Int J Periodontics Restorative Dent 21 (2001), Nr. 2 15. Mär. 2001
Int J Periodontics Restorative Dent 21 (2001), Nr. 2 (15.03.2001)
Seite 141-147, Sprache: Englisch
Root Coverage and Papilla Reconstruction Using Autogenous Osseous and Connective Tissue Grafts
Azzi, Robert / Takei, Henry H. / Etienne, Daniel / Carranza, Fermín A.
Previous studies have reported that the distance from the interdental crest of bone to the apical portion of the contact of the two approximating teeth must be 5 mm or less to support a stable interdental papilla. The reconstruction of a stable, long-term papilla for esthetic purposes must therefore consider interdental bone reconstruction. Autogenous osseous graft material was harvested from the tuberosity and augmented with a subperiosteal connective tissue graft for papilla reconstruction between the maxillary central incisors. Flap design, osseous graft fixation with a screw, connective tissue placement, wound closure, and suturing techniques are presented. To enhance the final result, porcelain veneers were bonded to the approximating central incisors. This case report demonstrates a surgical procedure that has not been reported to date for papilla reconstruction to enhance periodontal esthetics.