title: Root coverage and papilla reconstruction using autogenous osseous and connective tissue grafts.
abstract: 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.
authors.affiliation: Department of Periodontology, University of Paris VII, France.
authors.forename: R
authors.initials: R
authors.lastname: Azzi
authors.forename: H H
authors.initials: HH
authors.lastname: Takei
authors.forename: D
authors.initials: D
authors.lastname: Etienne
authors.forename: F A
authors.initials: FA
authors.lastname: Carranza
mesh_terms: D000543:Alveoloplasty; D001863:Bone Screws; D016025:Bone Transplantation; D003238:Connective Tissue / Q000637:transplantation; D001840:Dental Bonding; D003776:Dental Porcelain; D003801:Dental Veneers; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000473:pathology / Q000637:transplantation*; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty; D006801:Humans; D007180:Incisor / Q000473:pathology; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D013524:Surgical Flaps; D013536:Suture Techniques; D014092:Tooth Root / Q000473:pathology*; D014182:Transplantation, Autologous; D014945:Wound Healing
chemical_list: D003776:Dental Porcelain