Papilla Reformation at Single-Tooth Implant Sites Adjacent to Teeth with Severely Compromised Periodontal Support

Int J Periodontics Restorative Dent. 2017 Jan/Feb;37(1):9-17. doi: 10.11607/prd.2818.


Reformation of the lost interdental papilla remains one of the most challenging goals for clinicians. When a single tooth is replaced with an implant, the papilla between the tooth and the implant can often be maintained or predictably reformed as long as the adjacent tooth's periodontal attachment and bone are preserved. However, if the periodontal support is compromised on the neighboring natural tooth, the papilla will often be deficient or missing. The cases presented herein demonstrate long-term follow-up of successful reformation of periodontal/peri-implant tissue contours, including reconstruction of lost interproximal bone and papilla at periodontally compromised sites using a combined hard and soft tissue surgical approach.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Alveolar Bone Loss / etiology
  • Alveolar Bone Loss / surgery*
  • Bone Transplantation
  • Dental Implants, Single-Tooth*
  • Dental Restoration Failure
  • Esthetics, Dental
  • Female
  • Gingiva / injuries*
  • Gingiva / surgery*
  • Guided Tissue Regeneration, Periodontal / methods*
  • Humans
  • Incisor / injuries
  • Incisor / surgery
  • Maxilla
  • Membranes, Artificial
  • Middle Aged
  • Surgical Flaps
  • Tooth Extraction
  • Tooth Injuries / surgery*


  • Membranes, Artificial