Historically, periodontal treatment has been aimed more at the preservation and restoration of health to the periodontium than at the esthetic outcome of treatment. However, recent advances have enhanced the periodontist's ability to address esthetic concerns. To date, treatment of lost or collapsed interdental papilla has been largely unsuccessful. A case report is presented to demonstrate a technique by which a collapsed interdental papilla can be surgically reconstructed. The technique combines principles of Abram's roll technique for ridge augmentation with Evian's papilla preservation technique.