A comparative evaluation of papillary reconstruction by modified Beagle's technique with the Beagle's surgical technique: A clinical and radiographic study

Prerna Pravin Chaulkar, Rohini Salil Mali, Amita Milind Mali, Priya Abhijeet Lele, Pallavi Anil Patil, Prerna Pravin Chaulkar, Rohini Salil Mali, Amita Milind Mali, Priya Abhijeet Lele, Pallavi Anil Patil

Abstract

Background: To assess and compare the effectiveness of two surgical procedures (Beagle's technique and modified Beagle's technique) for the reconstruction of the lost interproximal dental papilla.

Materials and methods: Twenty sites were selected based on the selection criteria which included patients within the age group of 20-50 years and the presence of Class I and Class II recession of the papilla in the maxillary anterior region. They were divided randomly into Group A and Group B. Group A sites were treated with modified Beagle's technique, whereas Group B sites were treated by the Beagle's technique. The patients were recalled at 1 week, 1 month, 3 months, and 6 months postsurgery. Parameters including classification of loss of papilla height (Nordland and Tarnow), change in vertical dimension, mesiodistal dimension and area of the papillary defect, and radiographic parameters (papilla height and bone crest-root apex distance) were recorded preoperatively and postoperatively.

Results: At 6-month postsurgery, there was a statistically significant reduction in vertical dimension, mesiodistal dimension, and area of the papilla defect in Group A compared to Group B. At 6-month postsurgery, there was an increase in the height of the papilla in Group A, whereas there was a decrease in the height of the papilla in Group B. At 6-month postsurgery too, there was a reduction in the mean bone crest-root apex distance in both groups.

Conclusion: Thus, the modified Beagle's technique is an easy and effective technique when compared to the Beagle's surgical technique for papilla reconstruction.

Keywords: Beagle's technique; modified Beagle's technique; papilla height.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Radiopaque material placed at the papilla tip
Figure 2
Figure 2
Digital radiograph showing radiopaque material at the papilla tip
Figure 3
Figure 3
Modified Beagle's technique (Site at baseline)
Figure 4
Figure 4
Modified Beagle's Technique – Incision on labial aspect
Figure 5
Figure 5
Modified Beagle's technique – Suturing
Figure 6
Figure 6
Modified Beagle's technique – 6-month follow-up
Figure 7
Figure 7
Beagle's technique (Site at baseline)
Figure 8
Figure 8
Beagle's technique – Incision on palatal aspect
Figure 9
Figure 9
Beagle's technique – Reflection of partial thickness pedicle graft from palatal to the labial aspect
Figure 10
Figure 10
Beagle's technique – Suturing
Figure 11
Figure 11
Beagle's technique – 6-month follow-up
Graph 1
Graph 1
Graph showing comparison of change in papilla height according to the Nordland and Tarnow classification
Graph 2
Graph 2
Graph showing the comparison of the total area of the papillary defect in Group A and Group B at baseline and 6 months postsurgery
Graph 3
Graph 3
Graph showing the comparison of the papilla height in Group A and Group B at baseline, 3 months and 6 months postsurgery

References

    1. Shruthi S, Gujjari SK, Mallya KP. Comparison of two surgical techniques for the reconstruction of interdental papilla. J Interdiscip Dent. 2015;5:17–22.
    1. Babu KB, Madhu Babu DS, Dodani K, Sekhar, Leela, Reddy NR. Reconstruction of the interdental papillae using an interdisciplinary approach following orthodontic treatment: A case report. Int J Contemp Dent. 2011;2:34–7.
    1. Deepalakshmi D, Ahathya RS, Raja S, Kumar A. Surgical reconstruction of lost interdental papilla: A case report. Perio. 2007;4:229–34.
    1. Carranza N, Zogbi C. Reconstruction of the interdental papilla with an underlying subepithelial connective tissue graft: Technical considerations and case reports. Int J Periodontics Restorative Dent. 2011;31:e45–50.
    1. Singh VP, Uppoor AS, Nayak DG, Shah D. Black triangle dilemma and its management in esthetic dentistry. Dent Res J (Isfahan) 2013;10:296–301.
    1. 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;63:995–6.
    1. Nordland WP, Tarnow DP. A classification system for loss of papillary height. J Periodontol. 1998;69:1124–6.
    1. Lee DW, Kim CK, Park KH, Cho KS, Moon IS. Non-invasive method to measure the length of soft tissue from the top of the papilla to the crestal bone. J Periodontol. 2005;76:1311–4.
    1. Sawai ML, Kohad RM. An evaluation of a periodontal plastic surgical procedure for the reconstruction of interdental papillae in maxillary anterior region: A clinical study. J Indian Soc Periodontol. 2012;16:533–8.
    1. Beagle JR. Surgical reconstruction of the interdental papilla: Case report. Int J Periodontics Restorative Dent. 1992;12:145–51.
    1. Nayak S. Clinical evaluation of a surgical procedure for the reconstruction of the interdental papillae, as a treatment modality for unesthetic open embrasure in the maxillary anterior region – A pilot study. Dissertation Submitted to University of Bombay
    1. Grupe HE, Warren RF. Repair of gingival defects by a sliding flap operation. J Periodontol. 1957;27:92.
    1. de Waal H, Kon S, Ruben MP. The laterally positioned flap. Dent Clin North Am. 1988;32:267–85.

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