Replacing a missing tooth in a maxillary anterior esthetic zone displaying a Seibert's class III ridge defect is a big challenge in the field of perioesthetics. In order to achieve maximum esthetics, form and function, an ideal pontic should have a natural emergence profile and support the labial soft tissue as well as the adjacent papillae. This is of paramount importance, especially if the patient has a high smile line. Augmentation protocols differ based on the treatment plan for implants or fixed prosthesis. The most popular techniques for soft tissue ridge augmentation for Seibert's Class III ridge defects include the roll technique, the wedge technique and the pouch technique among others. This article presents a case of an 18-year-old female patient with a challenging Seibert's Class III ridge defect treated for pontic site development using a combination of the pouch and the roll technique followed by a fixed prosthesis with ovate pontics. How to cite this article Rathod AA, Padhye AM, Ram S, Chandavarkar S. Efficiently Plumping the Deficient! Pontic Site Development. J Contemp Dent 2014;4(3):173-177.
Background and objective Pink gingival esthetics, especially in the anterior teeth, has been an important success criterion in implant-supported restoration. The factor vital to the esthetic success, in the anterior maxillary implants, is the soft tissue profile, which should replicate that of the natural healthy tooth. The absence of the interimplant papilla causes an interimplant black triangle thus leading to cosmetic deformities, phonetic difficulty and food impaction. True papilla regeneration is not possible because the peri-implant soft tissue does not have the same structure as that of the periodontium and, therefore, the term ‘papilla-like’ tissue formation or ‘implant papilla’ is used. This resultant ‘implant papilla’ is the product of soft tissue depth and volume and has to be skilfully surgically created. However, reconstructing a predictable peri-implant papilla is the most complex and challenging aspect of implant dentistry. This article presents a review of various innovative surgical techniques to reconstruct interimplant papilla. How to cite this article Rajguru SA, Pathak TS, Padhye AM, Kanagotagi S, Gupta HS, Rathod AA. Interimplant Papilla Reconstruction. J Contemp Dent 2014;4(1):30-40.
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