About this trial
The interdental papilla, a small wedge of gingival tissue positioned between adjacent teeth, plays a crucial role in both dental esthetics and oral function. Loss or deficiency of the papilla results in the formation of "black triangles," which not only compromise a patient's smile but also lead to challenges such as food impaction, phonetic difficulties, and increased risk of periodontal disease. The reconstruction of the interdental papilla is recognized as one of the most challenging procedures in periodontal therapy, particularly when aiming for enhanced esthetic outcomes and patient satisfaction
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 20-55 years
Nordland and Tarnow Class I/II papillary loss
Good oral hygiene (FMPS & FMBS <20%)
Systemically healthy
Disqualifiers
Smoking
Periodontal pockets >4 mm in the target site
History of systemic diseases or medications affecting healing
Pregnant or lactating women
Trial design
Parallel
Treatments tested in this trial
Albumin (5% serum-protein solution containing immunoglobulins)
Biological/Vaccine* Preoperative Phase: * Oral hygiene instruction * Phase I periodontal therapy * Initial photography and papillary height measurements using digital calipers or customized stents * Surgical Technique: * Local anesthesia * Intrasulcular incision around target teeth * Papilla preservation flap * Harvesting CTG from the palate * Injection of liquid Bio-PRF at the papillary base (test group) * CTG positioned in the papilla region * Suturing with microsurgical technique * Postoperative Protocol: * Analgesics (e.g., ibuprofen 400 mg) * Chlorhexidine 0.12% mouth rinse for 2 weeks * Suture removal at 10-14 days * Follow-up at 1 month, 3 months, and 6 months
connective tissue graft
Biological/VaccineLocal anesthesia. Intrasulcular incision around target teeth. Papilla preservation flap. Harvesting CTG from the palate
Treatment groups
Trial outcomes
Primary outcomes
Papilla Height Gain
Papilla Height Gain (measured from contact point to papilla tip)
Locations
Sponsors and contacts
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shaimaa hamdy
Lead sponsor
Minia University
Sponsor institution
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