Papilla preservation techniques, simplified papilla preservation flap, modified papilla. 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. The simplified papilla preservation flap may be associated with faster recovery of the gingival blood flow post. 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. Fifteen patients with deep intrabony interproximal defects were treated.
In part 1 of this surgical instructional video series, dr. Conventional papilla preservation technique free download as powerpoint presentation. Guided tissue regeneration and papilla preservation with the wales tail flap. Entire papilla preservation technique with and without. Tonettithe simplified papilla preservation flapa novel surgical approach for the management of soft tissues in regenerative procedures presenter. A modified whales tail flap was employed to access the area. 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. Simplified papilla preservation technique free download as powerpoint presentation.
Scribd is the worlds largest social reading and publishing site. Surgical periodontal flap with conventional incision will result in gingival recession and loss of interdental papillae after treatment. The preserved papilla can be incorporated into the facial or the lingual palatal lap b, the reflected flap exposes the underlying bone. This is the first report to describe the use of this flap associated to autogenous bone graft. Measurement of intrabony defects was performed by use of periodontal. All granulation tissue was removed from the defects and root surfaces were scaled and planed using hand and ultrasonic instruments sonicflex 2003 kavo, bieberach, germany.
Minimally invasive surgical techniques in periodontal. A modified papilla preservation technique, 22 years later. Noncontained intrabony defect treated with the simplified. Jul 19, 2016 this video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. Papilla preservation flap periodontal disease click to. The modified papilla preservation flap method is another technique that may be utilized following periodontal surgery and involves incisions made around the teeth next to the surgery location. 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. Comparison of gingival blood flow during healing of. Principles of periodontal surgery and wound healing i. The simplified papilla preservation flap was proposed to provide surgical access to interproximal bony defects while preserving interdental soft tissues, even in narrow interdental spaces and posterior teeth. In the test defects, a bioabsorbable membrane was positioned.
Jan 29, 20 modified papilla preservation technique can be used in singlerooted teeth and lower molars without neighboring tooth 24. The aims of the present multicenter, randomized, controlled clinical trial were. Jan 29, 20 simplified papilla preservation technique 1. Bone grafting with novel flap design and management of. Simplified papilla preservation technique dentistry. Papilla preservation technique with enamel matrix derivative. Papilla preservation flap as aesthetic consideration in periodontal flap surgery flap surgery is treatment for periodontal disease with alveolar bone destruction.
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 interproximal spaces in absence of tension10. More recently, novel techniques like the entire papilla preservation flap epp. Discipline of periodontics, bauru dental school, brazil. Entire papilla preservation technique with and without biomaterials in the treatment of isolated intrabony defects the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. 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. 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. This procedure simplified papilla preservation flap, sppf was designed to. Conventional papilla preservation technique mouth dentistry. Specifically, flap designs attempted to achieve passive primary closure of the flap combined with optimal wound stability. Regarding the surgical technique, it has been proposed the simplified papilla preservation technique. This paper describes a case where the whales tail flap was used associated to autologous osseous graft and bovine collagen membrane in an. Simplified papilla preservation technique slideshare. 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.
The simplified papilla preservation flap in the regenerative treatment of deep intrabony defects. Esthetic considerations for the interdental papilla. A split flap was subsequently prepared 124 perio 2004. 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. A novel surgical approach for the management of soft tissues in regenerative procedures. The simplified papilla preservation flap in the regenerative treatment. Do gingival soft tissues benefit from the application of a. Ebscohost serves thousands of libraries with premium essays, articles and other content including the simplified papilla preservation flap. A horizontal incision is replaced by an oblique incision and placed on the buccal aspect of the interdental papilla, and the papilla is elevated.
Papilla preservation and tunneling technique in root coverage. 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. Modified papilla preservation technique slideshare. 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. Simplified double papilla preservation technique with amelogenin application dr. The specific aim of the study was to compare the main periodontal parameters in 2 groups of patients 6 months after surgery.
Modified papilla preservation technique can be used in singlerooted teeth and lower molars without neighboring tooth 24. Pdf a modified papilla preservation technique, 22 years later. Pdf a modified papilla preservation technique, 22 years. The later technique may be associated with faster recovery of the gingival blood flow postoperatively. Titaniumreinforced interdental peaks as a simple method for papilla preservation. 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 comparison of papilla preservation technique and. Papillary retention flap design for pocket reduction. Papilla preservation technique combined with emdogain in the. The flap is designed with simplified papilla preservation 4746, modified papilla. The labial ridge had previously been regenerated using biooss. Does the papilla preservation flap technique induce soft.
A combined thickness buccal flap with sharp incisions in the papillae and full thickness on buccal root and bone surface was applied fig. Modified papilla preservation flap cortellini et al. Titaniumreinforced interdental peaks as a simple method for. In 73% of the cases complete coverage of the membrane was maintained until its removal at 6 weeks. Flap design and suturing for periodontal regeneration of a furcation grade 2 and an intrabony defect. The simplified papilla preservation flap appears to be associated with faster recovery of the gingival blood flow postoperatively compared with the modified widman flap. The whales tail flap technique is designed to preserve interdental tissue. Minimally invasive techniques for regenerative therapy. Papilla preservation and tunneling technique in root coverage part 1 description.
Modified whales tail technique for the management of bonedefect. Minimally invasive surgical technique mist in regenerative. Widman flap and the simplified papilla preservation flap. Pierpaolo cortellini giovanpaolo pini prato maurizio s. The aim of this article was to describe an abrams technique s modification. Apr 24, 2018 regarding the surgical technique, it has been proposed the simplified papilla preservation technique. These types of papilla preservation techniques allow patients to enjoy both the benefits of the surgery or implant as well as the appearance of the affected area following surgery. Palacci flap closure to preserve the papilla osseonews. Entire papilla preservation technique in the regenerative treatment of deep. The simplified papilla preservation flap in the regenerative.
Does the papilla preservation flap technique induce soft tissue modifications over time in endodontic surgery procedures. Jul 03, 20 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. Later, they introduced the concept of space provision for regeneration with the modified mist mmist, cortellini et al. 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. Periodontal regenerative emdogain surgery with papilla.
A deep intrabony defect in each patient was accessed with the simplified papilla preservation flap. A new surgical approach for interproximal regenerative procedures. Titaniumreinforced interdental peaks as a simple method. A minimally invasive surgical approach for periodontal regeneration. Periodontal access flaps represent an ischaemiareperfusion flap model. This video, from cambridge academy of dental implantology, demonstrates implant placement utilizing a palacci flap closure to preserve the papilla. Several os seous defects are seen c, the flap returned to its original position covering the entire interdental spaces. Papilla preservation flap surgery technique maintains esthetic value and a better approach edures. The other papilla reconstruction techniques include the pedicle flap using the roll technique, semilunar coronally positioned flap, envelope flap which is. Cortellini and tonetti proposed the minimally invasive surgical technique mist in 2007. This was the modified and simplified papilla preservation technique. A palacci papilla regenerating flap is used the flap is closed with atraumatic compression sutures. Papilla preservation flap as aesthetic consideration in. Mar 25, 2017 flap design and suturing for periodontal regeneration of a furcation grade 2 and an intrabony defect.
Zerodonto simplified double papilla preservation facebook. 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. This procedure simplified papilla preservation flap, sppf was designed to provide surgical access to interproximal bony defects while preserving interdental soft. 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. The papilla amplification flap for the treatment of a localized periodontal defect associated with a palatal groove. C simplified papilla preservation flap in cortellini further modified the modified papilla preservation technique which is suitable for narrow interdental spaces. Guided tissue regeneration and papilla preservation with. A horizontal incision is traced in the buccal gingiva of the interdental space at the base of the papilla, and the papilla. Modified whales tail technique for the management of bone.
The intraoperative view shows a deep intrabony defect distal on tooth 11. In the 1990s, the modified papilla preservation technique mppt15 and the simplified papilla preservation flap sppf24 have been tested and proposed. The whales tail flap technique is designed to preserve interdental tissue in guided tissue regeneration. The defect preparation began with sharp excision of the subcrestal soft tissue fig. More demanding in narrow interproximal spaces necrosis7. Case 2 was a surgical incision flap with preservation of papillae on the posterior region of tooth 46 with inlay restoration. Papilla preservation and tunneling technique in root. Cortellini et al in 1999 proposed the simplified papilla preservation flap technique 8. Introduction goals 1 primary closure of the flaps in interdental.
179 605 47 1300 564 696 36 1125 1405 29 1415 235 639 1532 51 1198 678 1605 998 33 290 1508 1268 662 1672 1102 1450 253 503 962 967 108 1601 1374 1257 353 313 1373 816 732 641 337 1463