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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

April 2007
Volume 38 , Issue 4

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Creation of a nonsurgical papilla in orthodontic treatment with severe periodontal disease: A case report

Shuichi Sato, DDS, PhD / Naoyuki Nomura, DDS / Hideyuki Kawashima, DDS / Koichi Ito, DDS, MSD, PhD

PMID: 17530055

This case report describes the nonsurgical creation of an interdental papilla in orthodontic therapy of a patient with severe periodontal disease. A large diastema between the maxillary incisors was closed completely, and the lost interdental papilla was re-created by orthodontic therapy after nonsurgical periodontal therapy. Radiographs showed improvement of the bone defect. Periodontal/orthodontic soft tissue manipulation is a nonsurgical technique that can lead to reformation of the interdental papilla, provided that periodontal health is maintained. (Quintessence Int 2007;38:359.e218221)

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