Surgical reconstruction of the interdental papilla: 2 case reports.

The loss of interdental papillae may create esthetic and phonetic problems and facilitates food impaction. Nonsurgical and surgical approaches can be developed to restore these areas, depending on the amount of tissue lost. Periodontal surgical techniques are difficult to perform in the interdental space because of the limited amount of tissue and poor blood supply. The aim of this article is to describe a periodontal plastic surgical technique in which subepithelial connective tissue grafts associated with composite restorations are used to reconstruct interdental papillae. This approach was followed in 2 patients whose grafts were obtained from different donor sites: the palate and the retromolar tuberosity. The 12-month recall examinations of both patients revealed satisfactory results, including stable gingival margins and complete, harmonious fill of the interdental papillary areas.