Comparison of two surgical techniques for the reconstruction of interdental papilla

TL;DR: Both the techniques were equally good in reconstructing the interdental papilla in both groups but on comparison, no technique was superior to the other.

Abstract: Aim: The aim of the study was to check the effectiveness of both Robert Azzi and Han and Takei technique in reconstructing the lost interdental papilla between maxillary central incisors. It also compared the two techniques. Materials and Methods: Fourteen systemically healthy patients fulfilling the inclusion and exclusion criteria were selected for the study. The clinical parameters were evaluated at baseline, 6 months and 12 months postsurgically. Results: The results showed that there was a statistical significant improvement in both papilla presence index score and papillary height in both the groups from baseline but on comparison, no technique was superior to the other. Conclusion: Both the techniques were equally good in reconstructing the interdental papilla. And no technique was superior to the other. Clinical Relevance to Interdisciplinary Dentistry An open gingival embrasure or black triangle occurs as a result of a deficiency of papilla beneath the contact point. The treatment of open embrasures may require restorative, orthodontic and periodontal considerations depending on the underlying etiology. Treatment of open embrasures requires an interdisciplinary approach of orthodontic, periodontic, and restorative treatment. Open gingival embrasures have complex esthetic and functional problems. An interdisciplinary team approach with the general dentist, orthodontist, and periodontist is critical.