Papillary Reconstruction Using Sub Epithelial Connective Tissue Graft-A Case Report

Arunachalam, Darshanaa; Varghese, Sheeja

doi:10.5958/0976-5506.2019.04145.7

Cited by 1 publication

(3 citation statements)

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“…Of the 44 papers included in the study, there were 7 randomised controlled trials [ 1 , 2 , 12 , 37 , 38 ], 2 cohort studies [ 3 ], 19 case series [ 4 – 10 , 13 , 20 – 22 , 24 , 25 ] and 17 case reports [ 11 , 14 – 16 , 27 – 29 , 31 – 33 , 35 , 39 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen papers reported on the use of hyaluronic acid [1][2][3][4][5][6][7][8][9][10][11], 6 papers reported on the use of platelet-rich fibrin (PRF) [12][13][14][15], 16 papers on the use of various grafting techniques [16, 20-22, 24, 25, 27-29, 31-33], 4 studies on orthodontics [34][35][36] and 4 studies on different modalities [37][38][39][40]. The study setting varied from various locations around the world from Asia, the Middle East, South America and Europe.…”

Section: Study Design and Populationmentioning

confidence: 99%

“…Fifteen of the included papers reported on the use of hyaluronic acid including 2 randomised controlled trials [1,2], 1 cohort study [3], 10 case series [4][5][6][7][8][9][10] and 2 case reports [11].…”

Section: Study Design and Populationmentioning

confidence: 99%

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Interdental papilla reconstruction: a systematic review

Patel,

Guni,

Nibali

et al. 2024

Clin Oral Invest

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Objectives To assess treatment options for the reconstruction of the lost interdental papilla and to evaluate evidence for their efficacy. Methods An electronic search (Medline, Embase and the Cochrane Library Database and OpenGray) and a hand search were carried out to identify all types of studies investigating interdental papilla reconstruction (except for reviews) with a minimum of 3 months follow-up. Results Forty-five studies were included in the study including 7 RCTs, 2 cohort studies, 19 case series and 17 case reports. Fifteen studies reported on the use of hyaluronic acid, 6 studies on platelet-rich fibrin, 16 studies on soft tissue grafting, 4 studies on orthodontics and 4 on additional modalities. The most common outcome measures were black triangle dimensions and papillary fill percentage. Meta-analysis was not possible due to the high heterogeneity of the studies. Conclusion There are various options for interdental papilla reconstruction of which hyaluronic acid injections, PRF, surgical grafting and orthodontics seem to improve outcomes at a minimum 3 months. The use of soft tissue grafting with sub-epithelial connective tissue graft seems to be associated with the most robust evidence for the longer-term reduction of ‘black triangles’. There is insufficient evidence to make recommendations to clinicians. Further research is needed in the form of well conducted RCTs with longer follow ups and patient reported outcome measures. Clinical relevance Patients frequently complain about the appearance of black triangles and their management options seem unclear. This systematic review provides insight into the available reconstructive options.

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