title: Creation of a nonsurgical papilla in orthodontic treatment with severe periodontal disease: a case report.
abstract: This case report describes the nonsurgical creation of an interdental papilla in orthodontic therapy of a patient with severe periodontal disease. A large diastema between the maxillary incisors was closed completely, and the lost interdental papilla was re-created by orthodontic therapy after nonsurgical periodontal therapy. Radiographs showed improvement of the bone defect. Periodontal/orthodontic soft tissue manipulation is a nonsurgical technique that can lead to reformation of the interdental papilla, provided that periodontal health is maintained.
authors.affiliation: Department of Periodontology, Nihon University School of Dentistry, Tokyo, Japan. sato-su@dent.nihon-u.ac.jp <su@dent.nihon-u.ac.jp>
authors.forename: Shuichi
authors.initials: S
authors.lastname: Sato
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Nomura
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kawashima
authors.forename: Koichi
authors.initials: K
authors.lastname: Ito
mesh_terms: D003970:Diastema / Q000628:therapy*; D005260:Female; D005881:Gingiva / Q000033:anatomy & histology*; D006801:Humans; D008875:Middle Aged; D009971:Orthodontics, Corrective / Q000379:methods*; D010510:Periodontal Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography