SURGICAL RECONSTRUCTION OF LOST INTERDENTAL PAPILLA: TWO CASE REPORTS
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Abstract
Black triangles or absence of interdental papillae (IDP) is one of the most important steps of decision-making process of clinicians. The IDP may be lost or reduced in height due to various reasons, which gives an unaesthetic appearance when the patient smiles. The shape of the IDP between the teeth is determined by three important aspects - contact relationship, the width of the proximal tooth surfaces, and the course of the cemento-enamel junction (CEJ). The loss of IDP creates esthetic and phonetic problem and may also lead to food impaction. Orthodontic, prosthetic and restorative procedures are the non-surgical approaches that can modify interproximal spaces. The surgical technique aims to re-contour, preserve and reconstruct the soft tissue between the teeth. There are three surgical techniques used for papilla reconstruction, namely Beagle 1992, Han and Takei 1996 and Azzi et al. 1998. In one case, pouch technique (Han and Takei) using Collagen membrane was performed for papilla reconstruction and in the other case T-PRF was placed
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Dr. Mehvish Saleem
Associate Professor
Dr. Soumya Sharma
Post Graduate
Dr. Soundarya Singh
Associate Professor
Dr. Mayur Kaushik
Professor & Head