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  • Title: Root coverage and papilla reconstruction using autogenous osseous and connective tissue grafts.
    Author: Azzi R, Takei HH, Etienne D, Carranza FA.
    Journal: Int J Periodontics Restorative Dent; 2001 Apr; 21(2):141-7. PubMed ID: 11829388.
    Abstract:
    Previous studies have reported that the distance from the interdental crest of bone to the apical portion of the contact of the two approximating teeth must be 5 mm or less to support a stable interdental papilla. The reconstruction of a stable, long-term papilla for esthetic purposes must therefore consider interdental bone reconstruction. Autogenous osseous graft material was harvested from the tuberosity and augmented with a subperiosteal connective tissue graft for papilla reconstruction between the maxillary central incisors. Flap design, osseous graft fixation with a screw, connective tissue placement, wound closure, and suturing techniques are presented. To enhance the final result, porcelain veneers were bonded to the approximating central incisors. This case report demonstrates a surgical procedure that has not been reported to date for papilla reconstruction to enhance periodontal esthetics.
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