Management of interdental papillae loss with forced eruption, immediate implantation, and root-form pontic.
BACKGROUND
A 25-year-old Asian woman complained of an unesthetic black triangle between her upper right front teeth. Defective interdental papillae may result from external root resorption, which makes esthetic restoration more difficult. A combined use of forced eruption, immediate implant placement, and a root-form pontic made a successful esthetic and functional restoration.


METHODS
The treatment sequences of this patient included short-term forced eruption, subsequent immediate implant placement after tooth extraction, and a provisional root-form pontic restoration. A final prosthesis was completed 6 months later, followed by clinical maintenance.


RESULTS
Papillae were augmented by forced eruption. After immediate implantation and root-form pontic placement had been performed, the peri-implant soft and hard tissues were manipulated and maintained in a stable state.


CONCLUSIONS
We successfully reconstructed the interdental papillae and replaced the deficient tooth with an immediate implantation. During 2 years of follow-up, the implant and peri-implant structures remained stable and healthy.
Department of Periodontology, School of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
Chiao-Dih
CD
Lin
Shih-Shuh
SS
Chang
Chao-Sheng
CS
Liou
De-Rei
DR
Dong
Earl
E
Fu
D000328:Adult; D003442:Crowns; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003833:Denture, Partial, Temporary; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005882:Gingival Diseases / Q000209:etiology / Q000628:therapy*; D005889:Gingival Recession / Q000209:etiology / Q000628:therapy; D006801:Humans; D050793:Orthodontic Extrusion; D012391:Root Resorption / Q000150:complications
D015921:Dental Implants