Comparison of two surgical techniques for the reconstruction of interdental papilla

Shruthi, S.; Gujjari, Sheela Kumar; Mallya, Kiran Prakash

doi:10.4103/2229-5194.162739

Cited by 12 publications

(16 citation statements)

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“…Sample size calculations were done based on an article published by Shruthi et al in 2016, 15 which is the only closely relevant article to the present study. Based on their results and applying 5% α error and 80% power, the sample size required was 20 sites with 10 sites in each group.…”

Section: Methodsmentioning

confidence: 99%

“…8,9 Later, autologous, bioactive platelet-rich fibrin (PRF) has been shown to have a potential to serve as an autologous matrix that promotes differentiation of progenitor cells into the matrix, thereby potentiating regeneration. [10][11][12][13][14] Majority of the literature published were only case reports/case series and there were only limited clinical trials published for papillary augmentation 15,16 Taking all these factors into consideration, the current study proposes a minimal accessed labial and palatal tunneling across the interdental gingiva to facilitate the placement of a CTF/PRF, so as to augment the papillary height. The study was designed as a randomized controlled clinical trial, with the aim of comparing the role of two different autologous matrices-CTG/PRF-to augment the papilla dimensions and reduce the black triangle height at 6 months.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Connective Tissue Graft and Platelet Rich Fibrin as Matrices in A Novel Papillary Augmentation Access: A Randomized Controlled Clinical Trial

et al. 2019

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Objective The present study was a randomized controlled clinical trial with the aim of evaluating the increase in papillary height and reduction in black triangle height obtained by the novel papillary augmentation access with either connective tissue graft (CTG) or platelet-rich fibrin (PRF) as matrix from baseline to 6 months. Materials and Methods A total number of 20 sites with Nordland and Tarnow’s Class I, I-II and II interdental papillary loss were recruited into the study. The sites were randomly allocated with 10 sites per group into either: Group A (control group) or Group B (test group) which utilizes the same technique with CTG or PRF as matrix, respectively. The clinical parameters such as PPD (probing pocket depth) and CAL (clinical attachment level) at the surgical site, plaque score (FMPS), bleeding scores (FMBS), interdental papillary height (PH) and black triangle height (BTH), along with visual analog score by dentist (VAS-D) and by patient (VAS-P) were evaluated at baseline and at 6 months. Results In both CTG and PRF groups, all the primary and secondary outcome variables such as PH, BTH, VAS-D and VAS-P showed statistically significant improvement from baseline to 6 months (p ≤0.05) within the group. On comparison at 6 months, there were no differences in the papillary height between the groups. However, the BTH has significantly reduced in the CTG group than the PRF group. Similarly, the VAS-D significantly improved in the CTG group than the PRF group (p = 0.010) at 6 months. Conclusion The study demonstrates that the proposed papillary augmentation access with CTG and PRF was successful in managing the unaesthetic interdental papillary loss, with CTG showing better results in terms of reduction of black triangle than PRF.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Connective Tissue Graft and Platelet Rich Fibrin as Matrices in A Novel Papillary Augmentation Access: A Randomized Controlled Clinical Trial

et al. 2019

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“…This fact is supported by a study done by Harris et al [36] where the complication rate such as pain, infection, bleeding, and swelling with the connective tissue grafting procedure was low and was clinically acceptable. Shruthi et al [37] have compared the Azzi et al [8] and Han and Takei [9] techniques and found them equally successful. In the present paper, although we have tried to classify the papilla based on different indices to check the postoperative results, an index, called the interdental pressure index, could not be used as it required additional armamentarium and was discovered during the literature review after the procedures were carried out.…”

Section: Discussionmentioning

confidence: 99%

Salvaging the Lost Pink Triangle: A Case Series of Papilla Reconstruction

Shenoy

Punj²,

Ramesh

et al. 2020

Case Reports in Dentistry

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Introduction. The interdental papilla may be lost or reduced in height, forming black triangles due to various reasons, which gives an unaesthetic appearance when the patient smiles. Various noninvasive and invasive techniques have been used to augment/reconstruct the interdental papilla, to reclaim the pink triangle. The most satisfactory and natural appearance can be obtained by augmenting or reconstructing the lost papilla as the pink esthetics is as important as the white esthetics. Cases. Two female patients and 1 male patient reported to the dental department with the complaint of a small black gap in the gum area between their upper front teeth since 6 months and 1 year, respectively. On examination, the interdental papillae in all three cases were classified as class 1 (Nordland and Tarnow’s). The interdental papilla was augmented surgically by using three different approaches in each case. Result and Conclusion. Postoperatively and after 1-month follow-up, there was a complete fill of the interdental area by the interdental papilla normal (Nordland and Tarnow’s). As a result, the black triangle was successfully converted into a natural pink triangle in all three cases.

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“…The treatment of open gingival embrasures requires the reconstruction of interdental papilla. This is usually achieved by the following methods [20,[26][27][28] -Non-surgical methods-Orthodontic treatment is used to close interdental spaces. The forced eruption can also be done.…”

Section: Management Of Black Triangles -mentioning

confidence: 99%

Black Triangles and its Management- A Review

Roy¹,

Kashyap²,

Nakra³

2019

SSR-IIJLS

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In the modern, fast-paced world the concept of aesthetics is very important to all people. The degree of aesthetic value may vary from person to person but the basic idea of it is more or less equivalent in all people. Similarly, in dentistry, the value of aesthetics is very high. Open gingival embrasures or black triangle cause complex functional and aesthetic problems. Management of such problems requires careful evaluation of the underlying causes. In today's aesthetic environment where both the dentist and the patient are aware of aesthetic value, the real challenge was to reconstruct this lost papilla and moreover to obtain stable and sustainable results. This review was carried out after electronic searches in databases such as PubMed, PubMed Central, MEDLINE, Google Scholar, and MeSH. Manual searches of hard copies were also done. Studies included ranged from a time period of 1992-2016 and included clinical trial researches. A total of 19 articles were chosen for this review. These articles satisfied the various inclusion criteria and were taken after a detailed assessment of the full-length articles. Black triangles pose multiple problems both to the dentist and patients. The causes of Black triangles are multifactorial and they can occur after various dental therapies. A strong connection is found between their occurrence and post-orthodontic treatment patients. Various methods to treat these problems are present. The clinician and the patient should discuss these problems and solutions in depth before starting the treatment.

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Comparison of two surgical techniques for the reconstruction of interdental papilla

Cited by 12 publications

References 0 publications

Comparison of Connective Tissue Graft and Platelet Rich Fibrin as Matrices in A Novel Papillary Augmentation Access: A Randomized Controlled Clinical Trial

Comparison of Connective Tissue Graft and Platelet Rich Fibrin as Matrices in A Novel Papillary Augmentation Access: A Randomized Controlled Clinical Trial

Salvaging the Lost Pink Triangle: A Case Series of Papilla Reconstruction

Black Triangles and its Management- A Review

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