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Surgical Reconstruction Of The Lost Interdental Papilla Using Roll Technique - A Case Reportoutcome is essential for a successful clinical outcomeof the therapy and patient satisfaction.REFERENCESFigure 11: Labial view -9week post-operative of thereconstructed papillaeFigure 12: Labial view -6months post-operative of thereconstructed papillaeDISCUSSIONThe present case demonstrates the successfulreconstruction of the papilla. The reconstructedpapilla remained stable and without any signs ofclinical inflammation. The advantages of this techniqueinclude: reconstruction of interdental papilla witha contiguous (pedicle) palatal graft, restoration ofgingival architecture close to normal and thus a betteresthetic result, filling of the open embrasure spaceswith gingival tissue, so that the patient’s complaintof unpleasant smile is resolved, reduction of speechdifficulties caused by open embrasures, one surgicalsite, less pain and discomfort to the patient. Howevercertain disadvantages do exist like: severe haemorrhagein the incisive papilla region, tearing or perforation theflap, difficulty in stabilising the graft during / aftersuturing as it is a loose mass of tissue and possibilityof shrinkage of the reconstructed papilla due to lack ofbone support. 6The ever-increasing demand for a pleasingpersonality and good esthetics in every walk of life hasmade people conscious of their appearance. Hence,open embrasures are no longer acceptable to thepatient. A thorough evaluation of the clinical conditionand selection of appropriate technique is of primeconcern is enhancement of the smile of an individual.Hence knowledge of different techniques and their1. Pini Prato GP, Rotundo R, Cortellini P, Tinti C, AzziR. Interdental papilla management: a review andclassification of the therapeutic approaches. Int JPeriodontics Restorative Dent 2004; 24: 246-255.2. Tarnow Dp, Magner AW, Fletcher P. The effectof the distance from the contact point to thecrest of bone on the presence or absence of theinterproximal dental papilla. J Periodontol 1992;63: 995-9963. Carnio J. Surgical Reconstruction of InterdentalPapilla using an interposed subepithelialconnective tissue graft: A Case Report. Int JPeriodontics Restorative Dent 2004; 24: 31-37.4. Shapiro A. Regeneration of interdental papillausing periodic curettage. Int J PeriodonticsRestorative Dent 1985; 5(5): 27-33.5. Beagle JR. Surgical reconstruction of theinterdental papilla: Case report. Int J PeriodonticsRestorative Dent 1992; 12: 145-151.6. Abrams L. Augmentation of the deformed residualedentulous ridge for fixed prosthesis. Comp ContEdu Dent 1980; 1(3): 205-214.7. Miller PD Jr, Allen EP. The development ofperiodontal plastic surgery. Periodontol 20001996; 11: 7-17.Address for correspondence:Dr Rizwan M SanadiReader, Dept of Periodontics, Yerala Medical Trust& Research Centre’sDental College & Hospital, Kharghar, NaviMumbai- 410210 Maharashtra, India .Ph no: 09730858235Fax: 022-27744427Email: drriz28@yahoo.comMalaysian Dental Journal Jan-Jun 2011 Vol 32 No 144