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Journal articles on the topic 'Interdental papilla reconstruction'

Author: Grafiati

Published: 8 September 2021

Last updated: 1 February 2022

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1

Mutha, Rakesh, Pooja Mutha, and Nitin Dani. "Papillary Reconstruction: A Case Report." Journal of Periodontology & Implant Dentistry 7, no. 1 (October 8, 2018): 33–34. http://dx.doi.org/10.15171/jpid.2015.006.

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The loss of the papilla can lead to cosmetic deformities, phonetic problems and lateral food impaction. Several reasons contribute to the loss of interdental papillae and the establishment of "black triangles" between teeth. In 1996, Han and Takei proposed a novel approach based on the use of a semi-lunar incision placed in the alveolar mucosa of the interdental area. The present case report, utilizing their approach, showed that within limits papillary reconstruction is achievable.

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2

Shenoy B, Santhosh, Anahita Punj, Amitha Ramesh, and Avaneendra Talwar. "Salvaging the Lost Pink Triangle: A Case Series of Papilla Reconstruction." Case Reports in Dentistry 2020 (January 16, 2020): 1–7. http://dx.doi.org/10.1155/2020/9735074.

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Introduction. The interdental papilla may be lost or reduced in height, forming black triangles due to various reasons, which gives an unaesthetic appearance when the patient smiles. Various noninvasive and invasive techniques have been used to augment/reconstruct the interdental papilla, to reclaim the pink triangle. The most satisfactory and natural appearance can be obtained by augmenting or reconstructing the lost papilla as the pink esthetics is as important as the white esthetics. Cases. Two female patients and 1 male patient reported to the dental department with the complaint of a small black gap in the gum area between their upper front teeth since 6 months and 1 year, respectively. On examination, the interdental papillae in all three cases were classified as class 1 (Nordland and Tarnow’s). The interdental papilla was augmented surgically by using three different approaches in each case. Result and Conclusion. Postoperatively and after 1-month follow-up, there was a complete fill of the interdental area by the interdental papilla normal (Nordland and Tarnow’s). As a result, the black triangle was successfully converted into a natural pink triangle in all three cases.

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3

Alvarado Cordero, Jacinto José, María Cristina Luna Pesántez, and Eduardo Sebastián Cáceres Montalván. "Reconstrucción de la papila interdental con ácido hialurónico. Artículo de Revisión Corto." Revista Médica del Hospital José Carrasco Arteaga 12, no. 3 (November 30, 2020): 212–16. http://dx.doi.org/10.14410/2020.12.3.rb.31.

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One of the most frequent cosmetic dental problems is the presence of black triangles due to the loss of the interdental papilla. There are several surgical and non-surgical treatment options to correct this anomaly, among the most innovative and less invasive we found the use of an injectable gel of hyaluronic acid for the reconstruction of the interdental papilla. The objective of the study was to carry out a bibliographic compilation on the effectiveness of hyaluronic acid as a treatment for the reconstruction of the interdental papilla

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Sharanappa, Mahantesha, Kranti Konuganti, Apoorva Kumar, and Rima LNU. "Papilla Reconstruction: Reclaiming the Lost!" Journal of Health Sciences & Research 7, no. 1 (2016): 19–22. http://dx.doi.org/10.5005/jp-journals-10042-1028.

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ABSTRACT Increasing esthetic demands of the modern era has converted modern dentistry to pink and white esthetic dentistry. One of the most difficult goals in the regeneration of the soft tissues is the reconstruction of interdental papilla. A number of techniques have been tried, but the results still lack predictability. Nonsurgical techniques include repeated curettage of the interdental papilla, orthodontic and restorative correction, and hyaluronic acid application, while surgical techniques include pedicle and free gingival graft, connective tissue grafts, and subepithelial connective tissue graft. This article presents a report of two cases where a combination of platelet-rich fibrin (PRF) and pedicle graft was utilized to retain maximum vascularity and minimize scar tissue formation. The atraumatic management of the tissues with a pouch-like design avoids tension and pressure and is critical for the success of the procedure. Adequate fill of the interdental papilla was observed in both the cases and the results were stable up to 6 months. How to cite this article Sharanappa M, Konuganti K, Kumar A, Rima. Papilla Reconstruction: Reclaiming the Lost! J Health Sci Res 2016;7(1):19-22.

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Bhongade, Manohar, Priyanka Jaiswal, Ishan Tiwari, Ramesh Chavan, and Pankaj Banode. "Surgical Reconstruction of Interdental Papilla Using Subepithelial Connective Tissue Graft (SCTG) with a Coronally Advanced Flap: A Clinical Evaluation of Five Cases." Journal of Contemporary Dental Practice 11, no. 6 (2010): 49–57. http://dx.doi.org/10.5005/jcdp-11-6-49.

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Abstract Aim The aim of these case reports was to evaluate the effectiveness of a subepithelial connective tissue graft with a coronally advanced flap to reconstruct an interdental papilla. Background In the last decade, esthetics has become a major concern in periodontal therapy. One of the most difficult and elusive goals for the periodontist in the esthetic aspect of periodontal therapy is the reconstruction of the interdental papilla. Consequently, the absence or loss of the interdental papilla for a variety of reasons may create significant esthetic, functional, and phonetic challenges for the patient. Case Description Five systemically healthy patients between the ages of 23 and 52 years with absence of the periodontal pocket were selected. Loss of interdental papillary height was classified using the Nordland and Tarnow classification system as class 1 to 4. All five patients received a subepithelial connective tissue graft (SCTG) with a coronally advanced flap (CAF). Four parameters were measured at baseline and at six months post-surgery: (1) vertical distance from contact point to gingival margin, (2) soft tissue (papilla) height in the interdental area, (3) horizontal distance at the gingival margin, and (4) width of keratinized gingiva. The changes noted at six months post-surgery were (1) the vertical distance decreased from 3.2±0.44 mm to 0.4±0.54 mm, (2) the mean gain in soft tissue (papilla) height increased from 3.2±0.44 mm to 5.8±0.44 mm, (3) the horizontal distance at the gingival margin was reduced from 2.6±0.54 mm to 0.4±0.54 mm and the width of the keratinized gingiva increased 1.4±0.89 mm. Conclusion The periodontal surgical technique used for the five reported cases successfully reconstructed the interdental papilla in just one type of papilla loss, the class I situation. Therefore, it should not be concluded that the technique shown would be equally as successful for every type of papilla loss. Furthermore, the postoperative time interval was short, at only six months. Clinical Significance A subepithelial connective tissue graft supported by a coronally advanced flap should be considered to surgically correct the loss of an interdental papilla in class I cases. Citation Jaiswal P, Bhongade M, Tiwari I, Chavan R, Banode P. Surgical Reconstruction of Interdental Papilla Using Subepithelial Connective Tissue Graft (SCTG) with a Coronally Advanced Flap: A Clinical Evaluation of Five Cases. J Contemp Dent Pract [Internet]. 2010 December; 11(6):049-057. Available from: http://www.thejcdp. com/journal/view/volume11-issue6-jaiswal

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6

Abdelraouf, Sara Amr, Omnia Aboul Dahab, Ahmed Elbarbary, Amany Mohy El-Din, and Basma Mostafa Zaki. "Assessment of Hyaluronic Acid Gel Injection in the Reconstruction of Interdental Papilla: A Randomized Clinical Trial." Open Access Macedonian Journal of Medical Sciences 7, no. 11 (June 16, 2019): 1834–40. http://dx.doi.org/10.3889/oamjms.2019.478.

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BACKGROUND: Various techniques have been implemented to reconstruct the deficient interdental papilla.AIM: The present trial was conducted to assess the effect of injection of hyaluronic acid gel for the reconstruction of deficient interdental papilla.MATERIAL AND METHODS: Thirty-six deficient interdental papilla sites in ten patients were randomly allocated into two equal groups; intervention group who received the injection of hyaluronic acid (HA) gel and control group who received the injection of saline solution as a placebo. Each deficient papilla received three injections. The first injection was given one week following the re-evaluation period (four weeks after performing full mouth supra-gingival scaling and sub-gingival debridement). The second and third injections were given after three and six weeks, respectively. The height and surface area of black triangles were recorded at baseline before the injection procedures. The participants were recalled after three and six months from the first injection for re-measuring the recorded parameters. At 6 months, patients' satisfaction was also assessed.RESULTS: After three and six months from baseline, the results revealed a statistically significant higher mean decrease in height and surface area of black triangles in favour of the HA group. From three to six months, there was no statistically significant difference between the two groups in both parameters. At 6 months, the HA group showed a statistically significant higher mean satisfaction score than the saline group.CONCLUSION: The use of hyaluronic acid gel for the reconstruction of interdental papillary deficiency was effective with promising levels of patients' satisfaction.

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Dureja, Divya, Nitin Tomar, Vineeta Singal, and Amit Wadhawan. "Reconstruction of interdental papilla with platelet-rich fibrin membrane." Journal of Current Research in Scientific Medicine 2, no. 2 (2016): 112. http://dx.doi.org/10.4103/2455-3069.198369.

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Rao, SureshRanga, Santhanakrishnan Muthukumar, Pooja Ajit, and Shiyamali Sundararajan. "Reconstruction of interdental papilla using autogenous bone and connective tissue grafts." Journal of Indian Society of Periodontology 20, no. 4 (2016): 464. http://dx.doi.org/10.4103/0972-124x.193164.

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9

Shruthi, S., SheelaKumar Gujjari, and KiranPrakash Mallya. "Comparison of two surgical techniques for the reconstruction of interdental papilla." Journal of Interdisciplinary Dentistry 5, no. 1 (2015): 17. http://dx.doi.org/10.4103/2229-5194.162739.

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10

Waki, Tomonori. "Interdental Papilla Reconstruction with Prosthodontic Treatment of Maxillary Central Incisor: Case Report." Nihon Hotetsu Shika Gakkai Zasshi 50, no. 3 (2006): 441–44. http://dx.doi.org/10.2186/jjps.50.441.

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11

Corte Sánchez, Daniela, Beatriz Raquel Yáñez Ocampo, and César Augusto Esquivel Chirino. "Use of hyaluronic acid as an alternative for reconstruction of interdental papilla." Revista Odontológica Mexicana 21, no. 3 (July 2017): e199-e207. http://dx.doi.org/10.1016/j.rodmex.2017.09.017.

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12

Sharma, Ena, Anuj Sharma, and Kamaljit Singh. "The role of subepithelial connective tissue graft for reconstruction of interdental papilla: Clinical study." Singapore Dental Journal 38 (December 2017): 27–38. http://dx.doi.org/10.1016/j.sdj.2017.05.001.

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13

Kim, Tae-Heung, You-Kyoung Oh, Chang-Mo Jeong, Edward Chengchuan Ko, George K. Sándor, and Yong-Deok Kim. "Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment." Applied Sciences 10, no. 5 (March 2, 2020): 1678. http://dx.doi.org/10.3390/app10051678.

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The replacement of an unrestorable tooth with a single implant-supported prosthesis is a treatment with predictable and successful outcomes. The anterior maxilla region is a complicated site for such treatment, due to its esthetic, functional, and physiological sensitivity. The purpose of this study was to evaluate the changes in the soft tissue following an immediate implant procedure using guided surgery in combination with a computer-aided design and computer-aided manufacturing (CAD/CAM) customized titanium anatomic abutment in the esthetic zone. A total of 13 patients who had been treated with an immediate post-extraction implant placement and an immediate provisional restoration were included in the study. The changes in the soft tissue dimension, interdental papilla, and esthetic score were evaluated with a follow-up of at least one year. There was no significant change in the midfacial mucosal status when compared to the pre-treatment situation. The recession of the mesial papillary height was 0.32 mm and the distal papillary height was 0.10 mm. The mean horizontal change in the labial mucosa was 0.32 ± 0.83 mm. There was no significant difference between the mesial papilla index and the distal papilla index. The pink esthetic score value prior to treatment was 11.16, and at one-year follow-up, 10.25. Within the limitations of this study, the immediate post-extraction implant placement procedure with a stereolithographic guide and a provisionalization with a CAD/CAM customized titanium anatomic abutment may be a treatment option with predictable outcomes for the replacement of teeth in the esthetic zone.

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Lee, Won-Pyo, Yo-Seob Seo, Hee-Jung Kim, Sang-Joun Yu, and Byung-Ock Kim. "The association between radiographic embrasure morphology and interdental papilla reconstruction using injectable hyaluronic acid gel." Journal of Periodontal & Implant Science 46, no. 4 (2016): 277. http://dx.doi.org/10.5051/jpis.2016.46.4.277.

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15

Al Habashneh, Rola, and Bassam Khaleel. "Interdental papilla reconstruction using injectable hyaluronic acid (HYADENT BG) - a six month prospective clinical study." Clinical Oral Implants Research 29 (October 2018): 271. http://dx.doi.org/10.1111/clr.156_13358.

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16

Carnio, J. "Surgical reconstruction of interdental papilla using an interposed subepithelial connective tissue graft: a case report." Journal of Prosthetic Dentistry 92, no. 3 (September 2004): 282. http://dx.doi.org/10.1016/j.prosdent.2004.06.011.

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17

Feuillet, Damien, Jean-François Keller, and Kevimy Agossa. "Interproximal Tunneling with a Customized Connective Tissue Graft: A Microsurgical Technique for Interdental Papilla Reconstruction." International Journal of Periodontics & Restorative Dentistry 38, no. 6 (November 2018): 833–39. http://dx.doi.org/10.11607/prd.3549.

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18

Bains, VivekKumar, Dhanavendra Singh, Rajesh Jhingran, Rohit Madan, and Ruchi Srivastava. "Efficacy of platelet-rich fibrin in interdental papilla reconstruction as compared to connective tissue using microsurgical approach." Contemporary Clinical Dentistry 10, no. 4 (2019): 643. http://dx.doi.org/10.4103/ccd.ccd_936_18.

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Lee, Won-Pyo, Hee-Jung Kim, Sang-Joun Yu, and Byung-Ock Kim. "Six Month Clinical Evaluation of Interdental Papilla Reconstruction with Injectable Hyaluronic Acid Gel Using an Image Analysis System." Journal of Esthetic and Restorative Dentistry 28, no. 4 (May 9, 2016): 221–30. http://dx.doi.org/10.1111/jerd.12216.

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20

Naorungroj, Supawadee. "Esthetic Reconstruction of Diastema with Adhesive Tooth-Colored Restorations and Hyaluronic Acid Fillers." Case Reports in Dentistry 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/5670582.

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Objective. This report presents a comprehensive esthetic treatment with adhesive tooth-colored restorations in a combination with hyaluronic acid (HA) fillers of diastema in an orthodontic patient with relapse.Case Report. A 36-year-old female patient consulted about 1.5–2 mm midline diastema after an orthodontic relapse of replacing missing central incisors with lateral incisors and dark-colored gingival tissue as a result of a metal post and core with porcelain fused to a metal (PFM) crown at the left lateral incisor. Restorative treatments included replacing the PFM with all-ceramic material and placing a ceramic veneer on the right lateral incisor. To close the space, crown forms of both lateral incisors were altered. A direct resin composite was then used to reform right and left canines to a more ideal lateral incisor shape. An HA fillers injection was used to fill the remaining open gingival embrasure. Eighteen months after treatment, the interdental papilla remained stable and the patient was satisfied with the result.Conclusion. Esthetic reconstruction of diastema and open gingival embrasure in this case can be accomplished without orthodontic retreatment. Tooth-colored restorations and HA filler injection appear as a promising modality to address this patient’s esthetic concern.

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Kim, Soo-Bin, Jaehun Cho, Seong-Suk Jue, Jae Hyun Park, and Ji Youn Kim. "Effect of Hyaluronic Acid Filler Injection on the Interdental Papilla in a Mouse Model of Open Gingival Embrasure." International Journal of Environmental Research and Public Health 17, no. 14 (July 9, 2020): 4956. http://dx.doi.org/10.3390/ijerph17144956.

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The black triangle resulting from interdental papilla (IDP) loss is associated with poor aesthetics and difficulty in pronunciation and food impaction. There is limited knowledge of gingival tissue inflammatory response to hyaluronic acid (HA) filler injection, a minimally invasive IDP reconstruction method. This study aimed to examine the morphological and histological changes in IDP and the inflammatory cytokine localization to the IDP post-HA filler injection using an open gingival embrasure (OGE) mouse model. Mice from the control, sham, and OGE groups were attached with reference, inactive, and activated wires for 5 days, respectively. The degree of IDP loss was determined based on the spring-papilla distance (SPD). Morphological and histological changes in the OGE group injected with phosphate-buffered saline (PBS) or HA fillers were examined on days 2 and 7 post-injection. Immunohistochemical analysis was performed to determine the localization patterns of tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6, myeloperoxidase (MPO), and Ki67. Five days post-wire attachment, the control and OGE groups exhibited a significantly higher SPD than the sham group (p < 0.0167). The SPD of the HA filler injection group was significantly lower than that of the PBS injection group on days 2, 4, and 7 post-injection (p < 0.05). The IDP of the OGE group was wide and flat. HA filler was stable in the connective tissue underlying the epithelial tissue even on day 7 post-injection. TNF-α, IL-1β, IL-6, MPO, and Ki67 were highly localized to the connective tissue surrounding the filler on day 2, which decreased on day 7 post-injection. Thus, HA filler can safely and successfully reconstruct the IDP in cases of OGE.

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Jahan, Shabnam, Himani sharma, and Mayur Kaushik. "RECONSTRUCTION OF INTERDENTAL PAPILLA USING TWO SURGICAL TECHNIQUES FOR ELIMINATING ?BLACK TRIANGLES? ? A CASE REPORT WITH ONE YEAR FOLLOW-UP." International Journal of Advanced Research 6, no. 12 (November 30, 2018): 495–500. http://dx.doi.org/10.21474/ijar01/8164.

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23

&NA;. "Interdental Papillae Reconstruction in Glossopelvectomy Defects." Journal of Craniofacial Surgery 26, no. 3 (May 2015): 951–52. http://dx.doi.org/10.1097/scs.0000000000001422.

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24

Ben-Yehouda, Amos. "Reconstruction of anterior papillae by interdental connective tissue grafts: A clinical report." Journal of Prosthetic Dentistry 77, no. 2 (February 1997): 111–13. http://dx.doi.org/10.1016/s0022-3913(97)70221-x.

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Khetagurov, S. K., E. V. Basieva, and A. O. Gatsalova. "THE EFFICACY OF HYALURONIC ACID FOR THE RECONSTRUCTION OF THE INTERDENTAL GINGIVAL PAPILLAE." Journal of scientific articles "Health and Education millennium" 19, no. 2 (February 28, 2017): 15–16. http://dx.doi.org/10.26787/nydha-2226-7425-2017-19-2-15-16.

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Sawai, MadhuriLokhande, and RM Kohad. "An evaluation of a periodontal plastic surgical procedure for the reconstruction of interdental papillae in maxillary anterior region: A clinical study." Journal of Indian Society of Periodontology 16, no. 4 (2012): 533. http://dx.doi.org/10.4103/0972-124x.106897.

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Sharma, Preeti, Shubhra Vaish, Nikhil Sharma, Vidya Sekhar, Maydina Achom, and Farheen Khan. "Comparative evaluation of efficacy of subepithelial connective tissue graft versus platelet-rich fibrin membrane in surgical reconstruction of interdental papillae using Han and Takie technique: A randomized controlled clinical trial." Journal of Indian Society of Periodontology 24, no. 6 (2020): 547. http://dx.doi.org/10.4103/jisp.jisp_125_20.

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Chandramohan, Nikhila, and Swetha A. "“EVALUATION OF I-PRF INJECTION TECHNIQUE AS AN ALTERNATIVE FOR RECONSTRUCTION OF INTERDENTAL PAPILLAE - A PILOT STUDY." INDIAN JOURNAL OF APPLIED RESEARCH, July 1, 2021, 50–53. http://dx.doi.org/10.36106/ijar/9514273.

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One of the most challenging and least predictable procedures in periodontal plastic surgery is the reconstruction of the lost interdental papilla. Preserving the integrity of the papillae is of utmost importance. Different variations of surgical procedures using connective tissue grafts have proved to be successful. Being less invasive in nature, non-surgical techniques such as hyaluronic acid injections have turned out to be a boon in this regard. Platelet concentrates like PRF & PRP have shown promising results when used in surgical reconstruction of the lost papilla. One of the recent advancements in PRF formulations is the injectable PRF which is a liquid concentrate encompassing higher leuckocyte numbers, which resulted in higher total growth factor release, requiring slower and shorter centrifugation speeds for preparation. i-PRF was shown to be a potent inducer of cell proliferation, migration and angiogenesis, inducer of higher broblast migration and expression of PDGF, TGF-β, and collagen,thereby playing a vital role in tissue regeneration. With the current understanding, this study was designed to investigate the efciency of iPRF in achieving interdental papillary enhancement. We have noted that mutilple doses of this autologous formulation prove to be a non-invasive alternative for the treatment of minimal interdental papilla loss; primarily Norland & Tarnow's Class I and to an extent Class II interdental papilla loss. Further validations of this technique are required

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Trivedi, Ashima, Rohit Mishra, K. T. Chandrashekar, Anushree Choudhary, Chirag S. Jaiswal, and Garima Tiwari. "COMPARATIVE EVALUATION OF INJECTABLE-PLATELET RICH FIBRIN AND HYALURONIC ACID INJECTIONS IN THE TREATMENT OF GINGIVAL BLACK TRIANGLES." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, May 1, 2021, 64–68. http://dx.doi.org/10.36106/ijsr/3417009.

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Introduction : Gingival black triangles are cosmetic deformities which occur due to loss or absence of interdental papilla, so reconstruction of interdental papilla have always been a challenging task in esthetic dentistry. This study aims to compare injectable platelet rich brin and hyaluronic acid injections in the treatment of gingival black triangles. Material and Methods : 40 sites were divided into two groups ; Group A and Group B. In Group A, Injectable platelet rich brin was deposited whereas in Group B hyaluronic acid injections were deposited. All the sites were examined for gingival index, plaque index, Papillae presence index and Black triangle area at baseline, 1 month and 3 months follow up. Results : On statistical analysis of the recorded data, results revealed statistical signicant difference in both the groups in Papillae presence index and Black triangle area from baseline to 1 month and 3 months follow up. Conclusion : Injectable Platelet rich brin can be a viable alternative to hyaluronic acid injections in the treatment of gingival black triangles.

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"PRF and Connective Tissue Graft in Interdental Papilla Reconstruction." Case Medical Research, April 2, 2019. http://dx.doi.org/10.31525/ct1-nct03899051.

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Alhabashneh, Rola, Sawsan Alomari, Bassam Khaleel, Haytham Qinawi, and Majdi Alzaubi. "Interdental papilla reconstruction using injectable hyaluronic acid: A 6 month prospective longitudinal clinical study." Journal of Esthetic and Restorative Dentistry, November 10, 2020. http://dx.doi.org/10.1111/jerd.12680.

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32

Singh, Harjeet, and Mandlik VB. "Surgical Reconstruction of Interdental Papilla using Subepithelial Connective Tissue Graft by Microsurgical Technique: A Clinical Study." JBR Journal of Interdisciplinary Medicine and Dental Science 06, no. 02 (2018). http://dx.doi.org/10.4172/2376-032x.1000229.

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"PC103: Interproximal tunneling with customized connective tissue graft: a micro-surgical technique for interdental papilla reconstruction." Journal of Clinical Periodontology 45 (June 2018): 398. http://dx.doi.org/10.1111/jcpe.102_12916.

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"PC212: Minimally invasive treatment for reconstruction of lost interdental papilla using an injectable cross-linked hyaluronic acid." Journal of Clinical Periodontology 45 (June 2018): 432. http://dx.doi.org/10.1111/jcpe.211_12916.

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"PC149: Surgical reconstruction of interdental papilla using platelet rich fibrin: a case report with 6-months follow-up." Journal of Clinical Periodontology 45 (June 2018): 412. http://dx.doi.org/10.1111/jcpe.148_12916.

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Sharma, Ena, Amit Lakhani, Rasveen Kaur, and Ravneet Kaur. "Treatment Modalities for Multiple Gingival Recession– A New Prospects." Journal of Pharmaceutical Research International, March 2, 2021, 65–83. http://dx.doi.org/10.9734/jpri/2021/v33i631190.

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This case series reports the various treatment modalities to treat the multiple recessions. Gingival recession is a widespread clinical manifestation affecting single or multiple root surfaces at all teeth types. Periodontal reconstructive surgery consists of various mucogingival procedures. The primary goal of these procedures is to benefit periodontal health through the reconstruction of lost hard and soft tissues, or by preventing its additional loss, and also enhancing the esthetic appearance. Platelet-rich fibrin is a second generation platelet concentrate and is defined as an autologous leukocyte and platelet-rich fibrin biomaterial. Care was taken not to extend the incisions till the tip of the interdental papilla. A full thickness mucoperiosteal flap was reflected, extending beyond the mucogingival junction. A wide range of surgical techniques has been proposed for the treatment of the gingival recessions, each with its advantages and disadvantages. To provide predictable and long-term results, it is of paramount importance that the surgical technique is individually selected, taking into account several crucial factors such as the size of the defect, the width of the keratinised gingiva apical to the defect and the thickness of the flap.

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"Effect of Monolayer Versus Multilayer Leucocyte-Platelet Rich Fibrin (L-PRF) in Interdental Papillary Reconstruction." Case Medical Research, September 17, 2019. http://dx.doi.org/10.31525/ct1-nct04091802.

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"Tunnel Technique for Anterior Interdental Papillary Reconstruction with Amniotic Membrane and PRF Membrane: A case report." Indian Journal of Forensic Medicine & Toxicology, October 7, 2020. http://dx.doi.org/10.37506/ijfmt.v14i4.12918.

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