Maintaining or creating adequate papillary form is a challenge when placing implants in the esthetic zone. Often, outcomes of procedures designed to maintain or enhance papillae at implant sites yield unsatisfactory results and require secondary microsurgical interventions. This article describes a surgical technique to augment interdental papillae between implants and teeth. The technique uses pedicle flaps from the palate combined with tunneling and is capable of creating a substantial papilla augmentation utilizing vascularized grafts. The surgical technique and requirements for success are presented with a case report.
