PMC7580747_01
(a) Frontal view - Midline diastema, (b) black triangle and recession with respect to 22, (c) black triangle measuring 5 mm
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F1
Periodontal examination revealed a black triangle of about 5 mm in the interproximal area between pontic and 22, Miller's Class I recession with respect to 22 [Figure 1].
(a) Vertical access incision made at the labial frenum, (b) the subperiosteal tunnel was created using a microsurgical periosteal elevator, (c) connective tissue graft was harvested from the palate, (d) securing connective tissue graft in the buccal and palatal aspects using 4-0 Vicryl sutures, (e) the flap advanced coronally with minimal tension and secured using glass ionomer cement, (f) 15-day postsurgical view showing recession coverage and papillary fill
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F2
The sutures were removed after 10 days, and the area showed complete interproximal papillary fill and recession coverage with respect to 22 [Figure 2].
(a) Refined teeth preparation for porcelain fused to metal prosthesis, (b) master impression using single-stage putty light body impression technique, (c) die-cast and fixed partial denture with loop connectors, (d) 15-day postprosthetic rehabilitation showing improved soft-tissue contour, (e) 4-month follow-up after prosthetic rehabilitation
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F3
On 4-month follow-up, there was a substantial improvement in the interdental papilla, and there was no relapse in the augmented area [Figure 3].