Management of Self-inflicted Traumatic Bone Defect Using NIPSA- A Rare Case Report

Abstract

Orthodontic treatments deliver proper controlled forces for tooth movement. Uncontrolled and improper forces to the teeth result in severe damage to the periodontium resulting in severe bone loss and resulting in tooth mobility. Periodontal regeneration aims to recover the lost periodontal tissues. Though periodontal regeneration is successful, the conventional regenerative procedures resulted in loss of interdental papilla. Hence Minimally Invasive Surgical Techniques were introduced. The non-Incised Papilla Surgical approach is a minimally invasive procedure which is aimed to treat isolated severe bone defects with one mucosal incision at the apical end. In this case report a young patient with self-inflicted trauma with severe bone loss is treated with NIPSA (Non-Incised Papilla Surgical Approach) which resulted in reduction of mean Probing pocket depth and with good bone fill postoperatively after 6 months without compromising the esthetics.