Radiographical vertical and horizontal distances influencing the presence of interproximal papilla between maxillary central incisors
DOI:
https://doi.org/10.32828/mdj.v8i2.315Keywords:
Key word: Central papilla, factors, papilla recessionAbstract
Conventional tooth the presence of interdental papillae in the maxillary anterior
region plays a key esthetic role. The presence or absence of the interproximal papilla
is of great concern to periodontists, orthodontists, restorative dentists and to patients
The aim of the study was to determine the association between different distances
and central papilla recession
The central papilla was visually assessed in 50 adults students of age ranged
between (19-25 years) in dental clinic, then by using standardized periapical
radiographs for the maxillary central incisors, the following vertical distances were
measured: papilla tip to contact point (PT-CP), bone crest to contact point (BC-CP),
proximal cementoenamel junction to contact point (pCEJ-CP), bone crest to papilla
tip BC-PT(the papilla height (PH)).Interdental width (IDW) was measured
horizontally. Subjects were divided into 2 groups according to interdental width
(IDW) and pCEJ-CP distance respectively: 1. (28) subjects with IDW≤2mm and
pCEJ–CP >4 mm as narrow-long group 2. (22) Subjects with IDW≤2mm and pCEJ–
CP ≤ 4 mm as narrow-short group.
Narrow-long group exhibited more papilla recession, (PT-CP) mean was 2.5mm
and the difference was statistically significant. Positive correlations were found
between (BC-CP), (pCEJ-CP), (IDW) and central papilla recession and more stronger
correlations were found with (BC-CP) (r = 0.856). Papilla height was negatively
correlated with (BC-CP), (pCEJ-CP), (IDW) and stronger correlation was found
between papilla height and (BC-CP) (r = -0.502)
Central papilla recession is associated with narrow interdental width and long
pCEJ-CP distance, papilla presence influenced by different distances, some of them
are (BC-CP), (pCEJ-CP), (IDW) distances, (BC-CP) had stronger effect on the
presence of central papilla.
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