The association between radiographic embrasure morphology and interdental papilla reconstruction using injectable hyaluronic acid gel

Lee, Won-Pyo; Seo, Yo Seob; Kim, Hee Jung; Yu, Sang Joun; Kim, Byung Ock

doi:10.5051/jpis.2016.46.4.277

Cited by 26 publications

(53 citation statements)

References 15 publications

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“…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. These results contrast to 2 recent studies from Lee et al 38,39 using photographic methodology of more effective measurements, using up to 5 applications of commercial hyaluronic acid gel in 3-week intervals in 43 sites where 67% of the black spaces of the sites were 100% filled. The remaining sites had an average filling of 87%.…”

Section: Discussioncontrasting

confidence: 72%

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: Discussioncontrasting

confidence: 72%

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

2020

IJPI

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“…55,57,62 More studies are needed to confirm the possible use of filler materials to increase papilla height and volume in less demanding situations because there are conflicting results of its real potential. 59,61 Greater defects may be treated by using gingivashade ceramics, but this rehabilitation is not free of esthetic risk because different factors may influence the outcomes, especially in patients with a high smile line and defects restricted to one anterior tooth, which shows the transition between the restoration and the mucosa. 84…”

Section: Discussionmentioning

confidence: 99%

“…Papilla loss was also treated by using nonsurgical methods, such as repeated curettage, injections with micron ized acellular dermal g rafts or hyaluronic acid, and restorative or orthodontic procedures. 54,55,56,57,58,59 Several factors influence the treatment of papilla loss with filler materials, such as hyaluronic acid, and the clinical results obtained from human studies presented more promising results in areas between teeth 59,60 than implants. 61 Restorative or orthodontic procedures may be performed to condition the soft tissue and create interproximal papilla around implants.…”

Section: Papilla Lossmentioning

confidence: 99%

Treatment of peri-implant soft tissue defects: a narrative review

et al. 2019

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Soft tissue defects around dental implants, such as papilla or volume loss, peri-implant recession and alterations of the ridge color and/or texture, lead to esthetic and functional complaints. Treatments of these defects in implants are more demanding than in teeth because peri-implant tissue exhibits different anatomical and histological characteristics. This narrative review discusses the proposed treatments for soft tissue defects around implants in the current literature. Several clinical and pre-clinical studies addressed methods to augment the quantity of the peri-implant keratinized mucosa. Autogenous grafts performed better than soft tissue substitutes in the treatment of soft tissue defects, but there is no clinical consensus on the more appropriate donor area for connective tissue grafts. Treatment for facial volume loss, alterations on the mucosa color or texture and shallow peri-implant recessions are more predictable than deep recessions and sites that present loss of papilla. Correction of peri-implant soft tissue defects may be challenging, especially in areas that exhibit larger defects and interproximal loss. Therefore, the regeneration of soft and hard tissues during implant treatment is important to prevent the occurrence of these alterations.

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“…The technique was first described by Becker et al ( 10 ) in a pilot study treating 14 sites in 11 patients. Several other reports followed that work ( 11 - 14 ). Those studies reported variable outcomes with differing success rates, which are difficult to compare due to the lack of appropriate control sites and the different number of treatment sessions per individual.…”

Section: Introductionmentioning

confidence: 87%

Comparative Evaluation of Two Hyaluronic Acid Gel Products for the Treatment of Interdental Papillary Defects

Mandel

Farkasdi

Varga

et al. 2020

Acta Stomatol Croat

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Objectives The aim was to investigate the efficacy of single injections of two different hyaluronic acid products, Flex Barrier and Revident, in reducing the size of black triangles to treat Nordland-Tarnow Class I and II recessions. Materials and Methods Forty adult patients were recruited with at least two upper and two lower interdental papilla defects in the front region between canine teeth. According to the Nordland-Tarnow classification of papillary defects, both Class I and Class II recessions were included in the investigation. Patients were randomly assigned to experimental groups to receive single injections of two different hyaluronic acid products, either Flex Barrier or Revident. The untreated sites served as controls. Photographs were taken before and immediately after the treatment, and again after one week and one month. To determine the size of the black triangles, Image J software was used. For statistical analysis, a mixed-design ANOVA was applied. Results Both Flex Barrier and Revident significantly decreased the size of the treated defects immediately after the treatment and also one week later (p<0.001). The beneficial effect of Revident lasted longer than Flex Barrier as it remained significant even after one month in Revident-treated patients, however, not in the Flex Barrier-treated group. Furthermore, Nordland-Tarnow Class I lesions generally showed a greater improvement than Class II lesions. Conclusion In this proof-of-concept, randomized clinical trial we have demonstrated the clinical applicability of both Flex Barrier and Revident, although Revident gave longer-lasting improvements than Flex Barrier. Further trials are needed to optimize multiple-application protocols for treating gingival black triangles.

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The association between radiographic embrasure morphology and interdental papilla reconstruction using injectable hyaluronic acid gel

Cited by 26 publications

References 15 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

Treatment of peri-implant soft tissue defects: a narrative review

Comparative Evaluation of Two Hyaluronic Acid Gel Products for the Treatment of Interdental Papillary Defects

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