Reconstruction of Interdental papilla through connective tissue graft with orthodontic treatment: A Clinical Case Report

Abstract

Regeneration of interdental papilla damaged by periodontal disease has been a very challenging task. Up until now, many dentists have devised and introduced great surgical methods. When I compared the pros. and cons. of these many methods, I came up with the best way to regenerate interdental papilla. Temporarily creating space between narrow interdental papilla, which could not be solved by periodontal surgery alone, was a great help for connective tissue graft (CTG). The CTG was performed using a microblade, and only one vertical incision was required from the gingival margin. The graft was then performed by inserting the grafts through this incision. Along with the orthodontic treatment, the area between the narrow interdental papilla was widened, which made it easier to carry out the CTG. After a period of maintenance, I was able to bring the teeth together again using orthodontic force and regenerate the interdental papilla. I named this method the ELSA (Enlargement of space - Labial graft - Squeezing - for Augmentation of papilla) technique.