Connective tissue: A gold standard for reconstruction of black triangle

Esthetic awareness has improved vastly in the last decade. Periodontal plastic surgery has made it possible to correct or eliminate anatomic, developmental, or traumatic deformities of the gingiva or alveolar mucosa. However, till date, the most challenging scenario lies in the enhancement of lost interdental papillae in the maxillary anterior region. An open gingival embrasure or black triangle occurs as a result of a deficiency of papilla beneath the contact point, which causes complex esthetic and functional problems. Several reasons contribute to the loss of interdental papillae, and various surgical and nonsurgical techniques for papillary reconstruction have been proposed till now. The present article describes a case of papilla reconstruction procedure using connective tissue graft. The procedure resulted in nearly 100% fill of the interproximal embrasure.