title: Modified Whale's tail technique for the management of bone-defect in anterior teeth.
abstract: The purpose of this case report is to describe the efficacy of a modified Whale's tail technique to achieve primary closure and thereby aid in regeneration of an interdental osseous defect between maxillary central incisors complicated by an aberrant frenal attachment. A healthy 32-year-old female patient reported with the complaint of spacing between her upper front teeth. Clinical examination revealed an aberrant frenum extending into the interdental papilla in relation to the central incisors. There was a 6 mm periodontal pocket in relation to the mesiopalatal aspect of maxillary left central incisor. Intraoral periapical radiograph showed vertical bone loss in relation to mesial aspect of maxillary left central incisor. A modified Whale's tail flap was employed to access the area. The defect was filled with an alloplastic graft. Six months postoperative review showed complete elimination of the pocket along with radiographic bone fill of the defect.
authors: Department of Periodontics, Mar Baselious Dental College, Kothamagalam, Ernakulam, Kerala, India.
authors: Anu
authors: A
authors: Kuriakose
authors: Department of Periodontics, Mar Baselious Dental College, Kothamagalam, Ernakulam, Kerala, India.
authors: Majo
authors: M
authors: Ambooken
authors: Department of Periodontics, Mar Baselious Dental College, Kothamagalam, Ernakulam, Kerala, India.
authors: Jayan
authors: J
authors: Jacob
authors: Department of Periodontics, Mar Baselious Dental College, Kothamagalam, Ernakulam, Kerala, India.
authors: Priya
authors: P
authors: John
keywords: Bone-defect; bone graft; diastema; frenotomy; papillae preservation; root surface demineralization