Do Gingival Soft Tissues Benefit From the Application of a Papilla Preservation Flap Technique in Endodontic Surgery?

Does the Papilla Preservation Flap Technique Induce Soft Tissue Modifications over Time in Endodontic Surgery Procedures?

“…Considering all outcomes, the results of this report (for papilla height) are comparable with the conclusions of a previously published report with a 6-month follow-up (11). The stability of the results over time also confirmed that the soft tissue position and healing obtained 6 months after surgical intervention could be maintained without relevant remodeling in patients with high oral hygiene standards.…”

“…First, the nonrandomized design could be considered a significant bias, even though both groups were statistically comparable at baseline, limiting the variability between groups. Second, the sample size could be considered small although a sample size calculation was performed and other studies used a similar size (8,9,11). Finally, the experience of the operator should be considered an important factor, especially when evaluating the external validity of the present results.…”

“…Postoperative instructions were provided following the protocol described elsewhere (10,11). Patients were advised to rinse twice daily with 15 mL chlorhexidine digluconate 0.2% up to 10 days after surgery.…”

“…The attempt to preserve interdental papillary tissue through a papilla base incision (PBI) flap was described in the literature as favoring soft tissue healing (7-9) 6 and 12 months after surgery as well as postoperative quality of life (10) compared with a sulcular flap. However, 1 short-term comparative study found better soft tissue preservation in the early postoperative period (first 2 weeks) using a PBI approach compared with an intrasulcular flap although it did not find a significant beneficial effect of PBI for soft tissue healing after 6 months at the level of the tooth with a lesion (11). This particular flap design could be considered a modification of the papilla preservation flaps proposed in periodontal conservative (12) and regenerative surgery (13,14).…”

A new calcium silicate-based material (Biodentine) for filling radicular perforation in an endodontic-periodontal lesion: A case report

“…[22] Although the papilla base incision provides better soft tissue preservation in the early postoperative period, the intrasulcular flap option was due to the impossible mensuration of alveolar bone loss at the site next to the root perforation. [12,[23][24][25] Therefore, the use of Biodentine as root perforation filling material is an alternative for the tooth function preservation, even in situations with simultaneous periodontal involvement, presenting satisfactory radiographic and clinical prognosis.…”