{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T12:51:39Z","timestamp":1779886299162,"version":"3.53.1"},"reference-count":43,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oligodontia is a rare condition characterized by the absence of at least 6 teeth. Implant\u2010supported prosthetic rehabilitation offers a reliable solution for affected patients. However, the unique periodontal traits of oligodontia raise questions about the best prosthetic approach for papilla reconstruction. This retrospective study aims to assess papilla and gingival esthetics in implant\u2010supported rehabilitation of patients with oligodontia. The study compared 3 prosthetic rehabilitation options: adjacent implants, bridges, and cantilevers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010seven patients with oligodontia who received implant\u2010supported treatment participated in the study. Esthetic evaluations were performed using the pink esthetic score (PES) for teeth, implants, and pontics, while the papilla index score (PIS) was used to assess papilla appearance. Interdental sites were divided into 3 groups: control (papilla between teeth), tooth\u2013papilla (papilla between tooth and pontic or implant), and implant\u2013papilla (papilla between implants or between implant and pontic).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 292 teeth, 116 implants, 27 pontics. The mean follow\u2010up for implants was 36.0\u00a0\u00b1\u00a019.8 months and for prosthetic rehabilitation, 26.7\u00a0\u00b1\u00a020.8 months. PES was highest for teeth (13.5\u00a0\u00b1\u00a01.04), followed by implants (12\u00a0\u00b1\u00a01.97) and pontics (11.9\u00a0\u00b1\u00a02.04) (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). PIS demonstrated a difference (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) between control (2.72\u00a0\u00b1\u00a00.64), tooth\u2013papilla (2.17\u00a0\u00b1\u00a00.86), and implant\u2013papilla (1.26\u00a0\u00b1\u00a00.84). No statistical difference was observed between the 2 implants and between an implant and pontic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Natural teeth consistently demonstrated superior esthetic outcomes in PES. However, papilla regeneration was more successful when a tooth was involved in the prosthetic restoration. Reversely, when required, 2 single\u2010crown implant\u2010supported and cantilever implant\u2010supported are similarly effective in papilla outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Plain language summary<\/jats:title>\n                    <jats:p>Oligodontia, a rare condition characterized by the absence of at least 6 teeth, presents challenges in achieving natural\u2010looking dental restorations. This study evaluated the esthetic outcomes of implant\u2010supported prosthetic treatments in 27 patients with oligodontia, focusing on interdental papilla reconstruction. Three rehabilitation methods were compared: adjacent implants, bridges, and cantilevers. Esthetic assessments used the pink esthetic score (PES) for teeth, implants, and pontics, and the papilla index to measure papilla quality. Results showed that natural teeth achieved the highest PESs, followed by implants and pontics. For papilla quality, sites involving natural teeth scored better than those between 2 implants or between an implant and a pontic. Our findings emphasize that natural teeth presence in prosthetic designs improves esthetic outcomes, particularly in papilla regeneration. However, when incorporating natural teeth is not an option, adjacent crown\u2010supported implants and cantilever\u2010supported implants offer equally effective solutions in esthetic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jper.11369","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T15:00:36Z","timestamp":1751986836000},"page":"1366-1378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Papilla and gingival outcomes in implant\u2010rehabilitated patients with oligodontia: A retrospective study"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6420-6268","authenticated-orcid":false,"given":"Nicolas","family":"Dupr\u00e9","sequence":"first","affiliation":[{"name":"Faculty of Odontology Oral Biology, Pediatric Dentistry Orthodontics and Imaging Universit\u00e9 Paris Cit\u00e9 Paris France"},{"name":"Reference Center for Oral and Dental Rare Diseases Rothschild Hospital Greater Paris University Hospitals Paris France"},{"name":"Universit\u00e9 Paris Cit\u00e9 and Sorbonne Paris Nord, Inserm, Sant\u00e9 Orale Montrouge France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Garou","sequence":"additional","affiliation":[{"name":"Reference Center for Oral and Dental Rare Diseases Rothschild Hospital Greater Paris University Hospitals Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3670-0692","authenticated-orcid":false,"given":"Paul","family":"Monneyron","sequence":"additional","affiliation":[{"name":"Postgraduate program in periodontology and implant dentistry\u2010European Federation of Periodontology Universit\u00e9 Paris Cit\u00e9 Paris 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