Periodontal Regeneration of multiple intrabony defect on lower jaw

Baseline buccal aspect of a multiple intrabony defects on lower jaw

Baseline radiograph shows an intrabony defect involving the distal surface of a lower premolar and the distal surface of the adjacent lower molar

Buccal probing shows a deep pocket on a  distal surface of a lower molar associated with a deep intrabony defect

Buccal probing shows a deep pocket on a  distal surface of a lower premolar associated with a deep intrabony defect  

The intrabony defect was accessed with a modified

papilla preservation flap

Interdental papillae was elevated from the lingual side

Buccal aspect of internal matress sutures

Lingual aspect of internal mattress sutures

Buccal aspect after sutures removal

Buccal aspect after 1 year. The interdental papillae is completely preserved.

Radiography taken after 1 year. The multiple intrabony defects are completely resolved