Modern dentistry caters to both function and aesthetics and is under immense pressure to maintain the balance between the 'white' (tooth) and the 'pink' (gingiva). Improved tooth prognosis as well as aesthetics are essential components of optimum non-surgical and surgical periodontal therapy. Currently, there is a growing concern for beauty and physical appearance, including demands for aesthetics in dentistry. Interdental papilla loss as a result of periodontal disease progression or periodontal therapy is a scenario that causes cosmetic, phonetic, and food impaction issues. Inter-dental papilla is the gingival component, which occupies the space between two adjacent teeth. The absence of interdental papilla results in black spaces or open embrasures leading to a cosmetic deformity termed as Gingival black triangle (GBT). Thus, a number of nonsurgical and surgical periodontal procedures for preserving and restoring the interdental papilla have been developed over time which havebeen reviewed, combined together and described in detail in this book.