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CDEN0310

26 I I industry report _ IPS e.max Press _The loss of the interdental papillaeisagrave consequence of periodontal disease. Surgical reconstruction is still not feasible. There are several approaches to reducing or masking the black triangles that occur as a consequence of the missing papillae. Conventional restorations are an option if the teeth also show increased mobility. If this is not the case, that is, if the periodontal tissue is healthy, it is crucial to find a biomimetic solution, meaning that the resto- ration should take aesthetic, biomechanical and biological factors into account. _Initial situation The treatment of missing papillae by means of ceramic veneers will be presented on the ba- sis of a clinical case. A female patient around the age of forty was unhappy with the look of her smile, which she described as “disgraceful”. The aesthetic diagnosis consisted of an analysis of the features of the face, the smile, the teeth and the gingiva. The analysis (Fig. 1) revealed the following findings: _face: tense and shy look due to self-conscious- ness about her teeth; _smile:considerableaestheticcompromisesdue to the black triangles; _teeth: healthy triangular, curved teeth; the margins of the roots are visible; _gingiva:healthyperiodontaltissue;interdental papillaearemissing;theteetharestable;recess at tooth #12; and _radiological examination: regular alveolysis in the cervical third. _Procedure The following procedure was determined on the basis of the analysis: _surgical intervention at tooth #12 in order to increase the gingiva (transplantation of con- nective tissue); _fabrication of a mock-up in order to visualise the final result; _tooth preparation on the basis of the mock-up; _temporisation; _try-in of the veneers (adaptation, shape and shade); and _incorporation of final restoration. _Treatment course Surgical intervention to increase the gingiva Connective tissue was removed from a lobe thatwasmovedtowardsthetoothcrown.Before further treatment was conducted, a four-month healing phase was necessary. cosmeticdentistry 3_2010 Radiant, beautiful anterior teeth Authors_ Dr Stefen Koubi & Gérald Ubassy, France Fig. 2Fig. 1 Fig. 1_Pre-op view. Fig. 2_Mock-up.