Clinical Evaluation of Papilla Reconstruction Using Subepithelial Connective Tissue Graft
Autor: | Vinaykumar S Masamatti, Vishwajit Rampratap Chaurasia, Pal Pk, Suresh Dk, Kshitij Jhamb, Alka Kaushik, Deepak Chopra, Prashant Babaji |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
Keratinized gingiva Clinical Biochemistry lcsh:Medicine Connective tissue Dentistry Subepithelial connective tissue graft stomatognathic system black triangle interdental papilla medicine subepithelial connective tissue graft Interdental papilla aesthetic business.industry lcsh:R fungi food and beverages General Medicine Surgical procedures Surgery Major duodenal papilla medicine.anatomical_structure business Clinical evaluation Gingival margin |
Zdroj: | Journal of Clinical and Diagnostic Research, Vol 8, Iss 9, Pp ZC77-ZC81 (2014) |
Popis: | Objective: The aesthetics of the patient can be improved by surgical reconstruction of interdental papilla by using an advanced papillary flap interposed with subepithelial connective tissue graft. Materials and Methods: A total of fifteen sites from ten patients having black triangles/papilla recession in the maxillary anterior region were selected and subjected to presurgical evaluation. The sites were treated with interposed subepithelial connective tissue graft placed under a coronally advance flap. The integrity of the papilla was maintained by moving the whole of gingivopapillary unit coronally. The various parameters were analysed at different intervals. Results: There was a mean decrease in the papilla presence index score and distance from contact point to gingival margin, but it was statistically not significant. Also, there is increase in the width of the keratinized gingiva which was statistically highly significant. Conclusion: Advanced papillary flap with interposed sub–epithelial connective tissue graft can offer predictable results for the reconstruction of interdental papilla. If papilla loss occurs solely due to soft-tissue damage, reconstructive techniques can completely restore it; but if due to periodontal disease involving bone loss, reconstruction is generally incomplete and multiple surgical procedures may be required. |
Databáze: | OpenAIRE |
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