Papilla reformation

Papilla reformation is the spontaneous reformation of the interproximal papilla following the establishment of a contact point and the management of the interproximal prosthetic papillary space. The term also refers to the re-establishment of the lost interproximal papilla by surgical means. Following the placement of an implant, the papilla between the neighboring tooth and the implant may be lost or significantly reduced if the neighboring tooth’s periodontal attachment is compromised. Papilla may be regenerated through papilla reformation by using a combination of hard and soft tissue grafting procedures. Bone grafting to replace missing or weakened bone between the teeth is an especially essential step that is often required for papilla reformation to take place. Another possible pathway to papilla reformation involves the use of growth factors used with bone grafting procedures. Papilla reformation is often a challenging process and therefore, proper patient preparation should take in an effort to avoid the loss of interproximal papilla.