Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature review
Objective To explore the treatment plan for severe papillary defects in the aesthetic zone caused by severe periodontitis, providing a reference for clinical practice. Methods A patient with severe periodontitis leading to severe papillary defects in the upper anterior teeth from 12 to 23 was treate...
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| Format: | Article |
| Language: | zho |
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Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
2025-01-01
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| Series: | 口腔疾病防治 |
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| Online Access: | https://www.kqjbfz.com/fileup/2096-1456/PDF/1737441891925-1847400778.pdf |
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| author | MAO Yudian, BAO Han, AI Luying, CHEN Weirong, CHEN Ling, WU Yun |
| author_facet | MAO Yudian, BAO Han, AI Luying, CHEN Weirong, CHEN Ling, WU Yun |
| author_sort | MAO Yudian, BAO Han, AI Luying, CHEN Weirong, CHEN Ling, WU Yun |
| collection | DOAJ |
| description | Objective To explore the treatment plan for severe papillary defects in the aesthetic zone caused by severe periodontitis, providing a reference for clinical practice. Methods A patient with severe periodontitis leading to severe papillary defects in the upper anterior teeth from 12 to 23 was treated using interdental tunnel technique combined with personalized connective tissue grafting for periodontal plastic surgery, and stable soft tissue augmentation was achieved. Resin restoration was conducted to modify the crown shape of the aesthetic zone teeth, reconstruct white aesthetics, guide the shaping of the gingival papillae, reduce “black triangles,” and enhance the patient’s confidence in smiling. Results The patient’s periodontal condition and the regeneration of soft tissues in the aesthetic zone were good, and the smile aesthetics were restored. After a 3-year follow-up, the gingival morphology, color, and texture were good, and the effect was stable. The literature review indicates that for papillary defects in the aesthetic zone, analysis should be conducted based on the following aspects: whether a defect is present in periodontal hard and soft tissues, crown shape, and the distance from the most apical part of the crown contact area to the top of the alveolar crest. Based on the analysis of aesthetic defects and surgical indications, a personalized treatment plan should be designed. Conclusion For patients with obvious papillary defects in the aesthetic zone due to the reduction of periodontal support tissues caused by severe periodontitis, factors such as periodontal hard and soft tissue defects, crown shape, and the distance from the most apical part of the crown contact area to the top of the alveolar crest should be fully considered, and a personalized treatment plan should be formulated after multidisciplinary joint consultation. |
| format | Article |
| id | doaj-art-2c166666083a4c25a5f34d0cddf92da1 |
| institution | Kabale University |
| issn | 2096-1456 |
| language | zho |
| publishDate | 2025-01-01 |
| publisher | Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases |
| record_format | Article |
| series | 口腔疾病防治 |
| spelling | doaj-art-2c166666083a4c25a5f34d0cddf92da12025-01-22T03:36:02ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562025-01-01331505910.12016/j.issn.2096-1456.202440292Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature reviewMAO Yudian, BAO Han, AI Luying, CHEN Weirong, CHEN Ling, WU Yun01 Stomatology Center, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, China;2 Department of Stomatology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, ChinaObjective To explore the treatment plan for severe papillary defects in the aesthetic zone caused by severe periodontitis, providing a reference for clinical practice. Methods A patient with severe periodontitis leading to severe papillary defects in the upper anterior teeth from 12 to 23 was treated using interdental tunnel technique combined with personalized connective tissue grafting for periodontal plastic surgery, and stable soft tissue augmentation was achieved. Resin restoration was conducted to modify the crown shape of the aesthetic zone teeth, reconstruct white aesthetics, guide the shaping of the gingival papillae, reduce “black triangles,” and enhance the patient’s confidence in smiling. Results The patient’s periodontal condition and the regeneration of soft tissues in the aesthetic zone were good, and the smile aesthetics were restored. After a 3-year follow-up, the gingival morphology, color, and texture were good, and the effect was stable. The literature review indicates that for papillary defects in the aesthetic zone, analysis should be conducted based on the following aspects: whether a defect is present in periodontal hard and soft tissues, crown shape, and the distance from the most apical part of the crown contact area to the top of the alveolar crest. Based on the analysis of aesthetic defects and surgical indications, a personalized treatment plan should be designed. Conclusion For patients with obvious papillary defects in the aesthetic zone due to the reduction of periodontal support tissues caused by severe periodontitis, factors such as periodontal hard and soft tissue defects, crown shape, and the distance from the most apical part of the crown contact area to the top of the alveolar crest should be fully considered, and a personalized treatment plan should be formulated after multidisciplinary joint consultation.https://www.kqjbfz.com/fileup/2096-1456/PDF/1737441891925-1847400778.pdfgingival papilla|reconstruction|customized|tunnel technique|connective tissue graft|gingival recession|pink and white aesthetics|periodontitis |
| spellingShingle | MAO Yudian, BAO Han, AI Luying, CHEN Weirong, CHEN Ling, WU Yun Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature review 口腔疾病防治 gingival papilla|reconstruction|customized|tunnel technique|connective tissue graft|gingival recession|pink and white aesthetics|periodontitis |
| title | Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature review |
| title_full | Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature review |
| title_fullStr | Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature review |
| title_full_unstemmed | Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature review |
| title_short | Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone: a case report and literature review |
| title_sort | interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone a case report and literature review |
| topic | gingival papilla|reconstruction|customized|tunnel technique|connective tissue graft|gingival recession|pink and white aesthetics|periodontitis |
| url | https://www.kqjbfz.com/fileup/2096-1456/PDF/1737441891925-1847400778.pdf |
| work_keys_str_mv | AT maoyudianbaohanailuyingchenweirongchenlingwuyun interproximaltunnelingcombinedwithcustomizedconnectivetissuegrafttoimproveseverepapillarydefectsintheaestheticzoneacasereportandliteraturereview |