Management of Interdental Papillae Loss With Forced Eruption, Immediate Implantation, and Root‐Form Pontic

Background: A 25‐year‐old Asian woman complained of an unesthetic black triangle between her upper right front teeth. Defective interdental papillae may result from external root resorption, which makes esthetic restoration more difficult. A combined use of forced eruption, immediate implant placement, and a root‐form pontic made a successful esthetic and functional restoration. Methods: The treatment sequences of this patient included short‐term forced eruption, subsequent immediate implant placement after tooth extraction, and a provisional root‐form pontic restoration. A final prosthesis was completed 6 months later, followed by clinical maintenance. Results: Papillae were augmented by forced eruption. After immediate implantation and root‐form pontic placement had been performed, the peri‐implant soft and hard tissues were manipulated and maintained in a stable state. Conclusions: We successfully reconstructed the interdental papillae and replaced the deficient tooth with an immediate implantation. During 2 years of follow‐up, the implant and peri‐implant structures remained stable and healthy.