Case Report

Salvaging the Lost Pink Triangle: A Case Series of Papilla Reconstruction

Table 1


S. no.YearAuthorTechnique

11956Kromer [39]First report of papilla preservation procedure
21959Cohen [40]Described the interdental papilla
31963Ochsenbein and Bohannon [41]Palatal approach procedure in which incisions are given from the palatal aspect
41967Frisch et al. [42]Curtain procedure, which maintains the labial gingiva and lingual and interproximal 2/3rd part is released
51973App [43]Intact papilla flap: interdental gingiva is retained in the buccal flap
61974Ramfjord and Nissle [44]Use of submarginal incision to preserve papilla during flap surgery
71985Shapiro [18]Used periodic curettage of papilla to increase size of papilla
81985Evian et al. [45]Modified the intact papilla technique
91985Takei et al. [23]Papilla preservation technique and use of palatal semilunar incision 3 mm apical to gingival margin
101988Checchi and Schonfeld [13]Modified Evian and Takei’s technique and suggested to give buccal incision and coronally advance it to cover graft in the palatal area. Lingual incision was to be given when maximum depth of defect was in labial aspect
111992Beagle [7]Combines principles of Abrams’ roll technique for ridge augmentation with augmentation of Evian’s papilla preservation technique.
One treatment option for this problem has been to create on acrylic resin mask to mimic the appearance of healthy gingiva
121995Cortellini et al. [24]Modified papilla preservation technique: here the buccal flap is freed and straight interproximal incisions are given
131998Azzi et al. [8]Connective tissue from retro molar area is placed in interdental area after raising split thickness flap
141999Cortellini et al. [25]Simplified papilla preservation technique by giving an oblique incision in the interdental papilla in cases where the interdental distance is less than 2 mm
152001Nemcovsky [26]Interproximal augmentation of papilla using a new instrument and advancing the papillary flap plus placing connective tissue graft
162004Carnio [6]Papilla reconstruction using subepithelial connective tissue graft
172004 and 2005Cardaropoli et al. [20, 21]Use of orthodontics to correct lateral walls of the interdental papilla housing
182006Kotschy and Laky [46]Bone grafting done in interdental areas to raise the floor of interdental papilla housing
192006Zucchelli and De Sanctis [31]Papilla amplification flap: giving parabola incisions adjacent to the papilla to be amplified
202007McGuire and Scheyer [47]Augmentation of papilla by injecting autologous fibroblasts
212008Nordland and Sandhu [15]Microsurgical technique to augment papilla
222009Akiyama [48]Papilla reconstruction done using a microscope
232016Froum et al. [10]New surgical technique for interimplant papilla reconstruction by giving oblique incisions in the vestibular area labially and palatally and creating a tunnel using translingual curette to advance the papillary unit

The table shows the baseline (preoperative) and final (postoperative) changes in classification and gain in soft tissue level in the gingiva.