Full Anterior Papilla Restoration: Combining PRF-Assisted Tunneling and Modified Beagle's Technique for Superior Aesthetic Results

Abstract Background: Interdental papilla loss can be also referred to as “Black triangles”. Black triangles are present as a aesthetic concerns especially in the anterior region. Reconstruction of which is quite challenging due to limited vascularity in that area. Papilla reconstruction using PRF (Platelet Rich Fibrin) by tunneling procedure which is minimally invasive and combines Modified Beagles technique have shown promising results for reconstruction of the entire anterior segment. A photographic analysis with the pre-operative and post-operative photographs was done using ImageJ software which also showed a significant papillary gain. Case Presentation Management and Outcome: This case report describes an unusual approach with promising results combining two procedures by tunneling in the incisor region and augmented using an autogenous graft that is PRF along with Modified Beagle’s technique in the interdental area between lateral- canine region. This combines hybrid technique which gave a promising increase in papillary gain in the whole anterior region.Conclusion: The 3 month follow up of this technique combing two procedures in the anterior maxilla showed excellent results in the whole of the anterior segment by complete elimination of black triangle on the anterior segment.