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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Attachment Loss, Periodontal

Intervention / Treatment
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* Other: Distance from contact point to attachment level


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Maxillary anterior interdental papilla<br>Presence or loss of interdental papilla with intact maxillary central incisors in systemically healthy patients | Other: Distance from contact point to attachment level<br>* A periodontal probe will be used to measure distance between contact point to attachment level in maxillary central incisors<br>|

What is the study measuring?
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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 |