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

Area of Science:

• Periodontology
• Endodontics
• Surgical Techniques

Background:

• Endodontic surgery often requires careful consideration of soft tissue management.
• Gingival papilla height and recession are critical esthetic and functional parameters post-surgery.

Purpose of the Study:

• To compare the efficacy of papilla base incision (PBI) versus sulcular incision (IS) in endodontic surgery.
• To evaluate changes in gingival papilla height and recession over a 12-month period.

Main Methods:

• A controlled clinical trial involving 24 subjects undergoing endodontic surgery.
• Two groups were allocated: one received PBI, the other IS.
• Primary outcomes measured were changes in gingival recession and papilla height at baseline and 12 months.

Main Results:

• Both PBI and IS groups exhibited minimal decrease in papilla height (mesial/distal).
• No statistically significant differences were observed in papilla height changes between the two techniques.
• Gingival recession changes were comparable between the PBI and IS groups.

Conclusions:

• Papilla base incision and sulcular incision demonstrate comparable effectiveness in endodontic surgery.
• Both techniques provide similar results regarding the preservation of gingival papilla height and control of recession.