Prediction of the Interdental Papilla Presence between the Upper Central Incisors Based on the Distance from the Contact Point to the Crest of Bone and Interdental Distance

Belák, Šimon; Starosta, Martin; Zapletalová, Jana

doi:10.51479/cspzl.2017.011

Cited by 2 publications

(2 citation statements)

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“…Preservation of the interdental papilla is an essential part of the functional and esthetic rehabilitation of dental treatment. It has been described that the morphology of the interdental papilla is strongly related to bone volume in the interproximal space [4][5][6][7][8][9]. In addition to recession of the interdental papilla related to periodontal disease, recession can also occur in a healthy periodontium due to anatomical and physiological predispositions [1].…”

Section: Discussionmentioning

confidence: 99%

“…Tarnow et al observed that critical distance from the contact point/area to the alveolar bone crest was 5 mm [4]. Other investigations also revealed a signi cant correlation between an increasing interdental distance and papilla recession [5][6][7][8][9]. Soft tissue thickness in relation to the interdental papilla has been investigated in very few studies.…”

Section: Introductionmentioning

confidence: 99%

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The Influence of Gingival Phenotype on the Morphology of the Maxillary Central Papilla

Belák

Žižka

Starosta

et al. 2020

Preprint

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BackgroundPreservation of the interdental papilla is an essential part of the functional and esthetic rehabilitation of dental treatment. It has been described that thicker gingival tissues are more resistant to recession. The main objective of this investigation was to analyze whether a thin gingival phenotype represents a potential risk factor affecting interdental papilla fill, height, or width in an esthetic region between maxillary central incisors. The secondary goals were: 1) to analyze parameters describing the papilla – fill, height, width, and effect of papilla base width on the vertical papillary dimension; 2) to determine correlation between different non-invasive measurements of gingival thickness; 3) to compare both sexes.MethodsA total of 54 periodontally healthy students (20–30 years old) were included in the study. Gingival thickness was measured using Pirop Ultrasonic Biometer. Gingival phenotype was also assessed by gingival probe transparency. Papilla height and width were measured, and the degree of papilla recession was classified.ResultsNo significant relationship between papilla fill, height, width and gingival probe transparency or gingival thickness was found. Gingival thickness and gingival probe transparency showed a significant relationship (P < 0.001). There was a significant relationship between papilla height and papilla fill (P = 0.028). A papilla which filled the interdental space completely seemed to be shorter. A strong positive correlation between papilla height and papilla width was found (P <0.0001). The papilla between maxillary central incisors was significantly higher in males (P = 0.01).ConclusionThe appearance of the interdental papilla may be influenced by various factors. Within the limitations of this study, the results showed that the thin gingival phenotype alone is no potential risk factor affecting interdental papilla fill, height, or width. It seems that there may be some effect of papilla base width on its vertical dimension. Gingival probe transparency is a simple reliable method of assessment of gingival thickness with a threshold value of 1-mm gingival thickness between the thick and thin phenotypes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Influence of Gingival Phenotype on the Morphology of the Maxillary Central Papilla

Belák

Žižka

Starosta

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

The influence of gingival phenotype on the morphology of the maxillary central papilla

et al. 2021

View full text Add to dashboard Cite

Background Preservation of the interdental papilla is an essential part of the functional and esthetic rehabilitation of dental treatment. It has been described that thicker gingival tissues are more resistant to recession. The main objective of this investigation was to analyze whether a thin gingival phenotype represents a potential risk indicator affecting interdental papilla fill, height, or width in an esthetic region between maxillary central incisors. The secondary goals were: (1) to analyze parameters describing the papilla—fill, height, width, and effect of papilla base width on the vertical papillary dimension; (2) to determine correlation between different non-invasive measurements of gingival thickness; (3) to compare both sexes. Methods A total of 54 periodontally healthy students (20–30 years old) were included in the study. Gingival thickness was measured using Pirop Ultrasonic Biometer. Gingival phenotype was also assessed by gingival probe transparency. Papilla height and width were measured, and the degree of papilla recession was classified. Results No significant relationship between papilla fill, height, width and gingival probe transparency or gingival thickness was found. Gingival thickness and gingival probe transparency showed a significant relationship (P < 0.001). There was a significant relationship between papilla height and papilla fill (P = 0.028). A papilla which filled the interdental space completely seemed to be shorter. A strong positive correlation between papilla height and papilla width was found (P < 0.0001). The papilla between maxillary central incisors was significantly higher in males (P = 0.01). Conclusion The appearance of the interdental papilla may be influenced by various factors. Within the limitations of this study, the results showed that the thin gingival phenotype alone is no potential risk indicator affecting interdental papilla fill, height, or width. It seems that there may be some effect of papilla base width on its vertical dimension. Gingival probe transparency is a simple reliable method of assessment of gingival thickness with a threshold value of 1-mm gingival thickness between the thick and thin phenotypes.

show abstract

Prediction of the Interdental Papilla Presence between the Upper Central Incisors Based on the Distance from the Contact Point to the Crest of Bone and Interdental Distance

Cited by 2 publications

References 16 publications

The Influence of Gingival Phenotype on the Morphology of the Maxillary Central Papilla

The Influence of Gingival Phenotype on the Morphology of the Maxillary Central Papilla

The influence of gingival phenotype on the morphology of the maxillary central papilla

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