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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 21 (2001), No. 2     15. Mar. 2001
Int J Periodontics Restorative Dent 21 (2001), No. 2  (15.03.2001)

Page 141-147

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.