Papillae loss and reconstruction options: I have gum disease. (Photo)

Question

I have regular hygienist appointments and my last one resulted in a deepish (no anesthetic) around the front right canine & incisior. I've noticed a gap which is papillae loss so I'm guessing this is as a result of the cleaning. I use the interdental brushes and was told to focus on that area as my gum pockets were 4/5mm.Ive read grafting is largely uncessful for papillae and don't want bonds as my teeth are already big. Recent x-rays showed no sign of gum loss. Thanks

Elly Tehrani, DMD, MSD · Answer

you have mentioned that you were told about 4-5 mm pocket in this area.   pocket depth could be due to inflammation with /or without presence of bone loss in between the teeth. when proper cleaning is done and the build up under the gum is removed, this inflammation will resolve and the gum will shrink resulting in decrease in pocket depth.  as the result the papilla will also shrink and leave a "black triangle" space.  gum/ bone grafting can not regenerate the missing papilla.  Some doctors have been using dermal filler sot plump up the papilla which will give you temporary improvement.  as you know the other option will be to fill the site with white filling and to broaden the contact between the 2 teeth.

Gina Franco, DDS - Account Suspended · Answer

In your case there is no loss of bone, therefore, no need for regeneration or graft. Your formation of black triangle should be treated with an extra good cleaning care. 
Good luck,
Dr. Franco

Papillae loss and reconstruction options: I have gum disease. (Photo)

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Papillae loss and reconstruction options: I have gum disease. (Photo)

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