Gum reconstruction by using injectable hyaluronic acid

Recruiting

Brief Summary: This study will investigate the effect of hyaluronic acid gel injections on interdental papilla without comparing it to other treatments. The effectiveness will be evaluated over a three-month period by measuring the reduction in black triangle height using photographic analysis. Hyaluronic acid, a nonimmunogenic substance, activates cellular processes such as migration, proliferation, and gene expression. A larger sample size than previous studies will be used, with treatment indicated when the bone crest-to-contact point distance exceeds 5 mm, as recommended by Norland and Tarnow 1998. All participants will receive full-mouth scaling and polishing one week before treatment to ensure tissue healing and reduce inflammation. Local anesthesia will be applied at the mucogingival junction before hyaluronic acid injection to avoid interference with hyaluronic acid and reduce tissue punctures. A second hyaluronic acid injection will be administered after three weeks to reinforce the initial effect, based on manufacturer guidelines and previous studies. A follow-up evaluation will be conducted three months after the initial injection.

Recruitment & Eligibility

Inclusion Criteria

Non-smoking patient.
Had at least one site with interdental papilla recession in the anterior region of the maxillary and mandibular jaws.
No active periodontal diseases and good oral hygiene.

Exclusion Criteria

If patient have spacing or crowding between the teeth to be treated, abnormal tooth shape, systemic diseases such as diabetes mellitus, hypertension or conditions that alter the outcome of periodontal therapy.
Pregnant and lactating women and tobacco users excluded.

Primary Outcome Measures

Name	Time	Method
inter-papillary regeneration	3 months

Secondary Outcome Measures

Name	Time	Method
subject perspective towards esthetic zone	3 months

Locations (1): Himachal institute of dental sciences, paonta sahib
🇮🇳
Sirmaur, HIMACHAL PRADESH, India
Himachal institute of dental sciences, paonta sahib
🇮🇳Sirmaur, HIMACHAL PRADESH, India
Dr Sagarika Surya
Principal investigator
8077762039
sagarika.surya@gmail.com