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The management of periodontal defects, including destruction of the periodontal ligament, cementum and the formation of intrabony defects, has always been a challenge in clinical periodontics. During the 1950 s and into the 60 s, resective surgical therapy, with or without osseous recontouring, was considered the norm, in the belief that attainment of shallow pocket depths was a worthwhile goal. Surgeries are always traumatic for patients and thus there is always a look out for treatment modality that may suffice the needs without any invasive procedure. In this look out has emerged the periodontal regenerative concept. Hereby thus presenting a detailed elaboration on the concept, the trends and the scope.