Liberia Libertina Dsouza¹, Sandeep Anant Lawande²*, Kathleen Manuela Dsouza³ and James Samuel⁴

¹Former Postgraduate Student, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India
²Professor, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India
³Lecturer, Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India
⁴Professor and Head, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India

*Corresponding Author: Sandeep Anant Lawande, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India

Received: February 27, 2023; Published: March 18, 2023

Abstract

Interdental papillae form part of the gingiva that occupy the cervical embrasures of the interdental papillary house. Absence or loss of interdental papillae gives rise to cosmetic defects known as “gingival black triangles” that complicate phonetics, lead to plaque accumulation, lateral food impaction, dental hypersensitivity and root caries. Although numerous non-surgical and surgical techniques have been attempted, reconstruction of interdental papilla remains daunting task in aesthetic procedures.
In this case report, class I defect was corrected by composite resin restoration. Whereas, the class II defect, treated using composite resin restoration and periodontal plastic surgical technique demonstrated an adequate gain in the papillary height and volume, increased keratinisation and complete recession coverage of the affected teeth at 1 year follow-up. However, increased contact point to the bone crest distance and large surface area to be reconstructed resulted in near complete fill of class II defect. Hence, this interdisciplinary approach satisfied the patient’s aesthetic requirement.

Keywords: Gingival Black Triangles; Sub-Epithelial Connective Tissue Graft; Papilla Reconstruction; Interdental Papilla; Periodontal Plastic Surgery; Composite Resin

References

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Citation

Citation: Sandeep Anant Lawande.,et al. “Reconstruction of Interdental Papillae using Composite Resin Restoration and Modified Coronally Advanced Flap Technique with Sub-Epithelial Connective Tissue Graft- A Case Report with 1- Year Follow-Up".Acta Scientific Dental Sciences 7.4 (2023): 54-57.

Copyright

Copyright: © 2023 Sandeep Anant Lawande., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.