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Replacing missing maxillary anterior teeth while pr oviding an adequate esthetic can Recreation of smile esthetics is an important
present a considerable challeng e. A substantial ef fort is directed to ward achieving a factor in restorative procedures, especially
better tooth-to-soft tissue relationship, r egardless of whether the restorati ve modali- when tooth replacement and oral recon-
ties are implants, naturally supported fixed bridges, or removable partial dentures . struction are a concern. Smile esthetics are
The interdental papilla is critical to the esthetically pleasant ar chitecture and con - particularly important when dealing with
tributes to successful harmonious restoration, especially in patients with a high smile . the maxillary anterior region. A relationship
There are se veral techniques for restoring the indental papilla. The best result comes between any kind of replacement and the
from careful planning and good communication with the patient. surrounding soft tissue contributes signifi-
cantly to clinical success. Esthetically, the
Received: Mar ch 20, 2002 Last r evisions: June 21, 2002 Accepted: August 7, 2002 tooth is inseparable from the architecture of
Fig. 12. A 48-year-old woman whose high Fig. 13. The intraoral appearance of the pa- Fig. 14. Edentulous alveolar ridge that no
smile line exposes a considerable amount of tient in Fig. 12. longer reflects the normal architecture.
soft tissue.
Fig. 15. A transitional denture model for Fig. 16. Comparing the discrepancy between Fig. 17. A self-cured acrylic is applied to
the patient in Fig. 12. the desirable position and the existing position convert the existing denture into a transi-
of the teeth in relation to the alveolar ridge. tional appliance.
Fig. 24. Two months after surgery, the patient Fig. 25. Position of the artificial teeth in the
shows a more realistic alveolar architecture, setup phase. Fig. 26. Intraoral view of finished partial
with deep sockets and well-projected papillae. dentures.