New Surgical Protocol to Create Interimplant Papilla: The Preliminary Results of a Case Series
The aim of this study was to introduce a new surgical technique to regenerate the papilla adjacent to multiple or single implants using a novel instrument and a new incision design. A total of 10 consecutively treated patients with maxillary anterior implant-supported provisional restorations and missing interproximal papillae received a subepithelial connective tissue graft. The receipient site was prepared with a buccal incision apical to the mucoginigival unction and to the defective papilla, and a palatal incision, followed by buccolingual tunneling performed with a translingual curette. An average improvement in papilla index score from 0.8 to 2.4 was found after an average follow-up period of 16.3 months. This case series demonstrated that interimplant papilla regeneration can be successful over a period of 11-30 months postloading. Long-term prospective studies on tissue stability and esthetic outcomes are needed to corroborate the finding in this study.