Minimally Invasive Treatment for Papillae Deficiencies in the Esthetic Zone: A Pilot Study

Becker, William; Gabitov, Ildor; Степанов, М. Г.; Kois, John C.; Smidt, Ami; Becker, Burton E.

doi:10.1111/j.1708-8208.2009.00247.x

Cited by 73 publications

(151 citation statements)

References 21 publications

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“…Awartani and Tatakis 40 , have repeated the methodology used by Becker et al, 29 reaching similar clinical results besides interesting result perspective observed by the patients through a questionnaire form, where 2/3 of the patients appreciated the results and would repeat the procedure.…”

Section: Discussionmentioning

confidence: 58%

“…29,30,36 A study performed by McGuire and Scheyer, 37 used autologous fiberblast grafts (tuber biopsy) expanded in laboratory, performing intrasulcus incisions in the first application to induce the inflammatory process, followed by repeated applications in a 7 to 14 day interval for 4 months. This experiment reached good results, though inconclusive due to the difficulties of being precise on the methodology of the comparative measurements of the results.…”

Section: Discussionmentioning

confidence: 99%

“…This experiment reached good results, though inconclusive due to the difficulties of being precise on the methodology of the comparative measurements of the results. Another study done by Becker et al 29 , used hyaluronic acid commercially available to correct deficient papillae in the anterior region of the maxilla, along with photographic records of the evolution through the analysis of the black triangle in the pixels of the pictures, then converted into millimeters through a mathematic formula. Up to 3 applications were made in 3-week intervals between them in 14 sites: obtaining 100% filling in 2 sites; 94-97% growth in 7 sites; 76-88% growth in 3 sites; and 1 site that had a 57% growth.…”

Section: Discussionmentioning

confidence: 99%

“…The application methodology was based on the work of Becker et al 2010, 29 in which it was reported that the acid must be done 2-3 mm from the gingival margin. The injection was given 4 times in a 3-month period with a 0.06-0.1ml hyaluronic acid dose for each of the applications (Fig.…”

Section: Case Presentationmentioning

confidence: 99%

“…29,30 The objective of this present article is to report a clinical case of injectable hyaluronic acid use associated to the gingival prosthetic conditioning for the increase of the dental papilla height between teeth and implants.…”

Section: Introductionmentioning

confidence: 99%

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

2020

IJPI

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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.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

2020

IJPI

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Subperiosteal Papilla Augmentation With a Non–Animal‐Derived Hyaluronic Acid Overlay Technique

Spano

Ghilzon

Lam

et al. 2019

Clin Adv Periodontics

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Introduction Loss of the interdental papilla, leading to the formation of black triangular spaces just below the contact area of adjacent teeth, is one of the most challenging periodontal conditions to treat and often requires an interdisciplinary approach by the periodontist, restorative dentist, and orthodontist. Although these “black triangles” may appear quite small from a clinician's standpoint, they can have a significant impact on oral health satisfaction for patients. This case series illustrates a novel minimally invasive approach to restore interdental papilla deficiencies. Case Presentation Four interdental papilla defects were treated in three females. No patients were lost to follow‐up over 6 months. The surgery consisted of a horizontal incision placed apical to the area of papillary loss in the alveolar mucosa just beyond the mucogingival junction. An interdental subperiosteal tissue space was then created by tunneling toward and under the dental papilla. Once adequate release was achieved, dermal filler was administered into and underneath the deficient papilla. The papillary margins were then sealed with cyanoacrylate and additional dermal filler was injected as needed to achieve ideal papillary fill. Six months after treatment there was an improvement in patient‐satisfaction regarding papilla fill demonstrated by a mean increase in visual analogue scale (VAS) measurements of 62.46%. Mean papilla fill was 1.75 mm. Conclusion This surgical technique demonstrates the restoration of deficient interdental papillae between teeth and implants, and perhaps as importantly, a considerable improvement in patient‐based outcomes quantified through VASs.

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Orthodontics for Esthetic Dental Treatment: Symbiotic Efforts for Optimal Results

Nicolay

Almaidhan

2020

Esthetic Oral Rehabilitation With Veneers

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Minimally Invasive Treatment for Papillae Deficiencies in the Esthetic Zone: A Pilot Study

Abstract: Results from this pilot study are encouraging and present evidence that small papillary deficiencies between implants and teeth can be enhanced by injection of a hyaluronic gel. Improvements were maintained for a range of 6 to 25 months.

Cited by 73 publications

References 21 publications

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

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

Subperiosteal Papilla Augmentation With a Non–Animal‐Derived Hyaluronic Acid Overlay Technique

Orthodontics for Esthetic Dental Treatment: Symbiotic Efforts for Optimal Results

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