Loss of anterior interdental tissue: periodontal and prosthodontic solutions.
The restoration of anterior spaces with a loss of interdental tissue has been reviewed. A surgical technique combining a subepithelial connective tissue autograft and a free gingival graft has been described. This preprosthodontic surgical approach is recommended as the treatment of choice. When surgery is contraindicated, the use of a cantilevered porcelain papilla is suggested.