Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2017; 117(3): 68-73 | DOI: 10.51479/cspzl.2017.011

Prediction of the Interdental Papilla Presence between the Upper Central Incisors Based on the Distance from the Contact Point to the Crest of Bone and Interdental Distance

©. Belák1,*, M. Starosta1, J. Zapletalová2
1 Klinika zubního lékařství, oddělení parodonologie LF UP a FN, Olomouc
2 Ústav lékařské biofyziky LF UP, Olomouc

Background: The appearance of interdental papillae plays an important role in the final aesthetic outcome, especially in exposed region as is interdental papilla between central upper incisors. The aim of this study, is to determine factors associated with bone morphology, which can influence the appearance of this papilla.

Materials and methods: 50 subjects in the range of 20-30 years of age with healthy periodontal tissues were examined. Presence of interdental papilla between central maxillary incisors was determined using classification proposed by Nordland and Tarnow. Intraoral radiographs were utilized to measure distance from contact point to the crest of bone and interdental distance at the level of cementoenamel junction using a computer programme.

Results: Statistically significant correlation between papilla presence and distance from the contact point to the crest of bone (p < 0,0001) was found. Also significant relationship between papilla presence and interdental distance (p < 0,0001) was found. The value of prediction of papilla presence for both factors was inferred from data analysis.

Conclusion: Presence of interdental papilla is influenced by various factors, including distance from contact point to the crest of bone and interdental distance. Modification of these distances can influence the final aesthetic outcome.

Keywords: interdental papilla; aesthetic; black triangle

Published: September 1, 2017  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Belák ©, Starosta M, Zapletalová J. Prediction of the Interdental Papilla Presence between the Upper Central Incisors Based on the Distance from the Contact Point to the Crest of Bone and Interdental Distance. Čes. stomatol. Prakt. zub. lék. 2017;117(3):68-73. doi: 10.51479/cspzl.2017.011.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Cohen, B.: Morphological factors in the pathogenesis of periodontal disease. Br. Dent. J., roč. 107, 1959, s. 31-39.
    2. Cohen, B.: A study of the periodontal epithelium. Br. Dent. J., roč. 112, 1962, s. 55-64.
    3. Chang, L. C.: Assessment of parameters affecting the presence of the central papilla using a non-invasive radiographic method. J. Periodontol., roč. 79, 2008, č. 4, s. 603-609. Go to original source... Go to PubMed...
    4. Chang, L. C.: The association between embrasure morphology and central papilla recession. J. Clin. Periodontol., roč. 34, 2007, č. 5, s. 432-436. Go to original source... Go to PubMed...
    5. Chen, M. C., et al.: Factors influencing the presence of inter proximal dental papillae between maxillary anterior teeth. J. Periodontol., roč. 81, 2010, č. 2, s. 318-324. Go to original source... Go to PubMed...
    6. Cho, H. S., Jang, H. S., Kim, D. K., Park, J. C., Kim, H. J., Choi, H. S., et al.: 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., roč. 77, 2006, č. 10, s. 1651-1657. Go to original source... Go to PubMed...
    7. Chow, Y. C., Eber, R. M., Tsao, Y. P., Shotwell, J. L., Wang, H. L.: Factors associated with the appearance of gingival papillae. J. Clin. Periodontol., roč. 37, 2010, s. 719-727. Go to original source... Go to PubMed...
    8. Kim, J. H., Cho, Y. J., Lee, J. Y., Kim, S. J., Choi, J. I.: An analysis on the factors responsible for relative position of interproximal papilla in healthy subjects. J. Periodontal Implant. Sci., roč. 43, 2013, s. 160-167. Go to original source... Go to PubMed...
    9. Kolte, A. P., Kolte, R. A., Mishra, P. R.: Dimensional influence of interproximal areas on existence of interdental papillae. J. Periodontol., roč. 85, 2014, č. 6, s. 795-801. Go to original source... Go to PubMed...
    10. Martegani, P., Silvestri, M., Mascarello, F., et al.: Morphometric study of the interproximal unit in the esthetic region to correlate anatomic variables affecting the aspect of soft tissue embrasure space. J. Periodontol., roč. 78, 2007, č. 12, s. 2260-2265. Go to original source... Go to PubMed...
    11. Montevecchi, M., Checchi, V., Piana, L., Checchi, L.: Variables affecting the gingival embrasure space in aesthetically important regions: differences between central and lateral papillae. Open Dent. J., roč. 5, 2011, s. 126-135. Go to original source... Go to PubMed...
    12. Nordland, W. P., Tarnow, D. P.: A classification system for loss of papillary height. J. Periodontol., roč. 69, 1998, s. 1124-1126. Go to original source... Go to PubMed...
    13. Olsson, M., Lindhe, J.: Periodontal characteristics in individuals with varying form of the upper central incisors. J. Clin. Periodontol., roč. 18, 1991, s. 78-82. Go to original source... Go to PubMed...
    14. Perez, F., et al.: Clinical and radiographic evaluation of factors influencing the presence or absence of interproximal gingival papillae. Int. J. Periodont. Restor. Dent., roč. 32, 2012, č. 2, s. 68-74.
    15. Prato, G. P., Rotundo, R., Cortellini, P., Tinti, C., Azzi, R.: Interdental papilla management: a review and classification of the therapeutic approaches. Int. J. Periodont. Restor. Dent., roč. 24, 2004, s. 246-255. Go to original source...
    16. Saxena, D., Kapoor, A., Malhotra, R., Grover, V.: Embrasure morphology and central papilla recession. J. Indian Soc. Periodontol., roč. 18, 2014, č. 2, s. 194-199. Go to original source... Go to PubMed...
    17. Sharma, A. A., Park, J. H.: Esthetic considerations in interdental papilla: remediation and regeneration. J. Esthetic Restor. Dent., roč. 22, 2010, s. 18-28. Go to original source... Go to PubMed...
    18. Singh, V. P., et al.: Black triangle dilemma and its management in esthetic dentistry. Dent. Res. J., roč. 10, 2013, č. 3, 296-301.
    19. Tanwar, N., et al.: Factors affecting height of interdental papilla. J. Clin. Diagnostic Res., roč. 10, 2016, č. 4, s. 53-56.
    20. Tarnow, D. P., Magner, A. W., Fletcher, P.: The effect of the distance from the contact point to the crest of the bone on the presence or absence of the interproximal dental papilla. J. Periodontol., roč. 63, 1992, s. 995-996. Go to original source... Go to PubMed...
    21. Touzi, S., et al.: Analysis of the factors influencing the interdental papilla integrity: literature review. Int. J. Health Sci. Res., roč. 5, 2015, č. 12, s. 395-399.
    22. Vecek, J. S., Gher, M. E., Assad, D. A., Richardson, A. C., Giambarresi, L. I.: The dimension of human dentogingival junction. Int. J. Periodont. Restor.Dent., roč. 14, 1994, s. 155-165.
    23. Zetu, L., Wang, H. L.: Management of inter-dental/inter-implant papilla. J. Clin. Periodontol., roč. 32, 2005, č. 7, s. 831-839. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content