{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T21:14:34Z","timestamp":1776287674292,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T00:00:00Z","timestamp":1368662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The objective of the present study was to compare inter\u2010proximal fill and papilla height between different embrasures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material &amp; Methods<\/jats:title><jats:p>One hundred and fifty non\u2010smoking consecutive patients (mean age 54, range 32\u201373; 63 males and 87 females) without periodontal disease were selected in a multidisciplinary practice during regular supportive care. All had been treated for multiple tooth loss in the anterior maxilla at least 1\u00a0year earlier by means of a fixed restoration on teeth (<jats:italic>n<\/jats:italic>\u00a0=\u00a050) or implants (<jats:italic>n<\/jats:italic>\u00a0=\u00a0100) using straightforward procedures (without hard and\/or soft tissue augmentation). Embrasure fill was assessed by means of Jemt's papilla index and papilla height was registered following local anaesthesia by means of bone sounding by one clinician.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Tooth\u2010pontic and tooth\u2010implant embrasures demonstrated comparable inter\u2010proximal fill and papilla height (\u226558% Jemt's score 3; mean papilla height \u22654.1\u00a0mm). Between missing teeth, embrasure fill and papilla height were lower regardless of the embrasure type. The implant\u2010implant and implant\u2010pontic embrasure demonstrated comparable outcome (\u226442% Jemt's score 3; mean papilla height\u00a0\u2264\u00a03.3\u00a0mm; <jats:italic>p\u00a0<\/jats:italic>\u2265<jats:italic>\u00a0<\/jats:italic>0.416), which was significantly poorer when compared to the pontic\u2010pontic embrasure (82% Jemt's score 3; mean papilla height 3.7\u00a0mm; <jats:italic>p\u00a0<\/jats:italic>\u2264<jats:italic>\u00a0<\/jats:italic>0.019). Overall, papilla index and papilla height demonstrated a weak correlation (Spearman's correlation coefficient: 0.198; <jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The re\u2010establishment of a papilla is difficult when there is no tooth involved. In that scenario a short papilla should be expected and implant\u2010borne restorations demonstrate the poorest outcome. Moreover, an implant with a pontic may not perform better than adjacent implants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12116","type":"journal-article","created":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T07:50:50Z","timestamp":1366617050000},"page":"728-733","source":"Crossref","is-referenced-by-count":17,"title":["Disparity in embrasure fill and papilla height between tooth\u2010 and implant\u2010borne fixed restorations in the anterior maxilla: a cross\u2010sectional study"],"prefix":"10.1111","volume":"40","author":[{"given":"Jan","family":"Cosyn","sequence":"first","affiliation":[{"name":"Department of Periodontology and Oral Implantology Faculty of Medicine and Health Sciences, Dental School University of Ghent De Pintelaan 185 B\u20109000 Ghent Belgium"},{"name":"Dental Medicine Faculty of Medicine and Pharmacy Free University of Brussels (VUB) Laarbeeklaan 103 B\u20101090 Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magalie","family":"Raes","sequence":"additional","affiliation":[{"name":"Department of Periodontology and Oral Implantology Faculty of Medicine and Health Sciences, Dental School University of Ghent De Pintelaan 185 B\u20109000 Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Packet","sequence":"additional","affiliation":[{"name":"Private multidisciplinary practice Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Cleymaet","sequence":"additional","affiliation":[{"name":"Dental Medicine Faculty of Medicine and Pharmacy Free University of Brussels (VUB) Laarbeeklaan 103 B\u20101090 Brussels Belgium"},{"name":"Private multidisciplinary practice Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo","family":"De Bruyn","sequence":"additional","affiliation":[{"name":"Department of Periodontology and Oral Implantology Faculty of Medicine and Health Sciences, Dental School University of Ghent De Pintelaan 185 B\u20109000 Ghent Belgium"},{"name":"Department of Prosthodontics Faculty of Odontology Malm\u00f6 University 205 06 Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2011.02391.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2009.01706.x"},{"key":"e_1_2_6_4_1","first-page":"717","article-title":"Two prosthetic crowns supported by a single implant: an esthetic alternative for restoring the anterior maxilla","volume":"39","author":"Barreto M.","year":"2008","journal-title":"Quintessence 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