World Journal of Dentistry

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VOLUME 4 , ISSUE 3 ( July-September, 2013 ) > List of Articles

RESEARCH ARTICLE

Factors Influencing the Presence of Interproximal Dental Papillae between Maxillary Anterior Teeth: A Clinical and Radiographic Study of the Indian Population

Mohit Kheur, Nikhil V Jain, Ramandeep Dugal, Smita Musani

Citation Information : Kheur M, Jain NV, Dugal R, Musani S. Factors Influencing the Presence of Interproximal Dental Papillae between Maxillary Anterior Teeth: A Clinical and Radiographic Study of the Indian Population. World J Dent 2013; 4 (3):158-163.

DOI: 10.5005/jp-journals-10015-1224

Published Online: 01-09-2013

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Introduction

The presence of a normal and harmonically shaped papilla is crucial to avoid the presence of the ‘black triangle’ which is of major esthetic concern. The distance from the alveolar bone crest (BC) to the base of the contact area (CP) is a significant factor in determining whether a papilla will fill the interdental space.

Aim

To correlate the BC-CP distance with a different anatomic variable using a noninvasive method and to describe a simple, repeatable, observational measuring protocol to contribute to the prosthetic and surgical treatment planning.

Materials and methods

A total of 63 patients were enrolled in the study. A digital radiographs of the interdental embrasure between teeth 12 and 11, 11 and 21 and teeth 21 and 22 were taken with a paralleling cone technique using a RINN film holder. The radiographic data was used to measure the distance between the contact point and the bone crest (BC-CP) and the interdental distance (IDD) at the level of the bone crest.

Results

The number of papillae that filled the interproximal space decreased with the increasing BC-CP and IDD distance.

Conclusion

The vertical and horizontal dimensions of the interdental space influence the existence of interdental papilla.

How to cite this article

Jain N, Dugal R, Kheur M, Musani S. Factors Influencing the Presence of Interproximal Dental Papillae between Maxillary Anterior Teeth: A Clinical and Radiographic Study of the Indian Population. World J Dent 2013;4(3):158-163.


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  1. Considerations for single-unit esthetic implant restorations. Compend Contin Educ Dent 1995;16: 778-788.
  2. Adjunctive role of orthodontic therapy. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza's Clinical Periodontology, 10th ed. St Louis: Elsevier; 2006:856-870.
  3. Interdental papilla management: a review and classification of the therapeutic approaches. Int J Periodontics Restorative Dent 2004;24:246-255.
  4. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992;63:995-996.
  5. Management of interdental/interimplant papilla. J Clin Periodontol 2005;32:831-839.
  6. Effect of the vertical and horizontal distances between adjacent implants and between a tooth and an implant on the incidence of interproximal papilla. J Periodontol 2004;75:1242-1246.
  7. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. J Periodontol 2001;72:1364-1371.
  8. 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 2006;77:1651-1657.
  9. Morphometric study of the interproximal unit in the esthetic region to correlate anatomic variables affecting the aspect of soft tissue embrasure space. J Periodontol 2007;78:2260-2265.
  10. The central papilla height in association with age and gender—assessed with a new method. Chin J Periodontol 2006;11:271-279.
  11. The presence of a central papilla is associated with age but not gender. J Dent Sci 2006;1:161-167.
  12. Open gingival embrasure after orthodontic treatment in adults: prevalence and etiology. Am J Orthod Dentofacial Orthop 2001;120:116-123.
  13. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol 2003;74: 1785-1788.
  14. Relationship between the interproximal distance of roots and the prevalence of intrabony pockets. J Periodontol 1984;55:604-607.
  15. The interdental space. Dent Clin North Am 1980;24:169-176.
  16. The interproximal height of bone: A guidepost to predictable aesthetic strategies and soft tissue contours in anterior tooth replacement. Pract Periodontics Aesthet Dent 1998;10:1131-1141.
  17. A histologic study of the width and nature of inter-radicular spaces in human adult premolars and molars. J Dent Res 1986;65:948-951.
  18. Visualization of the human periodontium using serial thin section contact radiography. J Periodontol 1985;56:223-233.
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