Evidence map›Paper›PMID 38231354›Full record

SynthesisClinical oral investigations2024

Interdental papilla reconstruction: a systematic review.

Monal Patel, Alaa Guni, Luigi Nibali, Ruben Garcia-Sanchez

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07594184 (Efficacy of Submucosal Hyaluronic Acid Infiltration in Improving the Sensation of Dry Mouth in Patients With Xerostomia), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
18.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07594184 narecruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Submucosal Hyaluronic Acid Infiltration in Improving the Sensation of Dry Mouth in Patients With Xerostomia: A Double-Blind Randomized Clinical Trial.

TypeinterventionalSponsorUniversity of BarcelonaRan2025 to 2026Enrolled40ConditionsXerostomiaArmsSubmucosal infiltration of non reticulated hyaluronic acid, Submucosal infiltration of Placebo
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Inverted T-Shape Connective Tissue Graft for Interdental Papilla Reconstruction: A Clinical Case Series.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Article
  7. Customized Connective Tissue Graft Technique for Optimizing Interproximal Attachment Gain in Regenerative Treatment of Infrabony Defects: A Case Report With 36- to 56-Month Follow-Up.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Esthetic and Functional Rehabilitation: Retreatment of Anterior Fixed Dental Prothesis With Biologically Oriented Preparation Technique and Digital Workflow.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Monal PatelPeriodontology Unit, Centre for Host Microbiome Interactions, King's College London, Floor 18, Tower Wing, Great Maze Pond, London, SE1 9RT, England, UK.
Alaa GuniPeriodontology Unit, Centre for Host Microbiome Interactions, King's College London, Floor 18, Tower Wing, Great Maze Pond, London, SE1 9RT, England, UK.
Luigi NibaliPeriodontology Unit, Centre for Host Microbiome Interactions, King's College London, Floor 18, Tower Wing, Great Maze Pond, London, SE1 9RT, England, UK. luigi.nibali@kcl.ac.uk.
Ruben Garcia-SanchezPeriodontology Department Floor 25, Guy's Tower Wing, Guy's Hospital Great Maze Pond, London Bridge, London, SE1 9RT, England, UK.
King's College London · GBGuy's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess treatment options for the reconstruction of the lost interdental papilla and to evaluate evidence for their efficacy.

methodsAn electronic search (Medline, Embase and the Cochrane Library Database and OpenGray) and a hand search were carried out to identify all types of studies investigating interdental papilla reconstruction (except for reviews) with a minimum of 3 months follow-up.

resultsForty-five studies were included in the study including 7 RCTs, 2 cohort studies, 19 case series and 17 case reports. Fifteen studies reported on the use of hyaluronic acid, 6 studies on platelet-rich fibrin, 16 studies on soft tissue grafting, 4 studies on orthodontics and 4 on additional modalities. The most common outcome measures were black triangle dimensions and papillary fill percentage. Meta-analysis was not possible due to the high heterogeneity of the studies.

conclusionThere are various options for interdental papilla reconstruction of which hyaluronic acid injections, PRF, surgical grafting and orthodontics seem to improve outcomes at a minimum 3 months. The use of soft tissue grafting with sub-epithelial connective tissue graft seems to be associated with the most robust evidence for the longer-term reduction of 'black triangles'. There is insufficient evidence to make recommendations to clinicians. Further research is needed in the form of well conducted RCTs with longer follow ups and patient reported outcome measures. CLINICAL RELEVANCE: Patients frequently complain about the appearance of black triangles and their management options seem unclear. This systematic review provides insight into the available reconstructive options.

Indexed as

GingivaHyaluronic AcidDental CareElectronicsHumansHyaluronic AcidBlack trianglesInterdental papilla reconstructionSystematic review

Identifiers

PMID38231354
PMCPMC10794407
OpenAlexW4390948642

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.