Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic...

Area of Science:

• Dentistry
• Prosthodontics
• Periodontology

Background:

• Achieving predictable esthetic results in high-demand areas requires an interdisciplinary approach.
• Black triangles and improper prostheses present challenges for soft-tissue esthetic rehabilitation.
• Conventional fixed prostheses can create imbalances in pink and white aesthetics.

Observation:

• A case report detailing the management of a patient with an improper prosthesis and a resultant black triangle.
• The patient required correction of the interproximal black triangle between the abutment and pontic.
• Maintaining the existing midline diastema was a key esthetic consideration.

Findings:

• A minimally invasive vestibular incision subperiosteal tunneling access technique was employed.
• Connective tissue grafting was utilized for interdental papilla reconstruction.
• Prosthetic rehabilitation involved a fixed partial denture with a loop connector design.

Implications:

• This interdisciplinary approach successfully addressed both soft-tissue (pink) and tooth (white) esthetics.
• The technique provided a comprehensive esthetic rehabilitation, meeting patient demands.
• Minimally invasive techniques combined with prosthodontics offer predictable outcomes for complex esthetic cases.