none 10.31254/dentistry.2026.11203 BioMed Research Publishers BioMed Research Publishers 16195 199065678 314763 20260802061137627 10.31254 2026-08-02T19:03:21Z 2026-08-02T19:03:20Z 0 International Journal of Dentistry Research Int J Dentistry Res 25813218 10.31254/dentistry https://www.dentistryscience.com/ 8 2026 11 2 Riolla Sanchia Dsouza Postgraduate Student, Department of Periodontics, A.J. Institute of Dental Sciences, Mangalore-575004, Karnataka, India https://orcid.org/0009-0005-0031-7395 Sahana Purushotham Reader, Department of Periodontics, A.J. Institute of Dental Sciences, Mangalore-575004, Karnataka, India https://orcid.org/0009-0005-7961-7250 Saurav Shankar Das Private Practitioner, Guwahati- 781001, Assam, India https://orcid.org/0009-0005-2807-1278 Background: The treatment of periodontal intrabony defects remains a major challenge in regenerative periodontal therapy. Preservation of soft tissue architecture and wound stability are critical factors influencing regenerative outcomes. The Non-Incised Papilla Surgical Approach (NIPSA) is a minimally invasive surgical technique designed to preserve the interdental papilla and marginal tissues while facilitating access to deep periodontal defects. Sticky bone, a combination of particulate bone graft and autologous fibrin, has emerged as a promising regenerative biomaterial due to its enhanced stability and biological properties. Case Presentation: A 55-year-old female patient presented with food impaction in the maxillary left canine region. Clinical examination revealed generalized supra- and subgingival calculus with a periodontal pocket associated with tooth 23. Radiographic assessment demonstrated an intrabony periodontal defect. Following Phase I periodontal therapy, regenerative surgery was performed using the Non-Incised Papilla Surgical Approach. Thorough defect debridement was carried out, followed by placement of sticky bone prepared from particulate graft material incorporated within autologous fibrin. The surgical site was stabilized and monitored postoperatively. Results: Clinical evaluation demonstrated satisfactory healing with preservation of interdental papillary architecture and reduction in probing depth. Radiographic examination at three months revealed evidence of bone fill within the defect. No postoperative complications or significant gingival recession were observed. Conclusion: NIPSA combined with sticky bone may represent a predictable and minimally invasive regenerative approach for the management of periodontal intrabony defects, particularly in esthetic areas where preservation of soft tissue contours is essential. 8 2026 30 33 1 10.31254/biomed-crossmark-policy www.biomedresearch.org false 10.31254/dentistry.2026.11203 https://www.dentistryscience.com/IJDR_2026112_03.pdf