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J Can Dent Assoc. 2008 Jul-Aug;74(6):531-5.

Interdental papilla reconstruction combining periodontal and orthodontic therapy in adult periodontal patients: a case report.

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division of orthodontics and pediatric dentistry, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario.


Migration of maxillary anterior teeth because of the loss of periodontal support can alter the appearance of the esthetic zone. The loss of contacts between adjacent teeth results in the recession of interdental papillae. To restore sustainable periodontal health and the normal, esthetic appearance of a healthy 37-year-old woman with generalized advanced chronic periodontitis in the maxillary arch, a combined periodontal and orthodontic technique was used. This approach resulted in stable periodontium and an esthetically pleasing appearance of the maxillary anterior area.

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