CASE REPORT
Combined periodontal and prosthetic approach
for anterior teeth rehabilitation – a case report
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1
Department of fixed prostheses, University of Monastir, Faculty of Dental Medicine, Research Laboratory Occlusondontics and Ceramic Prostheses, LR16ES15, Faculty of Dental Medicine, University of Monastir, 5000, Monastir, Tunisia
2
Department of periodontology, Research Laboratory of Oral Health and Oral Rehabilitation, LR12ES11, Faculty of Dental Medicine, University of Monastir, Tunisia
Submission date: 2025-10-23
Final revision date: 2025-11-12
Acceptance date: 2026-01-20
Publication date: 2026-03-19
Corresponding author
Rim Kallala
Department of fixed prostheses, University of Monastir, Faculty of Dental Medicine, Research Laboratory Occlusondontics and Ceramic Prostheses, LR16ES15, Faculty of Dental Medicine, University of Monastir, 5000, Monastir, Tunisia
Prosthodontics 2026;76(1):89-95
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ABSTRACT
Aesthetic dentistry is a major focus for patients
today, especially concerning the appearance
of the maxillary anterior teeth. Achieving an
optimal smile demands a holistic approach that
integrates not only tooth shape and shade but
also the harmony of the surrounding periodontal
tissues.
One of the most significant challenges in this
area is the loss of the interdental papilla, resulting
in the appearance of aesthetically displeasing
‘black triangles’ that disrupt smile harmony.
These gaps can make the teeth look aged and
severely compromise the patient’s self-confidence.
Functionally, they can cause phonetic issues
and discomfort from food impaction. Moreover,
a gummy smile, defined by excessive gingival
display during smiling, compromises the aesthetic
appearance of the anterior teeth and disturbs the
overall harmony of the smile, reducing facial
attractiveness and patient satisfaction.
Addressing these complex dilemmas often
requires periodontal surgical interventions to
ensure the long-term success of fixed prostheses and to restore a balanced, natural-looking smile.
The present paper aimed to report a successful
case of aesthetic rehabilitation of the maxillary
central incisors and highlight the pivotal role of
periodontal procedures in optimizing the aesthetic
outcome and securing its long-term stability.