Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of Dentistry
Statement of the Problem: The occurrence of papillary defects adjacent to teeth or dental implants causes both the dental staff and the patients to be concerned about the esthetic issues. Interdental papilla reconstruction surgery is one of the most difficult and unpredictable mucogingival surgeries...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2023-09-01
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| Series: | Journal of Dentistry |
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| Online Access: | https://dentjods.sums.ac.ir/article_48876_42cbf3f0c979285985ec9d01ce24202b.pdf |
| _version_ | 1797688690044043264 |
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| author | Reihaneh Ebrahimi Hooman Khorshidi Rabieh Boroumand Ali Azadikhah Pardis Haddadi |
| author_facet | Reihaneh Ebrahimi Hooman Khorshidi Rabieh Boroumand Ali Azadikhah Pardis Haddadi |
| author_sort | Reihaneh Ebrahimi |
| collection | DOAJ |
| description | Statement of the Problem: The occurrence of papillary defects adjacent to teeth or dental implants causes both the dental staff and the patients to be concerned about the esthetic issues. Interdental papilla reconstruction surgery is one of the most difficult and unpredictable mucogingival surgeries.Purpose: The present study aimed to investigate the efficacy of hyaluronic acid injection in the reconstruction of the interdental papilla.Materials and Method: This clinical trial study was conducted on four patients with 20 deficient interdental papillae who met the inclusion criteria. At first, local anesthesia was applied. Afterward, 0.2 mL of 1.6% hyaluronic acid (HA) gel was injected (at the tip of the papilla and 2-3 mm below the tip of the papilla) three times every two weeks. At baseline, three, and six months later, clinical photography was taken under standard conditions. The papilla height (the distance between the interdental papilla tip and the basis), black triangle area, and the distance between the interdental papilla tip and contact point of adjacent teeth were all measured using Image J software.Results: The effectiveness of using HA gel in reducing the black triangle area was 85.06%. Furthermore, the papilla length increased by 70.256% while contact to papilla distance decreased by 83.026%. At different times, the values of the studied variables in the three levels were significantly different (p< 0.05).Conclusion: Injection of HA with 1.6% concentration at two points of the interdental papilla was effective in interdental papilla reconstruction at the aesthetic zone, especially in long-term, follow-ups (especially 6 months). |
| first_indexed | 2024-03-12T01:34:21Z |
| format | Article |
| id | doaj.art-93fc530bb55a4039935dc427e096f954 |
| institution | Directory Open Access Journal |
| issn | 2345-6485 2345-6418 |
| language | English |
| last_indexed | 2024-03-12T01:34:21Z |
| publishDate | 2023-09-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Dentistry |
| spelling | doaj.art-93fc530bb55a4039935dc427e096f9542023-09-11T10:24:40ZengShiraz University of Medical SciencesJournal of Dentistry2345-64852345-64182023-09-0124330531110.30476/dentjods.2022.94766.180848876Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of DentistryReihaneh Ebrahimi0Hooman Khorshidi1Rabieh Boroumand2Ali Azadikhah3Pardis Haddadi4Dept. of Periodontology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.Dept. of Periodontology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.Dept. of Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IranDept. of Periodontology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.Dept. of Periodontology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.Statement of the Problem: The occurrence of papillary defects adjacent to teeth or dental implants causes both the dental staff and the patients to be concerned about the esthetic issues. Interdental papilla reconstruction surgery is one of the most difficult and unpredictable mucogingival surgeries.Purpose: The present study aimed to investigate the efficacy of hyaluronic acid injection in the reconstruction of the interdental papilla.Materials and Method: This clinical trial study was conducted on four patients with 20 deficient interdental papillae who met the inclusion criteria. At first, local anesthesia was applied. Afterward, 0.2 mL of 1.6% hyaluronic acid (HA) gel was injected (at the tip of the papilla and 2-3 mm below the tip of the papilla) three times every two weeks. At baseline, three, and six months later, clinical photography was taken under standard conditions. The papilla height (the distance between the interdental papilla tip and the basis), black triangle area, and the distance between the interdental papilla tip and contact point of adjacent teeth were all measured using Image J software.Results: The effectiveness of using HA gel in reducing the black triangle area was 85.06%. Furthermore, the papilla length increased by 70.256% while contact to papilla distance decreased by 83.026%. At different times, the values of the studied variables in the three levels were significantly different (p< 0.05).Conclusion: Injection of HA with 1.6% concentration at two points of the interdental papilla was effective in interdental papilla reconstruction at the aesthetic zone, especially in long-term, follow-ups (especially 6 months).https://dentjods.sums.ac.ir/article_48876_42cbf3f0c979285985ec9d01ce24202b.pdfaestheticsgingivahyaluronic acid |
| spellingShingle | Reihaneh Ebrahimi Hooman Khorshidi Rabieh Boroumand Ali Azadikhah Pardis Haddadi Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of Dentistry Journal of Dentistry aesthetics gingiva hyaluronic acid |
| title | Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of Dentistry |
| title_full | Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of Dentistry |
| title_fullStr | Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of Dentistry |
| title_full_unstemmed | Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of Dentistry |
| title_short | Evaluation of the Effect of Hyaluronic Acid Injection on the Reconstruction of Reduced Interdental Papillae in Patients Referred to Shiraz School of Dentistry |
| title_sort | evaluation of the effect of hyaluronic acid injection on the reconstruction of reduced interdental papillae in patients referred to shiraz school of dentistry |
| topic | aesthetics gingiva hyaluronic acid |
| url | https://dentjods.sums.ac.ir/article_48876_42cbf3f0c979285985ec9d01ce24202b.pdf |
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