Interdental Papilla Recontruction

Loss of the interproximal papilla may create phonetic problems or predispose to interproximal food entrapment and is esthetically displeasing. An interproximal contact point and an adequate level of bone support are essential for maintenance of a healthy papilla that completely fills the interproximal space. If certain vertical or horizontal interproximal dimensions are exceeded, the papilla may be either partially or totally lost. For example, with excessive horizontal spacing,a diastema can develop and the papilla will be lost; vertically,the likelihood that the papilla will fill the interproximalspace decreases as the alveolar crest to contact point distance increases beyond 5 mm. Surgical therapy to reconstruct the papilla is a promising area of development that is surgically challenging due to the small size of the interproximal site and the lack of blood supply. Regeneration of lost papilla height with periodic curettage has been reported in cases of necrotizing ulcerative gingivitis. Orthodontic therapy to establish or lengthen a contact is useful incertain situations. Surgical techniques that have been utilized to reconstruct a lost papilla include a modification of the roll technique; soft tissue grafting, sometimes accompanied by a semilunar coronally positioned flap; or a combination of hard tissue and soft tissue grafting. Adapted from J perio: Informational Paper Oral Reconstructive and Corrective Considerationsin Periodontal Therapy*
@Key Articles:
1.http://www.quintpub.com/userhome/prd/prd_24_1_Carnio_3.pdf
2.http://www.quintpub.com/userhome/prd/prd_24_3_Pini_Prato_5.pdf

***"Surgical reconstruction of interdental papilla using interposed subepithelial CT graft" clinical procedures : (Surgery by Dr. Perio)