Relationship Between Contact Point to Attachment Level and Presence of Interdental Papilla

Postgraduate Institute of Dental Sciences Rohtak

Status: Enrolling

Conditions: Attachment Loss, Periodontal

Treatments: Other: Distance from contact point to attachment level

Study type: Observational

Funder types: Other

Identifiers

NCT06184607

Sakshi Perio

Details and patient eligibility

About

Thorough search of literature revealed no study has correlated the presence/absence of papilla to the contact point to attachment level distance. It could be a non- invasive approach and there is no need to inject local anaesthesia to the patient. It might be beneficial in predicting the papilla reconstruction outcome in patient friendly and non-invasive way.

Full description

The presence of interdental papilla specially of maxillary anterior tooth region is an essential esthetic component. Loss of papilla or black triangle is not appealing and it is concern for both patient and clinicians. Beside esthetic concern, black triangle is associated with phonetic problem and food impaction. Several factors which may influence the presence/absence of interdental papilla are alveolar bone height, gingival biotype, interdental space morphology, type of contact area. Different classification system to categorize interdental papilla loss have been proposed. In the landmark study by Tarnow, a correlation was found between vertical distance from contact point to bone crest and presence/ absence of interdental papilla. Interdental clinical attachment level may indirectly indicate the changes in underlying bone level and it has been proven to be an important prognostic factor in consideration of success of root coverage procedure. Thorough search of literature revealed no study has correlated the presence/absence of papilla to the contact point to attachment level distance. It could be a non- invasive approach and there is no need to inject local anaesthesia to the patient. It might be beneficial in predicting the papilla reconstruction outcome in patient friendly and non-invasive way.

Enrollment: 195 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Intact maxillary central incisors
• Age 18-50 years
• Closed contact points
• No history of traumatic tooth injury
• Completion of cause related therapy before 3months
• Full mouth plaque score and full mouth bleeding score <15%

Exclusion criteria

• • Systemic ailments which affect periodontium

  • History of previous periodontal surgery
  • Tooth with a prosthetic crown or restoration involving cementoenamel junction (CEJ).
  • Pathologic tooth migration
  • Presence of cervical abrasion/erosions
  • Presence of dental caries in maxillary central incisors
  • Trauma from occlusion
  • Crowding or spacing in maxillary central incisors
  • Angular bone defects
  • Pregnant women
  • Mobile tooth

Trial design

195 participants in 1 patient group

Maxillary anterior interdental papilla

Description:

Presence or loss of interdental papilla with intact maxillary central incisors in systemically healthy patients

Treatment:

Other: Distance from contact point to attachment level