Treatment planning in dental implantology Classification for papillary loss

The development of new techniques for papillary augmentation must be benefited from a classification system for loss of papillary height.

Nordland and Tarnow determined a classification for papillary height loss in natural teeth.

The contact points between adjacent tooth crowns and distance from the cement-enamel junction (CEJ) were used as reference marks. Also, Jemt described a similar classification for implant – supported prostheses .

The distance from the hightest point of the papillary tissue in the buccal region and the contact between adjacent tooth/implant crowns was registered and this information was used to create the following classification.