Augmentation of interdental papilla with platelet-rich fibrin

Abstract

Background:Dental esthetics has become a great concern for both dental practitioners and patients in addition to maintaining oral health. The presence of interproximal papillae between the maxillary anterior teeth is a key esthetic component. Recession of interdental papilla leads to various functional problems such as food impaction, phonetics and esthetic problems such as the formation of black triangle which poses a great challenge.Aim:This study aims to evaluate the augmentation of interdental papilla with platelet-rich fibrin.Materials and Methods:A total of 25 sites from systemically healthy individuals with papillary recession (Nordland and Tarnow class 1 and 2) were recruited in the study. Han and Takei procedure was planned and augmentation was done with platelet-rich fibrin. Various parameters such as distance from the tip of the contact point to the gingival margin, width of the keratinized gingiva, and Jemt score were measured at baseline, 3 and 6 months postoperatively. Healing index was measured at the 1st, 2nd, and 3rd week postoperatively.Results:Data collected were statistically analyzed. Mean value of distance from the contact point to the gingival margin was 4.38 mm at baseline and at 6-month postoperatively, it reduced to 0.36 mm. There was an increase in width of the keratinized gingiva which was clinically and statistically significant. Other parameters such as healing index, Jemt score, and visual analog scale (aesthetics) were also statistically significant postoperatively.

Comparative evaluation of efficacy of subepithelial connective tissue graft versus platelet-rich fibrin membrane in surgical reconstruction of interdental papillae using Han and Takie technique: A randomized controlled clinical trial

“…The result of the present study is consistent with the result of the study done by Ahila et al . [ 21 ] who also reported statistically significant enhancement of papilla using PRF in the new position when reevaluated at 3 and 6 months postoperatively. In their study, successful clinical outcome was obtained with the use of PRF in the treatment of papillary recession.…”

Interdental papilla reconstruction: a systematic review

“…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 ].…”

“…This was repeated usually at 3 weekly intervals. Four studies repeated the intervention at 3 weeks and 6 weeks [ 1 , 2 , 5 , 9 ]. In one study, the injections were repeated at 3 weeks and at 3 months [ 6 ].…”

“…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.…”

“…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].…”