Article PDF :

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Article type :

Case Report

Author :

Dipika Mitra, Meenakshi Talati, Silvia Rodrigues, Rohit Shah, Saurabh Prithyani, Harshad Vijayakar

Volume :

12

Issue :

Issue 1

Abstract :

The “whale’s tail” flap technique is designed to preserve interdental tissue in guided tissue regeneration. This report describes the use of this flap technique along with autogenous bone graft. A 37-years old patient presented with defect on mesial aspect of central incisor with probing pocket depth (PPD) of 9mm on the labial aspect and palatal PPD of 6mm. After treating the defect site surgically along with a follow-up of 6 months there was drastic reduction in PPD from 9mm to 4 mm. The preservation of papillary integrity during all dentalprocedures to minimize its disappearance as much as possible is essential for maintaining esthetics especially during and after periodontal surgery. The surgical technique presented in this paper allows regeneration of wide intrabony defects involving the maxillary anterior teeth with notable interdental diastemas, maintaining interproximal tissue to recreate a functional attachment with esthetic results. The technique presents good outcome when used with osseous grafts and guided tissue regeneration.