Long‐term outcomes of microsurgical interdental papilla reconstruction: 13‐year and 18‐year case follow‐ups

Loss of tissue between teeth can affect appearance, speech, and the ability to keep the mouth clean. This problem may reduce a person's quality of life and confidence. In cases where the bone between teeth is severely reduced, rebuilding this tissue has been difficult, and long-term outcomes have not often been reported. This report describes two patients with advanced loss of tissue between teeth who were treated using a surgical method developed by the author. The procedures were performed using a surgical microscope to improve precision. One patient was followed for 18 years and the other for 13 years after treatment. In both patients, the shape and height of the tissue between the teeth were maintained over time. X-ray images showed stable bone levels, and the appearance of the treated area remained consistent during the follow-up period. Both patients reported high satisfaction with the esthetic outcome. These observations suggest that, in carefully selected cases, this surgical approach may help maintain long-term appearance and function in areas where tissue between teeth has been severely reduced.