MODIFIED PEDICLE SUBEPITHELIAL CONNECTIVE TISSUE GRAFT FOR INTERDENTAL PAPILLARY RECONSTRUCTION AROUND DELAYED IMPLANTS IN THE ESTHETIC ZONE: A CASE SERIES TRAIL

Aim: to evaluate the effect of a modified pedicle subepithelial connective tissue graft in creating anatomical papilla around one-stage delayed implant in the esthetic zone to establish better esthetics.Materials and Methods: The trial protocol was registered on www.clinicaltrials.gov protocol registration with an identifier ID: NCT04843826. Ten patients with a missing upper tooth in the esthetic zone were indicated for delayed implant placement where modified pedicle subepithelial connective tissue graft for papilla reconstruction was performed. All patients were assessed for the outcomes: papilla height, pink esthetic score and patient satisfaction obtained at different intervals (baseline, 3, and 6 months) and subjected to statistical analysis.Results: Mesial papilla height showed statistically significant increase between baseline, 3 and 6 months with no statistically significant difference between 3 and 6 months. The distal papilla showed no statistically significant change between baseline and 3 months but there was statistically significant increase between baseline and 6 months. Regarding PES there was a statistically significant increase in value after 6 months in comparison to baseline.Conclusions: The modified pedicle connective tissue graft showed promising results in papilla reconstruction and provided more esthetic outcomes around delayed implants.