Alan

Case: Management of Failing Anterior Units With Papilla Loss

Alan presented with multiple failing anterior units and a significant loss of interdental papilla, creating both functional instability and aesthetic concerns in the anterior zone.

Clinical Approach:

A staged multidisciplinary plan was required to ensure predictable soft-tissue support and long-term biomechanical stability.

Treatment Sequence:

  • Digital smile design and functional planning to map desired aesthetics, occlusion and soft-tissue contours.
  • Placement of long-term provisionals to guide tissue architecture, stabilise occlusion and establish a predictable emergence profile before definitive work.
  • Connective tissue grafting to improve soft-tissue volume, support papilla regeneration and restore natural gingival form around the affected units.
  • Ongoing occlusal management throughout to maintain a stable anterior bite relationship.

Outcome:

A stable, natural anterior aesthetic with improved soft-tissue volume, enhanced papilla presence and a functional occlusal scheme that supports long-term success.

Treatments Used: Bridges and Crowns

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Steven M verified

I’ve been going to Gibside Dental for just over a year now and can honestly say it’s the best dental experience I’ve had. I’ve...

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Kirsty B verified

The team are so welcoming and friendly. I was a little worried about dentist visits due to past experiences. However, Sam and Harriet are...

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Marylii verified

Needed an emergency appointment for braces, and this was the only place nearest Durham that took me in. Had to wait until Monday for...

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Dien E verified

Couldn’t be happier. Extremely professional, while still warm and caring at the same time. They actually listen, take the time to explain things and...

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Louise C verified

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