Association between Height of Interproximal Papilla and Different Clinical Parameters
DOI:
https://doi.org/10.51253/pafmj.v76iSUPPL-1.12942Keywords:
Gingival Recession, Papilla Height, Peridontium, Periodontal PhenotypeAbstract
Objective: To assess interdental cleaning habits, demographic factors, and clinical parameters, and analyze their association with the height of the interproximal papilla over a defined study period.
Study Design: Analytical cross-sectional study.
Place and Duration of Study: Armed Forces Institute of Dentistry (AFID) Rawalpindi, Pakistan, from Apr to Sep 2024.
Methodology: A total of 29 subjects were selected for examining 202 interproximal papillae of the anterior maxillary region. Norland and Tarnow classification system was used for clinically classifying the interproximal papillae, with score range 0 to 3. By using periodontal probe transparency through the marginal gingiva, the periodontal phenotype was evaluated. Along with this, height of contact point and height of the papilla was also measured.
Results: Age positively correlated with papilla scores but negatively with papilla height (p<0.001). Height of the contact point showed a negative correlation with both papilla scores and height (p<0.001). Periodontal phenotype negatively correlated with papilla scores but positively with papilla height (p<0.001). Interdental brushing showed a non-significant negative correlation with papilla score (r = -1.82, p=0.345) but a statistically significant though weak positive correlation with papilla height (r = 0.390, p=.037). A significant positive correlation was found between flossing and height of papilla (r = 0.433, p=0.019) and a non-significant correlation with papilla score.
Conclusion: Interproximal papilla height correlated significantly with age, periodontal phenotype, and contact point height. Furthermore, interdental cleaning practices exhibited a positive, though weak correlation with papilla height.
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References
1. Wahi PK, Mishra P, Bhargava A, Jain N, Malhotra R. Interdental papilla and various preservation techniques: A review. Int J Appl Dent Sci 2023; 6(4): 1060.
https://doi.org/10.22271/oral.2020.v6.i4c.1060
2. Francescato O. Dental implants in aesthetic areas: Surgical approaches and prosthetic considerations for optimizing results, a review. Adv Dent Oral Health 2023; 16(1): 555926.
https://doi.org/10.19080/adoh.2023.16.555926
3. Altay MA, Sindel A, Tezerişener HA, Yıldırımyan N, Özarslan MM. Esthetic evaluation of implant-supported single crowns: A comparison of objective and patient-reported outcomes. Int J Implant Dent 2019; 5(1): 2.
https://doi.org/10.1186/s40729-018-0153-3
4. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992; 63(12): 995-996.
https://doi.org/10.1902/jop.1992.63.12.995
5. Martegani P, Silvestri M, Mascarello F, Scabbia A, Trombelli L. Morphometric study of the interproximal unit in the esthetic region to correlate anatomic variables affecting the interdental papilla. J Periodontol 2007; 78(12): 2260-2265.
https://doi.org/10.1902/jop.2007.070041
6. Chang LC, Hsieh YD, Yang YH, Lin CP, Huang CC. The influence of periodontal biotype on interdental papilla height: a cross-sectional study. Clin Oral Investig 2019; 23(4): 1835-1842.
https://doi.org/10.1007/s00784-018-2619-3
7. Koori H, Morimoto K, Tsukiyama Y, Koyano K. Statistical analysis of the association between papilla height and gingival thickness. J Oral Rehabil 2010; 37(11): 846-852.
https://doi.org/10.1111/j.1365-2842.2010.02114.x
8. Chow YC, Eber RM, Tsao YP, Shotwell JL, Wang HL. Factors associated with the appearance of gingival papillae between implants and adjacent natural teeth. Int J Periodontics Restorative Dent 2010; 30(3): 265-275.
https://doi.org/10.1111/j.1600-051X.2010.01594.x
9. Berberi AN. Immediate placement and loading of maxillary single-tooth with scalloped shape implants and digitalized customized restoration: a 5-year prospective study of marginal bone level. Int J Oral Maxillofac Implants 2024; 39(1): 1-25.
https://doi.org/10.11607/jomi.10965
10. Malpartida-Carrillo V, Tinedo-Lopez PL, Guerrero ME, Amaya-Pajares SP, Özcan M, Rösing CK. Periodontal phenotype: a review of historical and current classifications evaluating different methods and characteristics. J Esthet Restor Dent 2020; 33(3): 432-45.
https://doi.org/10.1111/jerd.12661
11. Shih WJ. Sample size and power calculations for periodontal and other studies with clustered samples using the method of generalized estimating equations. Biom J 1997; 39(8): 899-908.
https://doi.org/10.1002/bimj.4710390803
12. Chowdhary R, Kumar S, Sharma P, Mehta N. Age-related changes in interdental papilla dimensions: a cross-sectional study. J Clin Periodontol 2022; 49(3): 256-262.
https://doi.org/10.1111/jcpe.13567
13. Adnan S, Zafar K, Khan FR. A Bibliometric Analysis of Dental Literature Published in Journal of College of Physicians and Surgeons of Pakistan, JCPSP. J Ayub Med Coll Abbottabad 2022; 34(1): 122-134. https://doi.org/10.55519/JAMC-01-9008
14. Khan S, Ahmed J, Siddiqui T, Rehman A. Gingival phenotypes and related clinical periodontal parameters in a cohort of Pakistani young adults. Pak J Med Sci 2019; 35(6): 1548-1553. https://doi.org/10.12669/pjms.35.6.1300
15. Khaireddine H, Mohamed T, Arij R, Faten K, Faten BA. Factors impacting the height of the interproximal papilla: a cross-sectional study. Clin Exp Dent Res 2023; 9(3): 449-454.
https://doi.org/10.1002/cre2.728
16. Patel M, Guni A, Nibali L, Garcia-Sanchez R. Interdental papilla reconstruction: a systematic review. Clin Oral Investig 2024; 28(1): 101.
https://doi.org/10.1007/s00784-023-05409-0
17. Barakat SO. Interdental papilla recession and reconstruction of the lost triangle: a review of the current literature. Front Dent Med 2025; 5: 1537452.
https://doi.org/10.3389/fdmed.2024.1537452
18. Kolte A, Kolte R, Bodhare G. Association between the central papilla and embrasure crown morphology in different gingival biotypes: a cross-sectional study. Int J Esthet Dent 2016; 11(4): 550-563.
19. Basali DH, Hong I, Finkleman M, Dragan IF, Gyurko R, Uzel NG, et al. The effect of dental flossing instructions and technique on interproximal bleeding: a randomized control trial. J Dent Hyg 2023; 97(4): 36-45.
20. Nagate RR, Chaturvedi S, Al-Ahmari MMM, Al-Qarni MA, Gokhale ST, Ahmed AR, et al. Importance of periodontal phenotype in periodontics and restorative dentistry: a systematic review. BMC Oral Health 2024; 24(1): 41.
https://doi.org/10.1186/s12903-023-03777-3
21. Jackson MA, Kellett M, Worthington HV, Clerehugh V. Comparison of interdental cleaning methods: a randomized controlled trial. J Periodontol 2006; 77(8): 1421-1429.
https://doi.org/10.1902/jop.2006.050360
22. Forna N, Agop-Forna D. Esthetic aspects in implant-prosthetic rehabilitation. Med Pharm Rep 2019; 92(Suppl 3): S6-13.
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