Interdisciplinary Management of Aesthetic Problem Cases

This presentation focuses on facial tissue and interproximal papilla, a key concern in immediate placement and provisionalization. Loss of papilla can cause cosmetic issues (“black triangles”), phonetic problems, and food impaction, often resulting from periodontal disease, tissue attachment loss, and interproximal bone resorption.

This presentation will focus on the presence or absence of the facial tissue and interproximal papilla. This is often a great concern especially with immediate placement and provisionalization to surgical and restorative clinicians as well as their patients. The loss of papilla can lead to cosmetic deformities (so-called “black triangle disease”), phonetic problems (space allows passage for the air or saliva), and lateral food impaction. Often the loss of papilla is a consequence of periodontal disease because of gingival inflammation, facial tissue attachment loss and interproximal bone height resorption.