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Increasing demands of patients for gingival esthetic and management of deficient papillae in the anterior region had stimulated minimally invasive techniques for papilla reconstruction with biological molecules. Purpose: To evaluate the effect of hyaluronic gel injections in deficient papillae and monitor the results for a 6-months period. Materials and methods: 57 class I and class II deficient papillae were included. 4 weeks after scaling and root planning hyaluronic acid gel was injected in the papillae. The injections were repeated in 20 days. Measurements of papilla height were done on the clinical photographs. The distance between the contact point (complete fill of interproximal space) to the most coronal level of the visible gingival margin was measured before treatment and on months 1, 3 and 6 and compared to baseline. Results: There was a statistically significant change in the papilla level and fill of the interproximal space, ranging from 59% papilla gain on the first month, 72% to the third month and 77% on 6 months. Conclusion: Hyaluronic acid gel is a reliable method for mini-invasive papilla augmentation, especially in class I and class II papilla deficiencies.

MINIMALLY INVASIVE RECONSTRUCTION OF DEFICIENT PAPILLAE WITH HYALURONIC ACID - TREATMENT PROTOCOL AND 6-MONTHS RESULTS