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A New Papilla Preservation Technique for Periodontal Regeneration of Severely Compromised Teeth
Author(s) -
Rodríguez Jose A. Moreno,
Caffesse Raúl G.
Publication year - 2018
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2017.170033
Subject(s) - medicine , soft tissue , dentistry , regeneration (biology) , gingival margin , clinical attachment loss , orthodontics , tooth mobility , major duodenal papilla , periodontitis , surgery , biology , microbiology and biotechnology
Periodontal regeneration of hopeless teeth represents a major concern for clinicians, especially when these teeth are associated with the esthetic zone. Case Presentation The case presented describes a non‐incised papillae surgical approach (NIPSA) to improve regenerative parameters in hopeless teeth. After treatment of a mandibular right canine with severe periodontal bone loss, clinical attachment loss to the apex, minimal keratinized tissue, and Class III mobility, there were important clinical improvements with no marginal soft tissue shrinkage and minimal morbidity for the patient. Conclusion NIPSA represents a promising minimally invasive technique even in hopeless teeth, facilitating the treatment of deep intrabony defects associated with high risk of soft tissue collapse and post‐surgical soft tissue shrinkage.