Determining factors for formation and/or maintenance of peri-implant papilla: Literature review

Nádia Polimeno Soares, Angelica Castro Pimentel, Renata Moreira Cançado, Marcello Roberto manzi, Mariana Brozoski, Rubens Camino Junior, Maria da Graça Naclério-Homem

Introduction: The interproximal papilla, among other requirements, is considered essential to achieve success in esthetic prostheses placed over implants. Methods: This article is based on a literature review carried out with periodicals published from 1984 to 2011 on LILACS and MEDLINE. Twenty-one articles were selected in order to highlight the determining factors for the formation and/or maintenance of peri-implant papilla, namely: the ideal distance between a tooth and an implant, the distance between implants, the above/bellow bone level positioning of an implant and the necessary distance from the contact point to the bone crest. Conclusions: We concluded that the ideal distance between a tooth and an implant is 2 mm, whereas the distance between implants is 3 mm, given that the height of the gingival papilla is supported by the formation of biological space. With regard to the positioning of the implant, above/bellow bone level, no differences regarding papilla formation were reported. The height from the contact point of the crown to the bone crest, which is a determining factor for papilla formation, should be up to 5 mm.

Keywords: Gingiva. Dental implants. Periapical tissue.

How to cite: Soares NP, Pimentel AC, Cançado RM, Manzi MR, Brozoski M, Camino Junior R, Naclério-Homem MG. Determining factors for formation and/or maintenance of peri-implant papilla: Literature review. Dental Press Implantol. 2013 Apr-June;7(2):73-80.

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