Papilla Reconstruction

Researchers are evaluating different treatment methods for interdental black triangles, which are gaps caused by the loss of gum tissue between teeth. These gaps not only affect appearance but can also cause food to get stuck and lead to gum problems. This study compares surgical and nonsurgical treatments to find the most effective way to manage these black triangles in adults aged 18 to 50 years with mild to moderate papillary loss. The study randomly assigns 30 participants to one of three treatment groups surgical reconstruction using the tube grafting technique, papillary augmentation with hyaluronic acid injections, or a restorative approach using injection molding composite to reshape teeth. Surgical treatment involves grafting tissue to rebuild the gum area, while the nonsurgical options include a filler injection to increase gum volume and a composite resin technique to reshape teeth surfaces and reduce the gap. Participants will undergo assessments before treatment and at 3 and 6 months afterward. Researchers will measure the black triangles surface area and height, along with periodontal health indicators like plaque and bleeding. Patient satisfaction with the esthetic results will be recorded using a Visual Analog Scale. The study aims to provide evidence on the effectiveness and stability of these treatments to guide dental care decisions.