Periodontal Plastic Surgery
Papilla Reconstruction
The small triangle of gum between adjacent teeth — the interdental papilla — is essential to a healthy, youthful smile. When it is lost, dark gaps known as 'black triangles' can appear, affecting appearance, speech, and food retention.
Papilla reconstruction uses advanced microsurgical and regenerative techniques to restore this delicate tissue whenever clinically appropriate, rebuilding natural soft-tissue contours while supporting healthier periodontal architecture and long-term stability.
Who it's for
- Dark 'black triangle' gaps between teeth
- Lost or blunted gum tissue between teeth
- Esthetic concerns in the smile zone
- Food trapping or speech effects from open interdental spaces
What to expect
- 1
Evaluation
We assess the cause and extent of papilla loss and whether reconstruction is predictable for your case.
- 2
The procedure
Microsurgical and, when indicated, regenerative techniques are used to rebuild the interdental tissue.
- 3
Healing
The tissue heals and matures over the following weeks.
- 4
Result
Improved soft-tissue contours and a reduction in the appearance of black triangles.
Recovery & aftercare
Recovery is generally mild, with tenderness for a few days managed by simple aftercare.
Because papilla tissue is delicate, results mature gradually and are reviewed at follow-up.
Common questions
- What causes black triangles?
- They result from loss of the gum between teeth — commonly from periodontal disease and bone loss, recession, or the natural shape of the teeth and tissue.
- Can the papilla always be rebuilt?
- Not always — predictability depends on the amount of supporting bone and tissue present. We evaluate each case individually before recommending treatment.
Talk to a specialist about papilla reconstruction
Whether you're a patient considering treatment or a dentist referring a case, we'll evaluate, plan, and coordinate care from diagnosis through follow-up.
Sources
This information is provided for educational purposes and is not a substitute for a professional evaluation. Diagnosis and treatment should always be determined by a qualified dental professional based on your individual condition.