title: Reconstruction of interdental papilla using autogenous bone and connective tissue grafts.
abstract: Previous studies have reported the management of Class I and II papillary defects, but knowledge on Class III defects, estimated to have a poor periodontal prognosis, remains minimal. In this case report, a Class III papillary defect reconstruction was attempted mainly since the patient reported with difficulty in phonetics. In Stage I, autogenous bone graft from the maxillary tuberosity and subepithelial connective tissue graft was augmented to decrease the distance between the interdental bone crest and contact point, simultaneously achieving a switch in the periodontal biotype. In Stage II, subepithelial connective tissue graft was augmented to achieve papillary fill. To avoid manual errors associated with quantifying the posttreatment outcomes, image data processing ImageJ software was used to assess the length, perimeter, and surface area of papillary loss using the preoperative images.
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, Tamil Nadu, India.
authors.forename: Santhanakrishnan
authors.initials: S
authors.lastname: Muthukumar
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, Tamil Nadu, India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Ajit
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, Tamil Nadu, India.
authors.forename: Shiyamali
authors.initials: S
authors.lastname: Sundararajan
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, Tamil Nadu, India.
authors.forename: Suresh Ranga
authors.initials: SR
authors.lastname: Rao
keywords: Autogenous bone graft; papillary reconstruction; subepithelial connective tissue graft