Anterior Interdental Papillary Loss among Young Adults of Bhubaneswar: A Cross Sectional Survey

Abstract

Background: Presence of intact interdental papilla is considered as an essential component of health and
esthetics. Interdental papilla loss or “black triangles” results in food retention, phonetic problems and
unaesthetic appearance especially in maxillary anterior regions but there are very few studies reporting the
prevalence of this condition.
Aim: To assess the prevalence of anterior interdental papillary loss among young adults in Bhubaneswar.
Materials and Method: A total of 483 patients were screened and 157 patients met the inclusion and
were assessed for papilla loss parameters (Norland & Tarnow and Jemt Classification).All these patients
underwent oral prophylaxis and then clinical photographs were taken.
Results: High frequency of papillary loss was seen in males (62.4%) compared to females (37.6%). Papillary
loss was commonly seen in midline (51.0%) than in laterals(49.0%). Jemt Grade 2 (43.3%)and Nordland
and Tarnow Class I(43.3%) papillary recession was more commonly seen.
Conclusion: There is higher prevalence of papilla loss in the midline region of maxillary anteriors presenting
half or more of the height of the papilla