OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - Int J Periodontics Restorative Dent JT - International Journal of Periodontics & Restorative Dentistry IS - 1945-3388 (Electronic) IS - 0198-7569 (Print) IP - 2 VI - 41 PST - ppublish DP - 2021 PG - 169-175 LA - en TI - Inter-Implant Papilla Reconstruction via a Bone and Soft Tissue Augmentation: A Case Report with a Long-Term Follow-up FAU - Urban, Istvan A AU - Urban I FAU - Barootchi, Shayan AU - Barootchi S FAU - Tavelli, Lorenzo AU - Tavelli L FAU - Wang, Hom-Lay AU - Wang H CN - AB - Implant-related esthetic demands have increased tremendously in recent years. The presence of shallow papillae or open interproximal spaces (black triangles) are some of the most troubling dilemmas in dentistry. Among the many factors associated with the presence of papilla or papilla height, the interproximal bone is one of the main factors dictating the presence of an adequate papilla between implants. The present case report describes a patient with severe hard and soft tissue deficiencies with a high smile line in the esthetic zone, requiring multiple implants. The step-by-step process of the utilized techniques for achieving inter-implant papilla reconstruction through a multidisciplinary approach using both hard and soft tissue augmentation procedures, as well as soft tissue conditioning with customized abutments, is delineated. AID - 1326817