title: New Surgical Protocol to Create Interimplant Papilla: The Preliminary Results of a Case Series.
abstract: The aim of this study was to introduce a new surgical technique to regenerate the papilla adjacent to multiple or single implants using a novel instrument and a new incision design. A total of 10 consecutively treated patients with maxillary anterior implant-supported provisional restorations and missing interproximal papillae received a subepithelial connective tissue graft. The recipient site was prepared with a buccal incision apical to the mucogingival junction and to the defective papilla, and a palatal incision, followed by buccolingual tunneling performed with a translingual curette (EBINA). A total of 10 sites were treated and evaluated pre- and postoperatively with the papilla score based on the Jemt classification. The final prosthesis was delivered 3 months after the papilla regeneration surgical procedure. An average improvement in papilla index score from 0.8 to 2.4 was found after an average follow-up period of 16.3 months. This case series demonstrated that interimplant papilla regeneration can be successful over a period of 11 to 30 months postloading. Long-term prospective studies on tissue stability and esthetic outcomes are needed to corroborate the findings in this study.
authors.forename: Stuart
authors.initials: S
authors.lastname: Froum
authors.forename: Miltiadis
authors.initials: M
authors.lastname: Lagoudis
authors.forename: Giovanni Molina
authors.initials: GM
authors.lastname: Rojas
authors.forename: Takanori
authors.initials: T
authors.lastname: Suzuki
authors.forename: Sang-Choon
authors.initials: SC
authors.lastname: Cho
mesh_terms: D019072:Antibiotic Prophylaxis; D003238:Connective Tissue / Q000637:transplantation*; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003771:Dental Papilla / Q000601:surgery*; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants