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Case Reports
. 2016 Sep-Oct;6(5):497-500.
doi: 10.4103/2231-0762.192948. Epub 2016 Oct 24.

Hyaluronic acid: Hope of light to black triangles

Jyotsana Tanwar  1 , Shital A Hungund  1
Affiliations
Case Reports

Hyaluronic acid: Hope of light to black triangles

Jyotsana Tanwar et al. J Int Soc Prev Community Dent. 2016 Sep-Oct.

Abstract

Interdental papilla construction, especially in the esthetic area, is one of the most challenging tasks. Interdental papilla loss might occur due to several reasons as a consequence of periodontal surgery or trauma. The purpose of this study is to report the reconstruction of lost interdental papilla using hyaluronic acid gel. Hyaluronic acid is a glycosaminoglycan molecule with anti-inflammatory, anti-edematous properties on periodontal tissues invaded by submicrobial flora. It enhances wound healing and accelerates periodontal repair and regeneration. In addition to the field of dentistry, it has been used in other fields such as orthopedics, ophthalmology, and dermatology. It shows growth factor interaction, regulates osmotic pressure, and enhances tissue lubrication, which helps in maintaining the structural and homeostatic integrity of tissues, hence resulting in beneficial effect on lost interdental papilla. This study was aimed to reconstruct the lost interdental papilla by injecting 0.2% hyaluronic acid via nonsurgical approach. It is a noninvasive approach which reduces patient's postoperative discomfort with marked variations in the volume of interdental papilla before and after the procedure. As sufficient information is not available regarding the effectiveness of hyaluronic acid in interdental papilla construction, this study was conducted.

Keywords: Esthetics; hyaluronic acid; periodontal wound healing; regeneration.

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Figures

Figure 1
Figure 1
Preoperative: black triangle between maxillary right central incisor and lateral incisor
Figure 2
Figure 2
Injecting 2% hyaluronic acid into interdental papilla
Figure 3
Figure 3
Postoperative: interdental papilla coverage after 3 months
See this image and copyright information in PMC

References

    1. Akizuki T, Oda S, Komaki M, Tsuchioka H, Tsuchioka H, Kawakatsu N, et al. Application of periodontal ligament cell sheet for periodontal regeneration: A pilot study in beagle dogs. J Periodontal Res. 2005;40:245–51. - PubMed
    1. Mansouri SS, Ghasemi M, Salmani Z, Shams N. Clinical Application of Hyaluronic Acid Gel for Reconstruction of Interdental Papilla at the Esthetic zone. J Islamic Dent Assoc Iran. 2013;25:152–7.
    1. Vangelisti R, Pagnaco A, Era C. Hyaluronic acid in the topical treatment of inflammatory gingivits. A preliminary clinical study. Prevenz Asist Dent. 1993;1:16–20.
    1. Sahayata VN1, Bhavsar NV, Brahmbhatt NA. An Evaluation of 0.2% Hyaluronic Acid Gel (Gengigel®) in the Treatment of Gingivitis: A Clinical and Microbiological Study. Oral Health Dent Manag. 2014;13:779–85. - PubMed
    1. Bansal J1, Kedige SD, Anand S. Hyaluronic acid: A promising mediator for periodontal regeneration. Indian J Dent Res. 2010;21:575–8. - PubMed

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