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.