A customized subepithelial connective tissue graft for interdental papilla reconstruction and soft tissue augmentation. Issue 3 (28th December 2021)

• Record Type: Journal Article
• Authors: Yi, Zumu; Miao, Xinhai; Wang, Lei; Zhang, Guorui; Wu, Yingying
• Is Part Of: Journal of esthetic and restorative dentistry. Volume 34:Issue 3(2022)
• Page Start: 451
• Page End: 460
• Publication Date: 2021-12-28
• Subjects: dental implant -- interdental papilla reconstruction -- soft tissue grafting -- subepithelial connective tissue graft -- tunnel technique; Prosthodontics -- Periodicals; 617.6
• DOI: 10.1111/jerd.12858
• Languages: English
• ISSNs: 1496-4155

Abstract

Abstract: Objective: Due to the minimal blood supply and other reasons, stable reconstruction of interdental papilla is difficult. This article presented three cases, which describe a customized subepithelial connective tissue graft aiming to overcome the clinical challenge, with the combination of tunneling technique. Clinical Considerations: An original customized subepithelial connective tissue graft combined with tunnel technique aimed to reconstruct interdental papilla (IP). The subepithelial connective tissue graft was partially spilt to create a bowtie‐like shape, with four lateral wings and a main body. The four wings were tightly wrapped around the adjacent abutments, and the body part was used to reconstruct the IP. Conclusions: With the customized subepithelial connective tissue graft, a favorable outcome has been preliminarily confirmed in these cases. Facing patients with a lack of gingival papilla and soft tissue fullness, the customized subepithelial connective tissue graft may be a good choice. Clinical Significance: This study provides a new method to reconstruct IP. The customized subepithelial connective tissue graft may be a good choice when a lack of gingival papilla and soft tissue fullness occurs, which will be of great benefit to meet the aesthetic needs of patients.