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. 2021 Jul;92(7):931-946.
doi: 10.1002/JPER.20-0587. Epub 2020 Nov 23.

Interproximal attachment gain: The challenge of periodontal regeneration

Giulio Rasperini  1   2 , Lorenzo Tavelli  2 , Shayan Barootchi  2 , Michael K McGuire  2   3   4 , Giovanni Zucchelli  2   5 , Giorgio Pagni  1 , Martina Stefanini  5 , Hom-Lay Wang  2 , William V Giannobile  6
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Free article

Interproximal attachment gain: The challenge of periodontal regeneration

Giulio Rasperini et al. J Periodontol. 2021 Jul.
Free article

Abstract

The new classification of periodontal diseases recognizes the key role of the interdental clinical attachment for defining the periodontal status and the extent of disease severity. Regenerating interdental clinical attachment not only improves the prognosis of the tooth, but it also lessens the severity of the disease condition. This manuscript provides a state-of-the-art review on surgical reconstructive approaches for treating papillary deficiency associated with soft and hard tissue interproximal defects. Combination therapy of papilla preservation, connective tissue grafting, and coronally advanced flaps may result in regeneration of the intrabony defect coupled with root coverage. Future research highlighted here may have the potential, especially in combination approaches, to repair challenging interproximal soft and hard tissue deficiencies.

Keywords: connective tissue graft(s); gingival recession; growth factors; periodontal regeneration; plastic periodontal surgery.

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