Papilla Reconstruction
Conditions
Keywords
Papilla, Reconstruction, Hyaluronic Acid, Injectable Platelet Rich Fibrin, Microneedling
Brief summary
This randomized split-mouth clinical trial aims to compare the clinical effectiveness of microneedling combined with injectable platelet-rich fibrin (i-PRF) versus hyaluronic acid (HA) gel injection in the reconstruction of Class I interdental papilla loss. The study hypothesizes that MN + i-PRF will yield greater papillary regeneration, offering a minimally invasive, biologically active alternative to traditional surgical approaches for soft-tissue esthetic rehabilitation.
Interventions
Injectable Platelet Rich Fibrin
Filler
Sponsors
Study design
Eligibility
Inclusion criteria
* Plaque index \<1 * Gingival index \<1 * Class I papillary loss (Nordland and Tarnow classification) * Probing depth ≤4 mm at the test site * Inter-proximal bone crest distance ≤7 mm from the contact point.
Exclusion criteria
* Pregnancy * Lactation * Uncontrolled systemic diseases (e.g., diabetes) * Anticoagulant therapy * Recent radiotherapy * Orthodontic treatment * Midline diastema * High frenum attachment * Class II/III papillary loss.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Papillary height | Baseline, 6 weeks, and 12 weeks. | from the mucogingival junction to the papilla tip |
| Papillary width | 12 weeks | — |
Countries
Saudi Arabia