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Year : 2016  |  Volume : 5  |  Issue : 1  |  Page : 70-74

Bone grafting with novel flap design and management of midline diastema: An interdisciplinary perio-ortho approach

Department of Periodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India

Correspondence Address:
Sowjanya Mittapally
Department of Periodontics, Government Dental College and Hospital, Dr. NTRUHS, Gunadala, Vijayawada - 520 004, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2277-8632.178985

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The practice of using bone grafts in repairing periodontal defects has been the classical approach to periodontal regeneration in the last 30 years. To optimize the regeneration and preserve soft tissues, many techniques of papilla preservation have been described in the literature. The "whale's tail" technique is a surgical technique designed to preserve interdental tissue in guided tissue regeneration. This clinical case report describes and demonstrates the successful use of "whale's tail" flap in conjunction with bovine bone-derived mineral to reconstruct wide intrabony defect in the esthetic zone. A 28-year-old woman presented with an 8-mm probing depth on the mesial aspect of her maxillary right central incisor with midline diastema along with highly placed labial frenum with deep intrabony defect. A combined periodontal and orthodontic approach improved the anterior esthetic zone.

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