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

Attachment Loss, Periodontal Clinical Trial

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06184607
• Other study ID #: Sakshi Perio
• Status: Recruiting
• Start date: January 1, 2024
• Est. completion date: December 15, 2024

Study information

• Verified date: February 2024
• Source: Postgraduate Institute of Dental Sciences Rohtak
• Contact: Dr Sanjay Tewari, MDS
• Phone: 9416459534
• Email: principalpgids[@]yahoo.in
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 195
• Est. completion date: December 15, 2024
• Est. primary completion date: October 10, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

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

Related Conditions & MeSH terms

• Attachment Loss, Periodontal
• Periodontal Attachment Loss

Intervention

Other:
• Distance from contact point to attachment level
A periodontal probe will be used to measure distance between contact point to attachment level in maxillary central incisors

Locations

Country	Name	City	State
India	Post Graduate Institute of Dental Sciences	Rohtak	Haryana

Sponsors (1)

Lead Sponsor	Collaborator
Postgraduate Institute of Dental Sciences Rohtak

Country where clinical trial is conducted

India, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	contact point-attachment level	A periodontal probe will be used to measure primary outcome measure	12 months
Primary	contact point-papilla tip	A periodontal probe will be used to measure primary outcome measure	12 months