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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.
eISSN:2391-601X
ISSN:0033-1783
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