Abstract

Aims and objectives: The purpose of this 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 after endodontic surgery in cases where there is no evidence of marginal periodontitis. Methodology: Fifteen patients in general good health referred to the department of endodontics with periradicular pathology where endodontic surgery was indicated were selected for the study irrespective of age, sex and socioeconomic status. Results: The visual observation of the incisions at one month recall demonstrated one site with visible defects (grade 1), five sites with partially detectable incision defect (grade 2) and nine sites with perfect healing (grade 3). Conclusion: Papilla based incision is an excellent method of elevating the mucoperiosteal flap with excellent esthetics and without any postoperative loss of papilla height or gingival recession.

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