Aim
To assess the effectiveness of non‐incised papillae surgical approach (NIPSA) in periodontal reconstructive surgery of combined intra‐suprabony defects.
Materials and Methods
Patients with deep periodontal defects treated with NIPSA (n = 20) were analysed. Defects were treated with enamel matrix derivative plus xenograft. Clinical outcomes were assessed before surgery and at 12 months. Wound closure was assessed one week post‐surgery. Supra‐alveolar attachment gain (SUPRA‐AG) was recorded at 12 months post‐surgery.
Results
Non‐incised papillae surgical approach showed significant improvements in clinical attachment gain (5.9 ± 2.38 mm; p < 0.001), recession reduction (0.25 ± 0.44; p < 0.05) and tip of the papillae coronal displacement (0.4 ± 0.5; p < 0.05). It also showed complete wound closure of the apical mucosal incision in the 85% of the cases, with no interproximal tissue necrosis. SUPRA‐AG (1.9 ± 1.74) showed a positive tendency, associated with complete intrabony defect resolution.
Conclusions
Non‐incised papillae surgical approach promoted primary intention healing, wound stability and space provision for optimal periodontal reconstruction, preserving supra‐alveolar soft tissue integrity.