Dermal Filler for the Dreaded Triangle - a Clinical Case Trial

Introduction: Dermal fillers are taking the world by a storm where dental esthetics is given prime most importance .Papilla reconstructs being a challenge for a periodontist dermal fillers as hyluronic acid can act as minimally invasive technique or reconstructions. Aim:The purpose of this prospective clinical trial was to examine the clinical and patient outcome following esthetic reconstruction of interdental papilla loss in anterior teeth,using hyaluronic acid gel injection. Material and Methods: 10 systemically healthy adults with at least one anterior site with class I and II interdental papilla loss were recruited. Following local anesthesia 0.2 ml hyaluronic acid gel injection was injected on base of papilla, plumping effect was noted. The patient was then recalled and revaluated after 7 days papilla fill using Papilla presence score, if needed a second injection was administer for complete papillary fill.The stability of papillary fill was then evaluated at 1 week, 4 week and 3 month. Results: Twelve sites amongst 6 males and 4 females were treated in the study. The lost interdental papilla was with preoperative 2.1± 1.2 mm², which reduced to 1.1±0.7 mm² at 4 week interval and had 0.7±0.5 mm² at 3 month interval as evaluated by photograph measurement and use of image software. Differences between baseline and postoperative visits were statistically significant (p 0.0001). Conclusions: Use of hyaluronic acid gel injection to treat interdental papilla loss resulted in significant improvement at 6 months. Patients expressed satisfaction with the obtained improvement. Keywords: hyaluronic acid, papilla reconstruction, dermal fillers, papillary fill, dreaded triangle, interdental papilla