Kapoor Shalini, Dudeja Anjali
Department of Periodontology, SGT Dental College, Gurgaon, Haryana, India.
Contemp Clin Dent. 2020 Jan-Mar;11(1):55-59. doi: 10.4103/ccd.ccd_693_18. Epub 2020 Jul 13.
Open gingival embrasure often poses complex functional and esthetic problems. Interdental papilla reconstruction is among the most challenging periodontal treatments. Hyaluronic acid (HA) gel injection, a noninvasive technique with immediate papilla reconstruction, has been recently proposed. This minimally invasive therapeutic procedure has shown predictable esthetic outcome, thus, gaining rapid acceptance as an esthetic treatment modality in dentistry. The aim of the study is to evaluate the clinical application of derma fillers (HA gel) for the reconstruction of the interdental papilla in the esthetic zone.
Six patients were included with interdental papilla deficiency. After the induction of local anesthesia, 0.2 ml of 0.2% HA injection was given at baseline, 3 weeks and 3 months. Measurements of the black triangle were done clinically using acrylic stent as a reference. The application of HA gel for the reconstruction of interdental papilla was found successful at a 6-month period.
The study showed a significant gain in papillary volume, and esthetics improvement was notable. A statistically significant result was obtained in context to papilla fill.
Interdental papilla reconstruction with injectable HA gel is a promising minimally invasive treatment option for interdental deficiency in small areas.
开放型牙龈乳头间隙常常会引发复杂的功能和美观问题。牙间乳头重建是最具挑战性的牙周治疗之一。透明质酸（HA）凝胶注射是一种能立即重建乳头的非侵入性技术，最近已被提出。这种微创治疗方法已显示出可预测的美学效果，因此，作为牙科领域的一种美学治疗方式迅速得到认可。本研究的目的是评估真皮填充剂（HA凝胶）在美学区域牙间乳头重建中的临床应用。
纳入6例存在牙间乳头缺失的患者。在局部麻醉诱导后，于基线、3周和3个月时分别注射0.2毫升0.2%的HA。使用丙烯酸支架作为参考，临床上对黑三角进行测量。发现在6个月时，应用HA凝胶重建牙间乳头是成功的。
该研究显示乳头体积有显著增加，美学改善显著。在乳头填充方面获得了具有统计学意义的结果。
用可注射HA凝胶进行牙间乳头重建是一种有前景的微创治疗选择，适用于小面积牙间缺损。
