#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

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
(Original Article – Clinical Study)


Authors: Š. Belák 1;  M. Starosta 1;  J. Zapletalová 2
Authors‘ workplace: Klinika zubního lékařství, oddělení parodonologie LF UP a FN, Olomouc 1;  Ústav lékařské biofyziky LF UP, Olomouc 2
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 117, 2017, 3, s. 68-73
Category: Original Article – Clinical Study

Overview

Background:
The appearance of interdental papillae plays an important role in the final aesthetic outcome, especially in exposed region as is interdental papilla between central upper incisors. The aim of this study, is to determine factors associated with bone morphology, which can influence the appearance of this papilla.

Materials and methods:
50 subjects in the range of 20–30 years of age with healthy periodontal tissues were examined. Presence of interdental papilla between central maxillary incisors was determined using classification proposed by Nordland and Tarnow. Intraoral radiographs were utilized to measure distance from contact point to the crest of bone and interdental distance at the level of cementoenamel junction using a computer programme.

Results:
Statistically significant correlation between papilla presence and distance from the contact point to the crest of bone (p < 0,0001) was found. Also significant relationship between papilla presence and interdental distance (p < 0,0001) was found. The value of prediction of papilla presence for both factors was inferred from data analysis.

Conclusion:
Presence of interdental papilla is influenced by various factors, including distance from contact point to the crest of bone and interdental distance. Modification of these distances can influence the final aesthetic outcome.

Keywords:
interdental papilla – aesthetic – black triangle


Sources

1. Cohen, B.: Morphological factors in the pathogenesis of periodontal disease. Br. Dent. J., roč. 107, 1959, s. 31–39.

2. Cohen, B.: A study of the periodontal epithelium. Br. Dent. J., roč. 112, 1962, s. 55–64.

3. Chang, L. C.: Assessment of parameters affecting the presence of the central papilla using a non-invasive radiographic method. J. Periodontol., roč. 79, 2008, č. 4, s. 603–609.

4. Chang, L. C.: The association between embrasure morphology and central papilla recession. J. Clin. Periodontol., roč. 34, 2007, č. 5, s. 432–436.

5. Chen, M. C., et al.: Factors influencing the presence of inter proximal dental papillae between maxillary anterior teeth. J. Periodontol., roč. 81, 2010, č. 2, s. 318–324.

6. Cho, H. S., Jang, H. S., Kim, D. K., Park, J. C., Kim, H. J., Choi, H. S., et al.: The effects of interproximal distance between roots on the existence of interdental papillae according to the distance from the contact point to the alveolar crest. J. Periodontol., roč. 77, 2006, č. 10, s. 1651–1657.

7. Chow, Y. C., Eber, R. M., Tsao, Y. P., Shotwell, J. L., Wang, H. L.: Factors associated with the appearance of gingival papillae. J. Clin. Periodontol., roč. 37, 2010, s. 719–727.

8. Kim, J. H., Cho, Y. J., Lee, J. Y., Kim, S. J., Choi, J. I.: An analysis on the factors responsible for relative position of interproximal papilla in healthy subjects. J. Periodontal Implant. Sci., roč. 43, 2013, s. 160–167.

9. Kolte, A. P., Kolte, R. A., Mishra, P. R.: Dimensional influence of interproximal areas on existence of interdental papillae. J. Periodontol., roč. 85, 2014, č. 6, s. 795–801.

10. Martegani, P., Silvestri, M., Mascarello, F., et al.: Morphometric study of the interproximal unit in the esthetic region to correlate anatomic variables affecting the aspect of soft tissue embrasure space. J. Periodontol., roč. 78, 2007, č. 12, s. 2260–2265.

11. Montevecchi, M., Checchi, V., Piana, L., Checchi, L.: Variables affecting the gingival embrasure space in aesthetically important regions: differences between central and lateral papillae. Open Dent. J., roč. 5, 2011, s. 126–135.

12. Nordland, W. P., Tarnow, D. P.: A classification system for loss of papillary height. J. Periodontol., roč. 69, 1998, s. 1124–1126.

13. Olsson, M., Lindhe, J.: Periodontal characteristics in individuals with varying form of the upper central incisors. J. Clin. Periodontol., roč. 18, 1991, s. 78–82.

14. Perez, F., et al.: Clinical and radiographic evaluation of factors influencing the presence or absence of interproximal gingival papillae. Int. J. Periodont. Restor. Dent., roč. 32, 2012, č. 2, s. 68–74.

15. Prato, G. P., Rotundo, R., Cortellini, P., Tinti, C., Azzi, R.: Interdental papilla management: a review and classification of the therapeutic approaches. Int. J. Periodont. Restor. Dent., roč. 24, 2004, s. 246–255.

16. Saxena, D., Kapoor, A., Malhotra, R., Grover, V.: Embrasure morphology and central papilla recession. J. Indian Soc. Periodontol., roč. 18, 2014, č. 2, s. 194–199.

17. Sharma, A. A., Park, J. H.: Esthetic considerations in interdental papilla: remediation and regeneration. J. Esthetic Restor. Dent., roč. 22, 2010, s. 18–28.

18. Singh, V. P., et al.: Black triangle dilemma and its management in esthetic dentistry. Dent. Res. J., roč. 10, 2013, č. 3, 296–301.

19. Tanwar, N., et al.: Factors affecting height of interdental papilla. J. Clin. Diagnostic Res., roč. 10, 2016, č. 4, s. 53–56.

20. Tarnow, D. P., Magner, A. W., Fletcher, P.: The effect of the distance from the contact point to the crest of the bone on the presence or absence of the interproximal dental papilla. J. Periodontol., roč. 63, 1992, s. 995–996.

21. Touzi, S., et al.: Analysis of the factors influencing the interdental papilla integrity: literature review. Int. J. Health Sci. Res., roč. 5, 2015, č. 12, s. 395–399.

22. Vecek, J. S., Gher, M. E., Assad, D. A., Richardson, A. C., Giambarresi, L. I.: The dimension of human dentogingival junction. Int. J. Periodont. Restor.Dent., roč. 14, 1994, s. 155–165.

23. Zetu, L., Wang, H. L.: Management of inter-dental/inter-implant papilla. J. Clin. Periodontol., roč. 32, 2005, č. 7, s. 831–839.

Labels
Maxillofacial surgery Orthodontics Dental medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#