Esthetic improvement through the reconstruction of interdental papillae by adjusting the subgingival contour

Abstract

Patient: A 71-year-old man visited our hospital with the chief complaint of a fractured maxillary right central incisor. The tooth fracture had occurred in the lower part of the gingival margin. The patient wished to receive a fixed prosthetic treatment. The tooth was observed with a provisional restoration for enough time, and was then replaced by a definitive prosthesis.

Discussion: The patient has been recalled periodically since the final prosthesis was delivered. The patient was satisfied with the treatment without any specific problems, such as fracture or detachment, during the 5-year follow-up period.

Conclusion: Good results were obtained by providing an appropriate subgingival contour with a provisional restoration, monitoring the progress, and transferring the appropriate forms to the final prosthesis.