Interdental Papilla Reconstruction using Modified Nordland’s Microsurgical Technique: A Case Study

  • Anand Induchoodan Specialist Periodontist, Aster Medical Center, Doha, Qatar.
  • Remya RM Senior Lecturer, Dayananda Sagar College of Dental Sciences, 1st Stage, Kumaraswamy Layout, Bengaluru, Karnataka, India.
  • Babu Salam C Consultant, Department of Periodontist and Implantologist, Private Practitioner, Chennai, Tamil Nadu, India.
Keywords: Periodontal Regeneration, Periodontal Surgery, Wound Healing, Evidence Based Dentistry, Cosmetic Periodontal Plastic Surgery, Connective Tissue Grafts.


Introduction: Interdental papillary loss due to trauma or as sequelae of inflammatory periodontal disease creates an unaesthetic appearance and it is also a challenge to treat. Management of these cases by conventional techniques is unpredictable owing to the availability of limited working spaces and also the delicate vascular supply of the interdental region.

Case presentation: In this case study, we describe a modified version of Nordland’s technique using ophthalmic blades for the reconstruction of lost interdental papilla. The avoidance of placing a releasing incision preserves the vascular channels and may not cause unaesthetic scarring. The augmented papillary site was stable after 2 years of follow-up.

Conclusion: The Nordland’s microsurgical technique offers a predictable method of papilla augmentation. The present technique relies on the placement of microsurgical dissection, atraumatic handling of the split-thickness flap, and the precise tailoring of suspensory sutures.