The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 21 , ISSUE 11 ( November, 2020 ) > List of Articles


Reconstruction of Interimplant Papilla by Demineralized Freeze-dried Bone Allograft Block Fixed by Titanium Screw in Maxillary Esthetic Zone

Priti Charde, Kaustubh S Thakare, Manohar Laxman Bhongade, Aleksa Markovic, Aniruddha M Deshpande

Citation Information : Charde P, Thakare KS, Bhongade ML, Markovic A, Deshpande AM. Reconstruction of Interimplant Papilla by Demineralized Freeze-dried Bone Allograft Block Fixed by Titanium Screw in Maxillary Esthetic Zone. J Contemp Dent Pract 2020; 21 (11):1205-1209.

DOI: 10.5005/jp-journals-10024-2960

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Aim: To evaluate effectiveness of demineralized freeze-dried bone allograft (DFDBA) block fixed by titanium screw for reconstructing interimplant papilla in maxillary esthetic zone during one-stage early loading multiple implant procedure. Materials and methods: A total of 20 implants were placed in 10 systemically healthy patients (2 implants per patient) for replacement of multiple teeth by early loading one-stage implants along with interimplant papilla reconstruction using DFDBA block fixed by titanium screw. At the baseline, 6 months, and at 1 year, clinical measurements (interimplant papillary height measurement, papilla contour) and radiographic measurements were recorded. Results: At 1 year, mean gain in interimplant vertical crestal bone was 1.7 mm, and complete reconstruction of the papilla was observed in 90% cases. Conclusion: Demineralized freeze-dried bone allograft block fixed by titanium screw for reconstruction of interimplant papilla in maxillary esthetic zone during one-stage early loading multiple implant procedure is effective. Clinical significance: Presence of interimplant papilla is of utmost importance for esthetically successful implant-supported restoration in the anterior region. This technique leads to reconstruction of interimplant papilla, thus providing esthetic appearance.

  1. Intraosseous anchorage of dental prostheses. I. Experimental studies. Scan J Plastic Reconstr Surg 1969;3(2):81–100. DOI: 10.3109/02844316909036699.
  2. Osseointegrated implants in the treatment of the edentulous jaw. Experience from 10-year period. Scand J Plast Reconstr Surg Suppl 1977;16:1–132.
  3. The reaction of bone, connective tissue and epithelium to endosteal implants with sprayed titanium surfaces. J Maxillofac Surg 1981;9:15–25. DOI: 10.1016/S0301-0503(81)80007-0.
  4. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992;63(12):995–996. DOI: 10.1902/jop.1992.63.12.995.
  5. The interproximal height of bone: a guidepost to predictable aesthetic strategies and soft tissue contours in anterior tooth replacement. Pract Periodont Aesthet Dent 1998;10(9):1131–1141.
  6. Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results. Int J Periodont Restorat Dent 2000;20(1):11–17.
  7. Root coverage using a free soft tissue autograft following citric acid application: Part I. Technique. Int J Periodont Restorat Dent 1982;2:65–70.
  8. Management of advanced periodontitis: Part I. Preliminary report of method of surgical reconstruction. New Z Dent J 1965;61:180–187.
  9. The subpedicle connective tissue graft: a bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontal 1987;58(2):95–102. DOI: 10.1902/jop.1987.58.2.95.
  10. Guided tissue regeneration in the treatment of human facial recession: a 12-case report. J Periodontol 1992;65(6):554–560. DOI: 10.1902/jop.1992.63.6.554.
  11. Developing optimal periimpalnt papilla within esthetic zone: guided soft tissue augmentation. J Esthet Dent 1995;7(3):125–129. DOI: 10.1111/j.1708-8240.1995.tb00729.x.
  12. Morphology of the interdental papilla. J Periodontol 1965;36(6):21–26. DOI: 10.1902/jop.1965.36.6.455.
  13. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. J Periodontol 2001;72(10):1364–1371. DOI: 10.1902/jop.2001.72.10.1364.
  14. D. Interimplant papilla reconstruction: assessment of soft tissue changes and results of 12 consecutive cases. J Periodontol 2001;72(7):958–962. DOI: 10.1902/jop.2001.72.7.958.
  15. Regeneration of the gingival papillae after single- implant treatment. Int J Periodont Restorat Dent 2003;17:326–333.
  16. Effects of immediate loading with threaded hydroxyapatite coated root-form implants on single premolar replacements: a preliminary report. Int J of Oral Maxillofac Implants 2002;17(4):567–572.
  17. A 4-year prospective clinical and radiological study of maxillary dental implants supporting single-tooth crowns using early and delayed loading protocols. Clin Implant Dent Relat Res 2007;9(4):22–227. DOI: 10.1111/j.1708-8208.2007.00045.x.
  18. Optimal implant stabilization in low density bone. Clin Oral Implants Res 2001;12(5):423–432. DOI: 10.1034/j.1600-0501.2001.120501.x.
  19. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodont Restorat Dent 2005;25:113–119.
  20. Use of a titanium papillary insert for the construction of interimplant papillae. Implant Dent 2000;9(4):358–362. DOI: 10.1097/00008505-200009040-00013.
  21. Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports. Pract Periodont Aesthet Dent 1998;10:1107–1114.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.