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Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation

An accurate diagnostic and interdisciplinary approach is essential for obtaining suitable, conservative, and predictable results in areas with high esthetic demand. Patients reporting with an improper prosthesis that has a black triangle pose a challenge for soft-tissue esthetic rehabilitation. Re-r...

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Autores principales: Shenoy, Santhosh B., Bhat, Vinaya, Kottakkunnummal, Parvathi B., Shahira, Hegde, Chethan, Thomas, Biju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580747/
https://www.ncbi.nlm.nih.gov/pubmed/33110313
http://dx.doi.org/10.4103/ccd.ccd_33_20
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author Shenoy, Santhosh B.
Bhat, Vinaya
Kottakkunnummal, Parvathi B.
Shahira,
Hegde, Chethan
Thomas, Biju
author_facet Shenoy, Santhosh B.
Bhat, Vinaya
Kottakkunnummal, Parvathi B.
Shahira,
Hegde, Chethan
Thomas, Biju
author_sort Shenoy, Santhosh B.
collection PubMed
description An accurate diagnostic and interdisciplinary approach is essential for obtaining suitable, conservative, and predictable results in areas with high esthetic demand. Patients reporting with an improper prosthesis that has a black triangle pose a challenge for soft-tissue esthetic rehabilitation. Re-restoration of such cases with conventional fixed prosthesis would be undesirable due to imbalance in pink and white esthetics. This case report describes an interdisciplinary approach to maintain the existing midline diastema and correction of black triangle in the interproximal area between abutment and pontic in the esthetic zone. Minimally invasive vestibular incision subperiosteal tunneling access technique with connective tissue graft was planned for reconstructing the interdental papilla, followed by prosthetic rehabilitation of edentulous site with fixed partial denture using loop connector design to maintain the midline diastema. Postoperative result showed a comprehensive, pink and white rehabilitation to meet the patient's esthetic demand.
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spelling pubmed-75807472020-10-26 Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation Shenoy, Santhosh B. Bhat, Vinaya Kottakkunnummal, Parvathi B. Shahira, Hegde, Chethan Thomas, Biju Contemp Clin Dent Case Report An accurate diagnostic and interdisciplinary approach is essential for obtaining suitable, conservative, and predictable results in areas with high esthetic demand. Patients reporting with an improper prosthesis that has a black triangle pose a challenge for soft-tissue esthetic rehabilitation. Re-restoration of such cases with conventional fixed prosthesis would be undesirable due to imbalance in pink and white esthetics. This case report describes an interdisciplinary approach to maintain the existing midline diastema and correction of black triangle in the interproximal area between abutment and pontic in the esthetic zone. Minimally invasive vestibular incision subperiosteal tunneling access technique with connective tissue graft was planned for reconstructing the interdental papilla, followed by prosthetic rehabilitation of edentulous site with fixed partial denture using loop connector design to maintain the midline diastema. Postoperative result showed a comprehensive, pink and white rehabilitation to meet the patient's esthetic demand. Wolters Kluwer - Medknow 2020 2020-07-13 /pmc/articles/PMC7580747/ /pubmed/33110313 http://dx.doi.org/10.4103/ccd.ccd_33_20 Text en Copyright: © 2020 Contemporary Clinical Dentistry http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Shenoy, Santhosh B.
Bhat, Vinaya
Kottakkunnummal, Parvathi B.
Shahira,
Hegde, Chethan
Thomas, Biju
Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation
title Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation
title_full Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation
title_fullStr Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation
title_full_unstemmed Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation
title_short Interproximal Papilla Volumization Using Vestibular Incision Subperiosteal Tunneling Access Technique in Esthetic Rehabilitation
title_sort interproximal papilla volumization using vestibular incision subperiosteal tunneling access technique in esthetic rehabilitation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580747/
https://www.ncbi.nlm.nih.gov/pubmed/33110313
http://dx.doi.org/10.4103/ccd.ccd_33_20
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