Papillary regeneration: anatomical aspects and treatment approaches

Introduction and objective: This paper aims to report a literature review on the anatomy and morphology of the interproximal papilla and present the options of both surgical and nonsurgical treatment for the recovery of interdental papilla. Literature review: The loss of the interdental papilla because of the interproximal bone loss accounts for aesthetic, phonetic and functional problems of patients with periodontal disease. The interproximal tissue reconstruction has been reported in literature through both surgical procedures with the use of subepithelial connective tissue graft, restorative and orthodontic treatment. Conclusion: The etiology of gingival black space is multifactorial, therefore, it is important to diagnose properly the etiological factor to establish an appropriate treatment planing. However, the treatment approaches are not predictable and further studies are necessary to recommend the clinical practices available to date.

Factors associated with complications of removal of third molars: A transversal study

Objectives: The purpose of this study is to estimate the overall frequency of complications associated with thirdmolars (M3) removal and to identify the risk factors associated with these complications. Study design: To thetransversal analysis, a researcher confidentially reviewed the records of all M3 surgery patients. The predictorvariables were demographic (i.e. age and gender), localization and position of third molar, bone removal and toothsectioning. Results: 210 patients had one or more third molars teeth removed, a total of 605 teeth. The sample’smean age was 21,6 ±9,2 years, with 1,4 woman to 1 man. Postoperative complications were recorded in 54 extractionsof third molars. The most common complications were infection (42,6%), followed by radicular fractures(11,1%) and gingival alterations (11,1%). Complications were significantly affected by 3 factors: age over 25 yearsold (p=0,002 – OR 2,21), location (p=0,006 – OR 2,36), bone removal (p=0,002 - OR 3,03) and tooth sectioning(p=0,00002 – OR 3,59). Conclusions: The results of these analyses suggest that age, location of the tooth, boneremoval and tooth sectioning appear to be associated with a higher complication rate for M3 extractions (AU)

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Factors associated with complications of removal of third molars: a transversal study.

OBJECTIVES: The purpose of this study is to estimate the overall frequency of complications associated with third molars (M3) removal and to identify the risk factors associated with these complications. STUDY DESIGN: To the transversal analysis, a researcher confidentially reviewed the records of all M3 surgery patients. The predictor variables were demographic (i.e. age and gender), localization and position of third molar, bone removal and tooth sectioning. RESULTS: 210 patients had one or more third molars teeth removed, a total of 605 teeth. The sample's mean age was 21.6±9.2 years, with 1,4 woman to 1 man. Postoperative complications were recorded in 54 extractions of third molars. The most common complications were infection (42.6%), followed by radicular fractures (11.1%) and gingival alterations (11.1%). Complications were significantly affected by 3 factors: age over 25 years old (p=0.002--OR 2.21), location (p=0.006--OR 2.36), bone removal (p=0.002--OR 3.03) and tooth sectioning (p=0.00002--OR 3.59). CONCLUSIONS: The results of these analyses suggest that age, location of the tooth, bone removal and tooth sectioning appear to be associated with a higher complication rate for M3 extractions.