Inverted T‐Shape Connective Tissue Graft for Interdental Papilla Reconstruction: A Clinical Case Series

Loss of interdental papilla in advanced gingival recession presents a significant esthetic and functional challenge, often resulting in compromised smile esthetics and patient dissatisfaction. The IT-CTG technique offers an innovative surgical solution for interdental papilla reconstruction, especially in cases where traditional approaches may be limited by poor vascularity and difficult access. By employing enhanced vascularization and a remotely tunneled approach, IT-CTG may improve esthetic outcomes and restore papillary architecture in the anterior esthetic zone. This technique is particularly beneficial in cases of RT2 and RT3 recession with papilla loss, where achieving optimal fill in a single procedure is challenging. Integration of IT-CTG into clinical practice expands the treatment options for clinicians managing complex mucogingival defects, though careful case selection and adjunctive restorative procedures may be required to support complete papilla regeneration and long-term stability.