• Title/Summary/Keyword: 치간유두

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Reconstruction of Interdental papilla through connective tissue graft with orthodontic treatment: A Clinical Case Report (교정치료를 동반한 CTG를 통한 치간유두 재생)

  • Jung, Sung Koog
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.84-91
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    • 2020
  • Regeneration of interdental papilla damaged by periodontal disease is a very challenging task. So far, many dentists have devised and introduced great surgical methods. Comparing the pros and cons of the methods introduced so far, I came up with the best way to regenerate interdental papilla. Temporarily creating space between narrow interdental papilla, which cannot be solved by periodontal surgery alone, was a great help for connective tissue graft(CTG). The CTG was performed using a microblade, and only one vertical incision was performed off the gingival margin, and the graft was performed by inserting the grafts through here. Along with the orthodontic treatment, the area between the narrow interdental papilla was widened to make it easier for the CTG was carried out. After a period of maintenance, I was able to gather the teeth again with orthodontic force and regenerate the interdental papilla. I named this method ELSA (Enlargement of space-Labial graft-Squeezing-for Augmentation of papilla) technique.

Reconstruction of Interdental papilla through ELSA technique : A Clinical Case Report (ELSA테크닉을 이용한 치간유두의 재생)

  • Jung, Sung Koog
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.2
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    • pp.91-101
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    • 2021
  • The interdental papilla area is a difficult area for connective tissue graft (CTG) due to its narrow space. So Regeneration of interdental papilla is very challenging work. It is very difficult when the teeth have contact with adjacent teeth, but if there was only 3mm of space between the teeth, CTG was not very difficult. Therefore, through the orthodontic force, a 3mm space between the teeth was intentionally created. The CTG was performed using a microblade, and only one vertical incision was performed off the gingival margin, and the graft was performed by inserting the grafts through here. After a period of maintenance, I was able to gather the teeth again with orthodontic force and regenerate the interdental papilla. I named this technique ELSA Technique (Enlargement of space - Labial graft - Squeezing - for Augmentation of papilla). If interdental papilla is lost due to periodontal disease, ELSA techniques can regenerate interdental papilla very efficiently.

Strategic serial extractions and immediate implantation for interdental papilla preservation: A case report (치간 유두 보존을 위한 전략적 연속발치술과 즉시 임플란트 식립: 증례보고)

  • Choi, Geun-Bae;Lee, Jung-Jin;Ahn, Seung-Geun;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.286-291
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    • 2017
  • Maintaining the blood supply of the interdental alveolar bone is crucial for preserving the interdental papilla. Rebuilding the interimplant papilla between adjacent implants is more difficult than rebuilding the interdental papilla between the natural tooth and implant. Therefore, preserving the interimplant tissue is necessary when adjacent implants are closely placed. In this case report, three effective methods for maintaining the surrounding tissue, namely strategic serial extraction, immediate implantation, and provisionalization of adjacent maxillary central incisors, were performed. The marginal gingiva and interimplant papilla were well maintained for 24 months.