Use of the fiber retention procedure in treating the maxillary anterior region.

Abstract

THE MAXILLARY anterior region presents a difficult and unique therapeutic challenge to both the periodontist and restorative dentist. Although access for surgical and prosthetic procedures is certainly easiest in this part of the mouth, the problem of esthetics, in terms of increased tooth length and loss of interdental papillae, creates an environment in which the clinician's therapeutic choices may either be severely limited or the result compromised. The two cases presented show how this area can be successfully treated using fiber retention procedures to eliminate pathologic periodontal pockets effectively while minimizing root exposure, loss of interdental papillae and root sensitivity. This type of procedure enables the clinician to provide the patient with an acceptable biologic, functional and esthetic result.