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This source provides an overview of reconstructive techniques for periodontal defects. It begins by classifying these techniques based on whether they use bone grafts, biological mediators, or neither. The source then outlines the essential components of successful reconstructive surgery, focusing on the importance of complete irritant removal and occlusal adjustment. Next, it delves into non-graft associated techniques, highlighting the importance of epithelial removal and clot stabilization for successful healing. This section discusses various methods for removing epithelium, including surgical techniques and chemical agents. The source then explores bone graft-associated techniques, explaining different types of bone grafts (autografts, allografts, and xenografts), their advantages and disadvantages, and the different mechanisms of bone healing. Finally, it examines the challenges and techniques associated with periodontal grafting, emphasizing the need for specialized procedures to manage the unique environment of the periodontal defect and prevent complications.