Use of a titanium papillary insert for the construction of interimplant papillae.

Constructing the interimplant papilla is important to achieve an optimally esthetic implant-supported restoration. To obtain support for the soft tissue between two implants so as to result in the desired interdental papilla-like shape, a papillary titanium insert was fabricated. It eliminates the need for any bone grafting procedures with less armamentarium and a reduction of the number of surgical entries. This article describes the papillary titanium insert and focuses on its advantages, manipulations, and handling.