Aim: The aim of this case series was to evaluate the efficacy of sub-epithelial connective tissue graft for papillary regeneration. Background: Loss of interdental papilla is multifactorial and creates diverse complications. Among them food lodgments, unaesthetic black triangle and subsequent periodontal diseases are most frequent. Sub epithelial connective tissue graft based papillary regeneration is thought to be the gold standard treatment option. It provides long term result with acceptable esthetics. Case Description: 3 patients reported with the papillary recession between two maxillary central incisors. Connective tissue graft was procured from hard palate and a pouch space was created on the recipient area. Gingiva papillary unit was coronally advanced and auto graft was secured with suture. 6 month evaluation showed an excellent papillary fill in all the 3 cases. Conclusion: sub-epithelial connective tissue graft still remains a valid and predictable therapeutic modality for papillary reconstruction. Auto graft based papillary soft tissue reconstruction provides esthetic result and meets the functional demand.
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