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Rebuilding the Interproximal Papilla: Description of “Tube” Technique and Two Case Reports
Author(s) -
Kashani Hooshang,
Vora Manali V.,
Kuraji Ryutaro,
Brody Hanna,
Kapila Yvonne L.
Publication year - 2021
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10109
Subject(s) - major duodenal papilla , blood supply , medicine , tube (container) , presentation (obstetrics) , soft tissue , case presentation , dentistry , orthodontics , surgery , mechanical engineering , engineering
Papilla reconstruction relies on similar principles as those applied to soft tissue grafting for recession defects; however, it is uniquely challenging from a surgical perspective because of the small size and lack of a blood supply. Several techniques have been used to reconstruct lost papilla; however, there are no prescribed techniques for this specific application. Case Presentation This report describes a novel technique, herein called, the “tube technique” for treating interproximal recession and reconstructing the interproximal papilla, and documents two cases using the tube technique. An increase in attachment levels was observed in Case 1 (5 mm) and in Case 2 (4 mm) after using this surgical technique for papilla reconstruction. Conclusion The tube grafting technique requires technical precision. Although when executed carefully, it results in predictable reconstruction of the interproximal papilla. Use of the tube technique helps mitigate issues associated with inadequate flap thickness, blood supply, and flap retraction.