RESTORATION OF PAPILLAE LOSS

Papillae loss produces a black triangular defect.  The space appears black because darkness from the back of the mouth can be seen.  It is difficult and unpredictable to reestablish a papillae, however, the space can be closed with composite.

Crestal bone height is measured.  Composite is bonded to both teeth closing the diastema and creating a contact five millimeters or less from the crestal bone height.  Gingiva heals and creates an new papillae usually at a lower height than the original one.