Publication: Connective tissue grafts with nonincised papillae surgical approach for periodontal reconstruction in noncontained defects
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Date
2019-10-28
Authors
Moreno Rodríguez, José Antonio ; Ortiz Ruiz, Antonio José ; Pardo Zamora, Guillermo ; Pecci Lloret, Miguel ; Caffesse, Raúl G.
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Publisher
Quintessence Publishing Co Inc
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DOI
https://doi.org/10.11607/prd.4282
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info:eu-repo/semantics/article
Description
© 2019 Quintessence Publishing Co Inc. This document is the Published, version of a Published Work that appeared in final form in International Journal of Periodontics & Restorative Dentistry . To access the final edited and published work see https://doi.org/10.11607/prd.4282
Abstract
This case report presents the preliminary results of combining a modification of the nonincised papillae surgical approach (NIPSA), attempting to improve outcomes in the treatment of teeth with advanced periodontal support loss. The modification added a connective tissue graft (CTG) in the buccal aspect of these unfavorable cases caused by deep buccal bone dehiscence, soft tissue deficiencies, or tooth malposition (especially when positioned outside the bony contour). Deep, intrabony, noncontained defects affecting the maxillary incisors were treated in four patients. At the 1-year follow-up, all cases showed an improvement in the marginal soft tissue with considerable reductions in periodontal pocket depth and gains in clinical attachment. NIPSA plus CTG seem to improve clinical outcomes in deep, noncontained intrabony defects.
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Citation
International Journal of Periodontics & Restorative Dentistry, 2019, Vol. 39 Issue 6, pp. 781-787
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