simplified papilla preserva tion technique. Comparison of two surgical techniques for the reconstruction. 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. A modified papilla preservation technique, 22 years later. Anew surgicalapproach forinterproximalregenerative procedures pierpaolocortellini,t giovanpaolopiniprato, andmaurizios.
Papilla preservation and tunneling technique in root coverage. Modified papilla preservation technique periodontology. Conventional and modified papilla preservation flap ppf using. Papilla preservation flap technique not only results in an esthetically pleasing architecture but also provides a better approach for technique. Numerous studies have been attempted to determine various ways to regenerate interdental papilla. Ilie technique for employing a papilla preservation flap is as follows. Papilla preservation flap surgery technique maintains esthetic value and a better approach edures. Modified papilla preservation technique can be used in singlerooted teeth and. The labial ridge had previously been regenerated using biooss. Mar 12, 2017 ilie technique for employing a papilla preservation flap is as follows. Interdental papilla reconstruction combining periodontal and orthodontic therapy in adult. Papilla preservation flap as aesthetic consideration in periodontal flap surgery flap surgery is treatment for periodontal disease with alveolar bone destruction. Gingival recession on the canine was also completely covered. Interdental papilla reconstruction combining periodontal.
Surgical reconstruction of interdental papilla using an interposed subepithelial connective tissue graft. Dr ehab rashed remove periapical root infection,preserve the papilla, bone graft the site then place dental implant along with ctg. The dental papilla gives rise to the dentin and pulp of a tooth. 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. Dec 30, 2015 visit for full video presentation and more. Conventional and modified papilla preservation flap ppf.
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