Papilla preservation technique for the reconstruction of the interdental papilla: A case report.

BACKGROUND

Interdental papilla reconstruction is frequently discussed in the literature, with techniques like tunnelization commonly used. However, tunnelization presents significant challenges in flap positioning, stabilization, and ensuring adequate blood supply to maintain the graft. The approach described in this article provides enhanced visualization, allowing better graft positioning, proper vascularization, and increased procedural stability.

METHODS

This case report details the interdental papilla reconstruction in a healthy 53-year-old female patient using a combination of techniques from the literature, adapted for optimized outcomes. The patient presented with a loss of gingival tissue between the lower left central incisor (24) and the lower right central incisor (25), resulting in a large black triangle. The reconstructive procedure involved papilla preservation via flap elevation, allowing wide visualization and precise graft placement. Composite resin was used to close the diastema after surgery.

RESULTS

The final outcome showed significant papillary gain, filling approximately 50% of the black triangle. The remaining space was covered with composite resin. After 2 years of follow-up, the procedure remained stable, with no signs of gingival recession.

CONCLUSIONS

The combination of techniques used in this case is effective for papilla reconstruction in large interdental spaces, achieving a satisfactory outcome and resolving the patient's main concern. The method should be further replicated to refine its precision and viability, as various cases require tailored approaches, integrating both periodontics and restorative dentistry.

KEY FINDINGS

This case report demonstrates a combination of surgical and restorative techniques that effectively reconstructed the interdental papilla. A 50% papillary fill was achieved with stable results over two years. The proposed approach proves to be viable for the treatment of large black triangles using combined techniques.

KEY POINTS

Enhanced visualization for precise graft placement, integrating surgical and restorative approaches, long-term stability.

PLAIN LANGUAGE SUMMARY

This article discusses a case where the small tissue between the lower front teeth was lost and explores the benefits of a new type of surgical method for fixing it. A case report was done to look at different treatment options and compare the new method to existing methods in research. This surgical method has advantages, like better placement of the tissue graft. The case had good results, but more studies are needed to confirm how effective and reliable the technique is. The authors believe this could be a new and effective way to fix gaps between teeth.