Relationship Between Contact Point to Attachment Level and Presence of Interdental Papilla

Relationship of Distance Between Contact Point to Attachment Level With the Presence of Interdental Papilla in Maxillary Central Incisors: A Cross-sectional Study

Thorough search of literature revealed no study has correlated the presence/absence of papilla to the contact point to attachment level distance. It could be a non- invasive approach and there is no need to inject local anaesthesia to the patient. It might be beneficial in predicting the papilla reconstruction outcome in patient friendly and non-invasive way.

Study Overview

• Status: Recruiting
• Conditions: Attachment Loss, Periodontal
• Intervention / Treatment: Other: Distance from contact point to attachment level

Detailed Description

The presence of interdental papilla specially of maxillary anterior tooth region is an essential esthetic component. Loss of papilla or black triangle is not appealing and it is concern for both patient and clinicians. Beside esthetic concern, black triangle is associated with phonetic problem and food impaction. Several factors which may influence the presence/absence of interdental papilla are alveolar bone height, gingival biotype, interdental space morphology, type of contact area. Different classification system to categorize interdental papilla loss have been proposed. In the landmark study by Tarnow, a correlation was found between vertical distance from contact point to bone crest and presence/ absence of interdental papilla. Interdental clinical attachment level may indirectly indicate the changes in underlying bone level and it has been proven to be an important prognostic factor in consideration of success of root coverage procedure. Thorough search of literature revealed no study has correlated the presence/absence of papilla to the contact point to attachment level distance. It could be a non- invasive approach and there is no need to inject local anaesthesia to the patient. It might be beneficial in predicting the papilla reconstruction outcome in patient friendly and non-invasive way.

• Study Type: Observational
• Enrollment (Estimated): 195

Contacts and Locations

• Study Contact: Name: Dr Sanjay Tewari, MDS; Phone Number: 91 9416459534; Email: principalpgids@yahoo.in
• Study Contact Backup: Name: Dr Shikha Tewari, MDS; Phone Number: 91 9416514600; Email: drshikhatewari@yahoo.com

Study Locations

• India
  • Haryana
    • Rohtak, Haryana, India, 124001
      • Recruiting
      • Post Graduate Institute of dental sciences
      • Contact: Shikha Tewari, MDS

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

Systemically healthy patients with intact maxillary central incisors will be recruited from the outpatient department of Periodontics and Oral Medicine and Radiology, Post Graduate Institute of Dental Sciences, Rohtak.

Description

Inclusion Criteria:

• Intact maxillary central incisors
• Age 18-50 years
• Closed contact points
• No history of traumatic tooth injury
• Completion of cause related therapy before 3months
• Full mouth plaque score and full mouth bleeding score <15%

Exclusion Criteria:

• • Systemic ailments which affect periodontium

  • History of previous periodontal surgery
  • Tooth with a prosthetic crown or restoration involving cementoenamel junction (CEJ).
  • Pathologic tooth migration
  • Presence of cervical abrasion/erosions
  • Presence of dental caries in maxillary central incisors
  • Trauma from occlusion
  • Crowding or spacing in maxillary central incisors
  • Angular bone defects
  • Pregnant women
  • Mobile tooth

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Maxillary anterior interdental papilla; Presence or loss of interdental papilla with intact maxillary central incisors in systemically healthy patients	Other: Distance from contact point to attachment level; A periodontal probe will be used to measure distance between contact point to attachment level in maxillary central incisors

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
contact point-attachment level	A periodontal probe will be used to measure primary outcome measure	12 months
contact point-papilla tip	A periodontal probe will be used to measure primary outcome measure	12 months

Collaborators and Investigators

• Sponsor: Postgraduate Institute of Dental Sciences Rohtak
• Investigators: Principal Investigator: Dr Sakshi Malhotra, MDS, PGIDS, Rohtak, Haryana

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2024
• Primary Completion (Estimated): October 10, 2024
• Study Completion (Estimated): December 15, 2024

Study Registration Dates

• First Submitted: December 14, 2023
• First Submitted That Met QC Criteria: December 14, 2023
• First Posted (Actual): December 28, 2023

Study Record Updates

• Last Update Posted (Estimated): February 7, 2024
• Last Update Submitted That Met QC Criteria: February 6, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Stomatognathic Diseases; Periodontal Diseases; Mouth Diseases; Periodontal Atrophy; Periodontal Attachment Loss
• Other Study ID Numbers: Sakshi Perio

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No