Dimension of Gingival Papillae between External Hexagon Dental Implants in Superior Anterior Sites (original) (raw)
Related papers
Factors associated with the appearance of gingival papillae
Journal of Clinical Periodontology, 2010
Aim: The purpose of this study was to evaluate factors associated with the fill of interdental spaces by gingival papillae. Materials and Methods: Ninety-six adult subjects were evaluated. Papilla score (PS), tooth form/shape, interproximal contact length and gingival thickness were recorded for 672 maxillary anterior and first pre-molar interproximal sites. Statistical analyses included a non-parametric w 2 test, ANOVA, the Mixed Procedure for SAS and Pearson's correlation coefficient (r). Results: Papilla deficiency was more frequent in older subjects (po0.05), as papilla height decreased 0.012 mm with each year of increasing age (po0.05). Competent papillae (complete fill inter-dentally) were associated with: (1) crown width: length X0.87; (2) proximal contact length X2.8 mm; (3) bone crest-contact point 5 mm; and (4) interproximal gingival tissue thickness X1.5 mm. Gingival thickness correlated negatively with PS (r 5 À 0.37 to À 0.54) and positively with tissue height (r 5 0.23-0.43). Tooth form (i.e. crown width to length ratio) correlated negatively with PS (r 5 À 0.37 to À 0.61). Other parameters failed to show any significant effects. Conclusions: Gingival papilla appearance was associated significantly with subject age, tooth form/shape, proximal contact length, crestal bone height and interproximal gingival thickness.
Journal of Dental Research, Dental Clinics, Dental Prospects, 2018
Background. In successful replacement of a tooth with a dental implant, soft tissue esthetic is as important as stability and function of the implant. Quality and quantity of the peri-implant mucosa can influence esthetic outcomes. This study assessed implant esthetic success of two different implant systems. In this regard the interdental papilla was evaluated and the relationship between implant type and crestal bone loss adjacent to implant was assessed. Methods. Eighteen patients (11 males, 7 females) with a total of 18 implants participated in this historical cohort study. Patients were divided into two groups based on the type of implants: Implantium group and SPI group; 36 interproximal papillae were evaluated photographically, using Jemt's papillary presence index (PPI). Radiographic analysis was carried out to find out the relation between bone loss and type of implant. Analysis of data was performed with SPSS 18, using Fisher's exact test, independent t-test, Spearman's correlation coefficient and ANOVA. Results. Comparison of photographs did not show a statistically significant difference in PPI between the two groups (P=0.94). Radiographic evaluation of crestal bone loss adjacent to implant shoulder did not reveal significant differences between the two groups (P=0.30). Conclusion. Implant therapy in the anterior maxilla, using Implantium or SPI system, did not result in significant differences in esthetics. In this study, there was an inverse relationship between the distance of contact point to bone crest and papilla index (P=0.002 in the SPI group) (P=0.02 in the Implantium group).
Gingival Conditioning in an Implant-Supported Prosthesis: A Clinical Report
The ?1 loss of gingival volume is a major challenge for dental surgeons and manufacturers of implant-supported fixed prostheses, particularly from an esthetics perspective in patients with a high smile line. Gingival tissue remodeling can help in papillae formation to avoid soft-tissue surgery by reestablishing the appropriate shape and gingival contour of the tissues. This improves not only the esthetics but also the phonetics of the patient. This article describes a clinical case of gingival conditioning obtained with interim implant-supported fixed partial dentures via incremental addition and adjustment of acrylic resin. The purpose of the gingival conditioning was to obtain improved esthetics. Gingival conditioning by gradual pressure application is presented as an easy, nontraumatic technique that improves gingival esthetics.
International Journal of Oral & Maxillofacial Implants
The purpose of this study was to evaluate in dogs the area between implants after prosthetic restoration within 5 mm distance between the contact point (CP) between crowns and the bone crest (BC). The mandibular premolars of 6 dogs were extracted bilaterally. After 12 weeks of healing, each dog received 8 implants. On each side, 2 implants were separated by 2 mm (group 1) and 2 by 3 mm (group 2). After a healing period (3 months), the implants were restored with temporary acrylic resin prostheses and after 4 more weeks, with definitive metallic prostheses. After 8 weeks, the distance between the CP and the papilla (P) was measured. The distance between a line extending from the CP and the gingival height at the distal extension of the prosthesis (DE) was also measured. Digital radiographic images were obtained for evaluation of the CP-BC and BC-P distances and the analysis of bone resorption adjacent to the implant surfaces. The median CP-P distances were 1.75 mm and 1.98 mm for gro...
Acta Stomatologica Croatica, 2019
Čimbenici koji utječu na prisutnost papile između susjednih implantata i između zuba i implantata Uvod U dentalnoj medicini povećani estetski zahtjevi traže kao ideal konture mekoga tkiva s intaktnim papilama i simetričnim obrisom gingive (1). U idealnom slučaju uspješne implantoprotetičke restauracije izgledaju što je moguće sličnije prirodnim zubima (2). Boja, tekstura, visina i debljina periimplantatnog mekog tkiva najvažniji su u postizanju rezultata s restauracijama na implantatima (3). Uspješna oseointegracija implantata ne jamči zadovoljstvo pacijenata. Za njihovu percepciju uspješne restauracije presudno je zdravlje mekoga tkiva (4). Danas je kod pacijenata koji dolaze radi terapije sve veći naglasak na estetici osmijeha. Prisutnost ili odsutnost interproksimalne papile između susjednih zuba, između zuba i implantata ili između dvaju implantata snažno utječu na estetski ishod, što zahtijeva visoku razinu vještine i stručnog znanja kliničara kako bi očuvao papile u sklopu implantoprotetičke terapije (5). Papila je interproksimalni produžetak gingive, a njezina arhitektura povezana je sa stanjem kontaktne točke između ACTA STOMATOLOGICA CROATICA www.ascro.hr
2017
The presence of the dental papilla is critical to achieve an esthetic single tooth dental implant restoration. The loss of the papilla can lead to cosmetic deformities, phonetic problems, and lateral food impaction. If the papilla reforms after surgical treatment, there will be increased pocket depth which could create difficulties with oral hygiene. The increased esthetic and functional demand aims to establish a soft tissue contour with an intact papilla and a gingival outline that is harmonious with the gingival silhouette of the adjacent healthy dentition. Implants in the anterior esthetic zone are most difficult to perform. Demands for optimal esthetic outcome make implant treatment in the maxillary anterior region a challenge. An implant that is osseointegrated does not always translate into esthetic success. A major concern from the esthetic point of view is the periimplant soft tissue recession occurring facially and interproximally. The achievement of acceptable esthetic ad...
Efficacy of a new papilla generation technique in implant dentistry: a preliminary study
The International journal of oral & maxillofacial implants
To compare the efficacy of a new uncovering technique with that of the conventional uncovering technique for papilla generation. Thirty-three patients with 67 implants were enrolled in the study. Patients were randomly assigned to 1 of 2 treatment groups (test and control). Implants of the test group were uncovered by the new technique and implants of the other group uncovered by the conventional technique (simple midcrestal incision). The height of each papilla after uncovering at baseline, 3 months, and 6 months and the thickness of the tissue covering the implant prior the uncovering were measured. PPD, PI, GI, and BOP measurements were made at 0 and 6 months, and standardized radiographs were obtained at 0, 3, and 6 months. Subject means were used for all statistical analyses. The mean difference between the 2 surgical methods revealed that the new technique provided 1.5 mm greater papilla height (P < .001) at all 3 visits (baseline, 3, and 6 months) for implants adjacent to ...