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Comparative evaluation of interdental papilla fills around bone level and tissue level implants: A randomised
Aishwarya Rajendra Mulay1, Ashok Kumar Bhansali1, Maya S Indurkar1
1Department of Periodontology, Government Dental College and Hospital, Chhatrapati Sambhajinagar, Maharashtra, India.
Abstract:
Early achievement of optimal interdental papilla fill around dental implants remains a clinical challenge affecting aesthetic outcomes in single-tooth replacement. Therefore, it is of interest to compare interdental papilla fill around bone-level and tissue-level implants in patients undergoing single-tooth replacement. Twenty systemically healthy patients were randomly allocated into two groups: bone-level implants (n=10) and tissue-level implants (n=10). Tissue-level implants demonstrated significantly greater mesial papilla fill at 3 months compared to bone-level implants (p=0.022), while no significant difference was observed in distal papilla fill (p=0.19). Thus, we show that tissue-level implants may provide improved early papilla formation, although long-term clinical relevance requires further evaluation.