Journal of Advances in Medicine and Medical Research

Immediate implant placement in the maxillary aesthetic zone and the maintenance of peri-implant soft tissue is a clinical challenge. The interimplant papilla and soft tissue depends on various factors like interimplant distance, thickness of the alveolar housing, peri-implant marginal bone, biologic width, gingival biotype, amount of keratinized tissue, tooth form, implant neck geometry, and abutment connection. The interimplant papilla in the aesthetic zones can be managed either surgically or non-surgically. Surgical methods include flapless technique, crestal-punch method or papillary reconstruction intraoperatively. Non-surgical methods include restorative, prosthetic and orthodontic techniques to maintain or achieve sufficient interimplant papilla for a pleasing esthetic outcome. This case report shows a simplified non-surgical method of preserving the interimplant papilla in the maxillary aesthetic zone.