Food impaction is forceful wedging of food into the periodontium. Continuous impaction food leads to localized periodontitis, periodontal abscess and even carious lesion. The contour of occlusal surface established by the marginal ridges and related developmental grooves normally serves to deflect food from interproximal spaces. MIS-based periodontal therapy involves minimal incision and removal of the affected tissues and formation of a space to allow for the maximum retention of blood clots on the wounded surface, thereby inducing wound stability with the aim of achieving new attachment, which is the ideal mode of attachment This case report is based on using minimally invasive surgical technique (single flap approach) with occlusal recontouring in the management of patient with chief complaint of food impaction causing localised periodontitis.

Keywords : Food impaction,MIST,Single flap approach (SFA),Occlusal recontouring.