Increased papilla between implant and tooth with TEH use of hyaluronic acid injection: A case report

Abstract

The lack of dental papilla in the anterior maxila leaves unsightly smile and the dissatisfied patient. Several surgical techniques can be performed to gain interdental papilla, but few of them are predictable. This case report shows a multidisciplinary treatment alternative to increase disabled papillae in single-tooth implant in an aesthetic region with the use of injectable hyaluronic acid. Monitoring and evaluation of results was made by clinical and photographic monitoring of the progressive increase of the papilla in millimeter measurements through computer software. After 8 applications in 5 months, prosthetic emergence profile of adjacent tooth modification, papillary inflammatory process induction, we can observe 1,0 mm papilla gain. It can be concluded that the use of injectable hyaluronic acid in association with gingival prosthetic conditioning led to increased gingival papilla between tooth and dental implant and can be considered a treatment alternative for correction of minor defects papilla.

The use of hyaluronic acid injection for treatment of black triangle and reconstruction of lost interdental papilla in anterior teeth: a systematic review

“…These non-surgical approaches include hemolasertherapy [23], orthodontic treatment [24], restorative treatment [25], and the injection of fillers and gingival tissue volumisers [26][27][28][29], either solitary or in combination with other approach [30]. Different injectable materials have been proposed for papillary reconstruction in recent studies, these include hyaluronic acid [28], platelet rich plasma [27], stem cells [29], and fibroblasts [26]. This less-invasive approach was found to be a safe promising procedure and less traumatic compared to the surgical treatment with immediate results obvious to the patients right after the injection [31].…”