Papilla reconstruction: Interdisciplinary consideration for clinical success

Carnio, João; Carnio, Anna Tereza

doi:10.1111/jerd.12411

Cited by 14 publications

(12 citation statements)

References 15 publications

(27 reference statements)

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“…It has been established beyond doubt that interdental papilla has a key role in aesthetics. Several factors have been cited for its loss [19], [20]. Absence of the papilla leads to the formation of black triangles and thus leading to aesthetic impairment.…”

Section: Discussionmentioning

confidence: 99%

Comparative Clinical Evaluation of Platelet Rich Fibrin and Subepithelial Connective Tissue Graft in Interdental Papilla Reconstruction: A Randomized Controlled Clinical Trial

Goyal¹,

Tanwar²,

Tewari³

et al. 2021

EJDENT

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Background: Aesthetics has become a major concern nowadays. Loss of interdental papilla in the anterior region of the oral cavity accounts for a major compromise in aesthetics. Thus, techniques to correct this defect has emerged as a new area of research in dentistry. The present study aims to compare reconstruction of the interdental papilla using subepithelial connective tissue graft (SCTG)and platelet rich fibrin (PRF). Material and Methods: The present randomised clinical trial included 36 patients equally divided into test (platelet rich fibrin) and control groups (subepithelial connective tissue graft). Papilla reconstruction was done and clinical parameters- contact point to interdental papilla distance (CPID), width of keratinized gingiva (WKG), plaque index (PI), gingival index (GI), papillary bleeding index (PBI), pocket depth (PPD) were recorded at baseline, 3 and 6 months. Healing index (HI) was recorded at 1, 2 and 3 weeks. Results: At the end of 6 months, it was found that interdental papillae fill in terms of decrease in distance from the contact point to the interdental papilla tip and gain in WKG was statistically significant in both the groups (p value ≤0.05). On intergroup comparison, however, it was found that the improvement in the abovementioned parameters was significantly greater in the control group (39.32%) as compared to the test group (14.79%). The difference in other clinical parameters at various time intervals were found to be nonsignificant.

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Section: Discussionmentioning

confidence: 99%

Comparative Clinical Evaluation of Platelet Rich Fibrin and Subepithelial Connective Tissue Graft in Interdental Papilla Reconstruction: A Randomized Controlled Clinical Trial

Goyal¹,

Tanwar²,

Tewari³

et al. 2021

EJDENT

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“…Als Folge der Auffächerung der Front treten durch den Verlust der Interdentalpapillen "Black Triangles" auf, die sowohl ein ästhetisches als auch funktionelles Problem darstellen [23]. Für den Erhalt der Papille ist unter anderem der Abstand des approximalen Kontaktpunktes zum Limbus alveolaris relevant [24]. Die Distanz sollte hierbei nicht mehr als 5 mm betragen [25].…”

Section: Korrektur Eines Flarings Im Frontzahnsegmentunclassified

Kieferorthopädische Therapie im parodontal kompromittierten Gebiss – Herausforderungen, interdisziplinäre Therapie und Grenzen

Zbidat

Kirschneck

2022

Informationen aus Orthodontie & Kieferorthopädie

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ZusammenfassungAktuelle Daten deuten auf eine Abnahme der Prävalenz der Parodontitis hin. Dennoch ist durch den demografischen Wandel mit einer Zunahme des parodontalen Behandlungsbedarfes in der Bevölkerung zu rechnen. Die kieferorthopädische Behandlung bei Erwachsenen wird somit immer häufiger vor neue Herausforderungen gestellt werden. Hierbei ist die korrekte Diagnose, Risikobewertung sowie eine auf die parodontalen Verhältnisse angepasste Therapieplanung maßgeblich für den Erfolg der Behandlung. Neben Kenntnissen der biomechanisch relevanten Veränderungen im parodontal kompromittierten Gebiss, ist eine intensive interdisziplinäre Zusammenarbeit zwischen Kieferorthopäden und Parodontologen essenziell. Der vorliegende Artikel gibt einen Überblick über die interdisziplinären Schnittpunkte sowie über die kieferorthopädisch relevanten Folgen einer Parodontitis, die im Zuge der Therapieplanung und -durchführung beachtet werden müssen. Ferner werden ein interdisziplinärer Behandlungspfad sowie verschiedene kieferorthopädische Maßnahmen vorgestellt, die im Rahmen der interdisziplinären Parodontitistherapie zur Wiederherstellung eines stabilen parodontalen Zustandes beitragen können.

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“…Penelitian oleh Carnio dan Carnio 13 menjelaskan bahwa penatalaksanaan kasus rekonstruksi papila pada bagian gigi anterior dilakukan dengan pendekatan interdisipliner (periodontik, ortodontik, dan restoratif). Bedah cangkok jaringan lunak dilakukan untuk merekonstruksi jaringan interproksimal dan memperbaiki resesi kelas IV.…”

Section: Bahasanunclassified

Penatalaksanaan Kasus Black Triangle pada Gingiva

Hisyam

Juliatri

Wicaksono

2022

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Black triangle could become a space for food retention, therefore, it affects gingival health, pronunciation, and appearance of a person, especially if it occurs between the anterior teeth. This condition can be caused by periodontal disease due to poor oral and dental hygiene, abnormal crown shape and morphology, root angulation due to improper bracket placement during orthodontic treatment and others. Black triangle cases are more common in adults than adolescents undergoing orthodontic treatment. This study aimed to determine the management of gingival black triangle cases. This was a literature review study using databases of Pubmed, ScienceDirect, and Google Scholar and the keyword was black triangle. The results obtained 10 articles relevant to the topic of discussion. There were eight articles about treatment of black triangle cases with a surgical approach and two articles using hyaluronic acid gel. However, the results of black triangle case treatment are still unpredictable, so, further studies are needed to obtain better treatments. To date, reconstruction of missing interdental papillae is still a challenge in modern aesthetic dentistry. In conclusion, the most common treatment for black triangle cases is surgical treatment and hyaluronic acid gel.Keywords: black triangle; gingiva Abstrak: Black triangle dapat menjadi tempat retensi makanan sehingga memengaruhi kesehatan gingiva, pengucapan, dan penampilan seseorang terutama bila terjadi antara gigi anterior. Kondisi ini antara lain disebabkan oleh penyakit periodontal akibat kebersihan gigi dan mulut yang buruk, bentuk mahkota dan morfologi gigi yang abnormal, angulasi akar karena penempatan braket yang tidak tepat selama perawatan ortodontik dan lain-lain. Kasus black triangle lebih sering terjadi pada dewasa dibanding remaja yang menjalani perawatan ortodontik. Penelitian ini bertujuan untuk mengetahui penatalaksanaan kasus black triangle pada gingiva. Jenis penelitian ialah suatu literature review dengan menggunakan database Pubmed, ScienceDirect, dan Google Scholar dengan kata kunci black triangle. Hasil penelitian mendapatkan 10 artikel yang relevan dengan topik bahasan. Dari 10 artikel, terdapat delapan artikel yang melakukan perawatan kasus black triangle dengan pendekatan bedah dan dua artikel menggunakan gel asam hialuronat. Hasil perawatan kasus black triangle tidak dapat diprediksi, sehingga penting dilakukan penelitian lebih lanjut untuk mendapat-kan hasil perawatan yang baik. Rekonstruksi hilangnya papila interdental merupakan tantangan dalam kedokteran gigi estetik modern. Simpulan penelitian ini ialah penatalaksanaan kasus black triangle pada gingiva yang paling umum dilakukan ialah pendekatan bedah dan penggunaan gel asam hialuronat. Kata kunci: black triangle; gingiva

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Papilla reconstruction: Interdisciplinary consideration for clinical success

Abstract: The treatment plan that involves interdisciplinary teamwork should be followed by an understanding about the principles of the specialties as well the intercommunication among specialists.

Cited by 14 publications

References 15 publications

Comparative Clinical Evaluation of Platelet Rich Fibrin and Subepithelial Connective Tissue Graft in Interdental Papilla Reconstruction: A Randomized Controlled Clinical Trial

Comparative Clinical Evaluation of Platelet Rich Fibrin and Subepithelial Connective Tissue Graft in Interdental Papilla Reconstruction: A Randomized Controlled Clinical Trial

Kieferorthopädische Therapie im parodontal kompromittierten Gebiss – Herausforderungen, interdisziplinäre Therapie und Grenzen

Penatalaksanaan Kasus Black Triangle pada Gingiva

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