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Published on: October 18, 2021
Interimplant papilla reconstruction at second-stage surgery: A technique.
Xin Zhang1, Jingjing Shao1, Qianbing Wan2
1Doctoral student, State Key Laboratory of Oral Diseases, Department of Prosthodontics, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.
Rebuilding the interimplant papilla for aesthetic implant restorations is difficult, particularly in patients with thin gums. This technique uses two elevated connective tissue flaps during second-stage surgery to reconstruct the papilla.
Area of Science:
- Dental Implantology
- Periodontology
- Aesthetic Dentistry
Background:
- Reconstructing the interimplant papilla is crucial for aesthetic outcomes in implant dentistry.
- Patients with a thin gingival biotype present unique challenges for papilla reconstruction.
- Current techniques may have limitations in achieving predictable esthetic results.
Purpose of the Study:
- To describe a modified technique for reconstructing the interimplant papilla.
- To address the challenges associated with thin gingival biotypes in papilla reconstruction.
- To provide a reproducible method for enhancing esthetic outcomes of implant restorations.
Main Methods:
- A technique report detailing a modified approach to papilla reconstruction.
- Utilizing two elevated connective tissue flaps.
- Performing the procedure during second-stage implant surgery.
Main Results:
- The described technique facilitates the reconstruction of the interimplant papilla.
- This method offers a potential solution for patients with thin gingival biotypes.
- The joining of elevated flaps aims to create a more robust and aesthetically pleasing papilla.
Conclusions:
- The modified technique of joining two elevated connective tissue flaps is a viable approach for interimplant papilla reconstruction.
- This method may improve esthetic results, especially in challenging cases with thin gingival biotypes.
- Further studies are warranted to evaluate the long-term stability and predictability of this technique.

