Interdental papilla
Hello Doctor: During a visit, an 11-year-old child had dental plaque scraped off the central incisor with a stainless steel instrument, which accidentally cut the tip of the papilla between the teeth on the right side (there is a long deep scar on the right side).
Later that night, while using dental floss, a black triangle was noticed due to gum recession, and food started to get easily trapped.
Could you please clarify, Doctor? The educational materials state that damage to the gingival papilla is irreversible.
If continuous cleaning is maintained, will the injured gingival papilla only heal, or is there a possibility that it can return to its original height and fill the gap between the teeth? Thank you for taking the time to respond.
ella, 40~49 year old female. Ask Date: 2020/12/18
Dr. Zeng Guanghui reply Dentistry
Hello Ella: For an 11-year-old child with a laceration of the gingival papilla, if the wound is not deep, maintaining good oral hygiene should prevent gum recession.
However, if gum recession does occur, it is advisable to consult a dentist for further evaluation and treatment, considering surgical options to restore the aesthetic appearance of the gums.
Director Tseng Guang-Hui, Nantou Hospital Dentistry.
Reply Date: 2020/12/18
More Info
In response to your question about whether gum papillae can heal after injury, it's important to understand the anatomy and function of the gingival papillae, as well as the healing process that follows an injury.
Gingival papillae are the triangular-shaped portions of gum tissue that fill the spaces between adjacent teeth. They play a crucial role in oral health by helping to prevent food from getting trapped between teeth and providing a barrier against bacteria. When these papillae are injured, such as through a cut or abrasion, it can lead to a condition known as gingival recession, where the gum tissue pulls away from the teeth, creating gaps or "black triangles" between them.
In your case, the injury caused by the dental hygienist's tool has resulted in visible damage to the papilla, leading to recession and the formation of a black triangle. Unfortunately, the consensus in dental care is that once the papillae are damaged, they may not fully regenerate to their original height or shape. This is particularly true if the injury has caused significant loss of tissue or if the underlying bone structure is affected.
However, healing can still occur. The gum tissue may recover to some extent, and with proper care, you can minimize further recession and maintain oral health. Here are some insights and recommendations for dental care following such an injury:
1. Maintain Oral Hygiene: It is crucial to keep the area clean to prevent infection. Use a soft-bristled toothbrush and be gentle around the injured area. Flossing should be done carefully to avoid further irritation.
2. Regular Dental Check-ups: Schedule regular visits with your dentist or dental hygienist to monitor the healing process. They can provide professional cleanings and assess the health of your gums.
3. Use of Antimicrobial Mouthwash: Consider using an antimicrobial mouthwash to help reduce bacteria in the mouth, which can aid in the healing process.
4. Dietary Considerations: Avoid hard, crunchy, or sticky foods that could irritate the injured area. Soft foods may be easier to manage while the gums are healing.
5. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet rich in vitamins and minerals can support overall gum health. Vitamin C, in particular, is essential for tissue repair.
6. Avoid Tobacco Products: Smoking can impede healing and exacerbate gum issues. If you smoke, consider reducing or quitting to promote better oral health.
7. Consultation for Cosmetic Options: If the appearance of the black triangle is a concern, discuss potential cosmetic options with your dentist. Procedures such as gum grafting may be considered to restore the papillae's appearance.
In summary, while the injury to the gingival papillae may not be fully reversible, with diligent care and regular dental visits, you can support the healing process and maintain your oral health. It's essential to communicate openly with your dental care provider about your concerns and follow their recommendations for the best outcomes.
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