Restoring the loss of periodontal soft and hard tissues represents a unique challenge for the dental team. The interdental papillae in the esthetic zone can be a dilemma for both the patient and the therapist. A multidisciplinary approach is critical for the successful treatment of lost papillae. This article reports on the successful long-term papillae reconstruction using a combined approach: Plastic surgery and restorative dentistry in one case and restorative dentistry alone in another case.

Keywords: papilla reconstruction, reduced periodontium, esthetic outcome, bone morphology, gingival morphology