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ORIGINAL ARTICLE
Year : 2022  |  Volume : 9  |  Issue : 1  |  Page : 49-52

Comparison of effectiveness of novel vestibular incision for papilla reconstruction with semilunar flap technique. A randomized controlled study


Department of Periodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College, Affiliated to MUHS University, Nagpur, Maharashtra, India

Correspondence Address:
Sneha S Puri
Department of Periodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College, Nagpur - 441 110, Maharashtra; Affiliated to MUHS University, Nagpur - 441 110, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdrr.jdrr_4_21

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Background: The presence or absence of the interdental papilla is a topic of great esthetic concern. Several surgical and nonsurgical techniques have been proposed to rebuild lost papilla. However, there is a paucity in the literature assessing comparative studies. Aims and Objective: The aim to evaluate and compare the effectiveness of novel vestibular incision for papilla reconstruction with semilunar flap technique. Objectives: To compare effectiveness of novel vestibular incision for papilla reconstruction with semilunar flap technique. Material and Methods: Fourteen patients with the age range of 20–40 years who were conscious for their esthetics with total or partial loss of the interdental papilla were selected for the study. The patients were randomly divided into two groups, namely Group A (vestibular incision subperiosteal tunnel access [VISTA] technique) and Group B (semilunar flap technique). Result: At 6-month postsurgery, there was a statistically significant reduction in vertical dimension, mesiodistal dimension, and area of the papilla defect in Group A as compared to Group B. At 6-month postsurgery, there was an increase in the height of the papilla in Group A, whereas there was a decrease in the height of the papilla in Group B. Both the techniques exhibited satisfactory results in terms of papillary defect fill over a 6-month period. Conclusion: The novel VISTA approach for papillary reconstruction could be a better alternative owing to less postoperative scarring and predictable results.


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