Papilla regeneration

Creating a papilla between an implant and an adjacent tooth or between adjacent implants. This may involve surgical procedures using small rotational pedicle flaps, use of connective tissue grafts, and/or prosthetic techniques to condition periimplant soft tissues. The term is a misnomer, since the papillae flatten in the edentulous space following tooth extraction once the transseptal inserting fibers are lost. A flattened papilla cannot be truly regenerated, but the clinician may optimize its appearance by prosthetic means. The appearance of a papilla is mainly determined by the interdental bone height, which has a documented threshold of approximately 5 mm.


 


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