A novel surgical procedure for papilla reconstruction using platelet rich fibrin
A 40 year old healthy, nonsmoking female presented to the department of periodontics, Thai Moogambigai Dental College and Hospital, Mogappair, Chennai, in November 2011. Her chief complaint was unaesthetic appearance of her gums in the upper front teeth region. Clinical examination revealed, esthetically displeasing black triangles between 11, 12 and 11, 21 []. No facial recession was evident on 11, 12, and 21. The soft tissues appeared to be healthy without overt inflammation. Preoperative examination included papilla contour measurements based on modification of Papilla Index Score (PIS) described by Jemt.[] Papilla was absent with no curvature of soft tissue contour, which was observed in between 11, 12 and 11, 21, and therefore was assigned a PIS score of 0. The distance between the contact point and the crest of alveolar bone was determined under local anesthesia with 2% lignocaine hydrochloride. A William's periodontal probe was used and a distance of 9 mm between 11 and 21 and 9.5 mm between 11 and 12 was recorded.