Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 7 Issue 4

Reconstruction of Interdental Papillae using Composite Resin Restoration and Modified Coronally Advanced Flap Technique with Sub-Epithelial Connective Tissue Graft- A Case Report with 1- Year Follow-Up

Liberia Libertina Dsouza1, Sandeep Anant Lawande2*, Kathleen Manuela Dsouza3 and James Samuel4

1Former Postgraduate Student, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India
2Professor, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India
3Lecturer, Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India
4Professor and Head, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India

*Corresponding Author: Sandeep Anant Lawande, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India

Received: February 27, 2023; Published: March 18, 2023

Abstract

Interdental papillae form part of the gingiva that occupy the cervical embrasures of the interdental papillary house. Absence or loss of interdental papillae gives rise to cosmetic defects known as “gingival black triangles” that complicate phonetics, lead to plaque accumulation, lateral food impaction, dental hypersensitivity and root caries. Although numerous non-surgical and surgical techniques have been attempted, reconstruction of interdental papilla remains daunting task in aesthetic procedures.
In this case report, class I defect was corrected by composite resin restoration. Whereas, the class II defect, treated using composite resin restoration and periodontal plastic surgical technique demonstrated an adequate gain in the papillary height and volume, increased keratinisation and complete recession coverage of the affected teeth at 1 year follow-up. However, increased contact point to the bone crest distance and large surface area to be reconstructed resulted in near complete fill of class II defect. Hence, this interdisciplinary approach satisfied the patient’s aesthetic requirement.

Keywords: Gingival Black Triangles; Sub-Epithelial Connective Tissue Graft; Papilla Reconstruction; Interdental Papilla; Periodontal Plastic Surgery; Composite Resin

References

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  2. Tarnow DP., et al. “The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla”. Journal of Periodontology 63 (1992): 995-996.
  3. Prato GP., et al. “Interdental papilla management: a review and classification of the therapeutic approaches”. International Journal of Periodontics and Restorative Dentistry 24 (2004): 246‑255.
  4. Nordland WP., et al. “A classification system for loss of papillary height”. Journal of Periodontology 69 (1998): 1124-1126.
  5. Cunliffe J., et al. “A literature review of the treatment of black triangles”. Journal of Dental and Maxillofacial Research 2 (2019): 1-5.
  6. Zucchelli G., et al. “Treatment of multiple recession-type defects in patients with esthetic demands”. Journal of Periodontology 71 (2000): 1506-1514. 
  7. Liu CL., et al. “Connective tissue graft: a classification for incision design from the palatal site and clinical case reports”. International Journal of Periodontics and Restorative Dentistry 22 (2002): 373-379.
  8. Nemcovsky CE. “Interproximal papilla augmentation procedure: A novel surgical approach and clinical evaluation of 10 consecutive procedures”. International Journal of Periodontics and Restorative Dentistry 21 (2001): 553-559.
  9. Muthukumar S., et al. “Reconstruction of interdental papilla using autogenous bone and connective tissue grafts”. Journal of Indian Society of Periodontology 20 (2016): 464‑467.
  10. Carnio J., et al. “Papilla reconstruction: interdisciplinary consideration for clinical success”. Journal of Esthetic and Restorative Dentistry (2018): 1-8.

Citation

Citation: Sandeep Anant Lawande.,et al. “Reconstruction of Interdental Papillae using Composite Resin Restoration and Modified Coronally Advanced Flap Technique with Sub-Epithelial Connective Tissue Graft- A Case Report with 1- Year Follow-Up".Acta Scientific Dental Sciences 7.4 (2023): 54-57.

Copyright

Copyright: © 2023 Sandeep Anant Lawande., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

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