Dec 30, 2015 visit for full video presentation and more. Apr 24, 2018 regarding the surgical technique, it has been proposed the simplified papilla preservation technique. A number of surgical techniques have been proposed to preserve, restore, and regenerate the interdental papilla, including papilla preservation procedures, 11, 12 hard andor soft tissue. If the width of the interproximal space is 3mm, one would use simplified papilla preservation technique false. Pdf a modified papilla preservation technique, 22 years later. Modified whales tail technique for the management of bone. Other techniques described in literature were designed to maintain primary closure of the flaps at the interdental space. Papilla healing following sulcular full thickness flap in. Specific surgical approaches have been reported to obtain primary flap closure to preserve interdental tissue, the papillapreservation technique, modified papillae.
Notethatthesuture crosses above thetitaniumreinforcementof membrane. A modified papilla preservation technique, 22 years later scribd. Primary wound closure and uneventful early wound stability over the biomaterials are the most critical elements of successful periodontal regeneration. Ebscohost serves thousands of libraries with premium essays, articles and other content including the simplified 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.
Modified incision techniques and new flap designs are required to prevent recession of the papilla. Tonettithe simplified papilla preservation flapa novel surgical approach for the management of soft tissues in regenerative procedures presenter. Early postoperative healing following buccal single flap. Tonettithe modified papilla preservation technique with bioresorbable barrier membranes in the treatment of intrabony.
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. It lies below a cellular aggregation known as the enamel organ. The aim of this article was to describe an abrams technique s modification. Papilla preservation and tunneling technique in root coverage. Papilla preserving incision, additional oblique incision, connective ti.
Introduction goals 1 primary closure of the flaps in interdental spaces 2 avoid the collapse of nonself supporting barrier membranes into interproximal defects 3 usable. Surgical reconstruction of interdental papilla using an interposed subepithelial connective tissue graft. The papilla base flap will maintain the integrity of the papilla during the surgery. It includes sulcular incisions around each tooth with the. Case 1 was a surgical incision flap with preservation of papillae on the anterior region of teeth 11 and 12, with a full veneer crown on tooth 12. Modified whales tail technique for the management of bonedefect. Esthetic considerations for the interdental papilla. 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. Modified papilla preservation technique slideshare.
Jan 29, 20 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. Papilla preservation techniques, simplified papilla preservation flap, modified papilla. Papilla preserving modified roll technique for stage 2 soft tissue augmentation sangeeta dhir department of periodontology and oral implantology, dr. Additional advantages of this technique are the limitation of membrane. A modification of the papilla preservation technique has been applied to achieve primary closure of the interproximal tissue over barrier membranes placed coronal to. Anew surgicalapproach forinterproximalregenerative procedures pierpaolocortellini,t giovanpaolopiniprato, andmaurizios.
Oct 01, 2017 using the same principle, other researchers further modified the original technique to preserve the proximal bone 17,19 and the crestal bone. Modified papilla preservation technique periodontology. Modified papilla preservation technique can be used in singlerooted teeth and lower. Such modifications have been suggested with the use of the papilla base incision. A new surgical approach for interproximal regenerative procedures. 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. These clinical innovations in flap design and handling have radically changed surgery and have allowed a drastic limitation of interdental wound failure to less than 30% of the treated cases. This was the modified and simplified papilla preservation technique.
Modified papilla preservation technique periodontology surgery. Cortellini further modified the modified papilla preservation technique which is suitable for narrow interdental spaces. Palacci flap closure to preserve the papilla osseonews. 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. A modified papilla preservation technique, 22 years later. Tonetto a modification of the papilla preservation techniquehasbeenappliedto achieve. A horizontal incision is replaced by an oblique incision and placed on the buccal aspect of the interdental papilla, and the papilla is elevated toward the palatal aspect. Papilla preservation flap periodontal disease click to. Papilla preservation and tunneling technique in root coverage part 1 description. Modified papilla preservation technique free download as powerpoint presentation. Scribd is the worlds largest social reading and publishing site. The dental papilla appears after 810 weeks intra uteral life. Papilla preservation techniques, simplified papilla preservation flap, modified papilla preservation flap, esthetics.
In 73% of the cases, the interdental tissue covered the membrane until its removal at 6 weeks. Article pdf available in quintessence international 405. Use either the papilla preservation technique or the modified papilla preservation technique because the interproximal width is greater than 2mm. Crossed horizontal mattress suture at the base of the palatal 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. Our patients occlusal conditions limited the amount of intrusion feasible and may have had an impact on the final results. Interdental papilla reconstruction combining periodontal and. The modified papilla preservation technique with bioresorbable barrier membranes in the treatment of. Palacci 3 suggested the method of rotating the pedicle flap to the mesial side of the healing abutment followed by a semilunar beveled incision. A modified papilla preservation technique, 22 years later article pdf available in quintessence international berlin, germany.
A conventional papilla preservation technique 2 b modified papilla preservation 3 c simplified papilla preservation flap4 d whales tail technique a conventional papilla preservation flap takei et al. Ilie preserved papilla can be incorporated into the facial or lingualpalatal flap, although it is most commonly integrated into the facial flap. Guided tissue regeneration and papilla preservation with the. Papilla preservation flap as aesthetic consideration in.
Jan 29, 20 the modified papilla preservation technique. In 1995 and 1999, cortellini described a modification to the conventional papilla preservation flap. The modifications in papilla preservation flap designs are also discussed with its applicability. In the 1990s, the modified papilla preservation technique mppt15 and the simplified papilla preservation flap sppf24 have been tested and proposed. This case report aimed to inform and to explain the work procedures, clinical and radiographic outcomes of surgical papilla preservation flap in the area that requires aesthetic. Pdf the contour of the interdental tissues, as well as the color and texture of the keratinized tissues, are essential elements of anterior. Chacko, sathish abraham, nilima landge, fareedi mukram ali abstract an ideal periodontal therapy should establish a state of periodontal health evidenced by absence of inflammation, periodontal pockets and a potential for the patient to maintain the health in addition to function and esthetics. One of them is the simplified papilla preservation flap 8. In part 1 of this surgical instructional video series, dr. Papilla preserving modified roll technique for stage 2 soft. Efficacy of a new papilla generation technique in implant.
The mean mucosal thickness as achieved after 2 years was 2. Primary closure was maintained over time in 67% of the sites. Papilla augmentation using platelet rich fibrin a case report dr. Loss of interdental papilla marks phonetics, functional and esthetic problem. Papilla preserving incision, additional oblique incision.
Immediate implant combined with modified socketshield. Pdf an ideal periodontal therapy should establish a state of periodontal health evidenced by. 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 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. Preservation technique, 22 years later free download as pdf file. Simplified papilla preservation technique dentistry. This pdf is available for free download from a site hosted by. Ambedkar institute of dental sciences and hospital, patna, bihar, india.
Article pdf available in quintessence international berlin, germany. Simplified papilla preservation technique free download as powerpoint presentation. Titaniumreinforced interdental peaks as a simple method for. Fifteen patients with deep intrabony interproximal defects were treated. 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. A novel surgical approach for regenerative treatment of deep and wide intrabony defects. 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. May 20, 20 this case report has presented a modified roll technique for softtissue augmentation around a dental implant during the second stage of implant surgery. Mar 12, 2017 ilie technique for employing a papilla preservation flap is as follows. Suture to obtain coronalpositioningofthe buccalflap. Pdf a modified papilla preservation technique, 22 years. Pierpaolo cortellini giovanpaolo pini prato maurizio s. Interdental papilla plays a vital role in determining aesthetics. Primary goal was to correct a mild to moderate buccal ridge deficiency.
540 537 1374 71 1231 494 239 105 406 519 426 1065 1214 309 697 1566 659 854 722 485 1527 1200 1270 996 1134 1403 164 1134 737 651 533 1568 1517 1104 918 26 871 666 1015 386 89 459 858 1011 149 603 1453 494 348