Turgut Çankaya Zeynep, Tamam Evşen
Quintessence Int. 2020;51(4):274-284. doi: 10.3290/j.qi.a43938.
The aim of this study was to compare and evaluate the clinical results obtained in the maxilla and mandible by taking digital impressions following application of hyaluronic acid fillers for the reconstruction of multiple papillary losses.
Evaluation was made of a total of 200 papilla spaces in 20 patients applied with hyaluronic acid filler injection to consecutive papillae regions in both arches symmetrically. The area of the interdental space and the percentage change in the area value over time was calculated separately for each papilla space by taking digital impressions before the application of hyaluronic acid and at 3, 12, and 24 months after the application.
A significant improvement was determined in the area values of both arches at 3, 12, and 24 months compared to the baseline values. In the percentage change at 24 months, irrespective of whether the mandible or maxilla, the highest filling percentage of all the spaces was between the canine and lateral incisors. When the 24-month filling percentages were compared between the maxillae and mandibles, the most significant difference was between the central teeth.
The results showed that success was obtained in both arches with hyaluronic acid filler injection applied for reconstruction of multiple papilla losses; because the filling percentages in the maxilla at 3 months and 12 months were greater than those in the mandible, it can be suggested that results can be obtained more quickly and at a higher level in the maxilla.
本研究旨在比较和评估在应用透明质酸填充剂修复多个乳头缺失后，通过数字化印模在上颌和下颌获得的临床结果。
对20例患者共200个乳头间隙进行评估，这些患者在上下颌对称的连续乳头区域对称注射透明质酸填充剂。在应用透明质酸之前以及应用后3个月、12个月和24个月时通过数字化印模，分别计算每个乳头间隙的牙间隙面积以及面积值随时间的百分比变化。
与基线值相比，在3个月、12个月和24个月时，上下颌的面积值均有显著改善。在24个月时的百分比变化中，无论下颌还是上颌，所有间隙中填充百分比最高的是尖牙和侧切牙之间。当上颌和下颌在24个月时的填充百分比进行比较时，差异最显著的是中切牙之间。
结果表明，应用透明质酸填充剂修复多个乳头缺失在上下颌均取得了成功；由于上颌在3个月和12个月时的填充百分比高于下颌，因此可以认为在上颌可以更快且更显著地取得效果。
