{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T02:03:14Z","timestamp":1760061794344},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T00:00:00Z","timestamp":1431907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The interdental papilla is the portion of the gingiva that occupies the space between two adjacent teeth. When papillary recession occurs, an array of problems arises ranging from phonetics to food impaction and esthetic concerns. The aim of this study was to identify risk indicators for visible papillary recession in the anterior maxilla among a <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasian population utilizing an advanced analytical approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A dataset of 211 adult dentate <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasian patients that had undergone intraoral assessment of midline papillary recession and extra\u2010oral assessment of visible papillary recession during maximum (\u201c<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>uchenne\u201d) smile was utilized. An enhanced analytical approach was employed to identify risk indicators for papillary recession.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately one\u2010third of the participants (38%) demonstrated papillary recession during maximum smile (\u201cvisible papillary recession\u201d). An association between sex (male preference) and visible papillary recession was found in this sample population, while age was found to be a risk indicator for papillary recession in individuals over 65 years of age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Visible midline papillary recession in the maxilla is a highly prevalent clinical entity in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasian individuals, thus the development of efficacious treatment modalities for papillary regeneration is necessary. Findings of the present study on risk indicators for visible papillary absence, namely sex and age, may facilitate clinicians in treating patient with compromised interdental aesthetics as well as identifying patients that are in high risk for loss of interdental tissues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>Findings of the present study on risk indicators for visible papillary absence, namely sex and age, indicate the need for careful assessment and meticulous treatment planning with respect to preservation of the interdental tissues. The consideration of these risk indicators can help dentists to identify patients at risk for papillary recession.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12164","type":"journal-article","created":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T20:27:19Z","timestamp":1431980839000},"page":"367-373","source":"Crossref","is-referenced-by-count":6,"title":["Risk Indicators of Papillary Recession in the Anterior Maxilla"],"prefix":"10.1111","volume":"27","author":[{"given":"Andreas L.","family":"Ioannou","sequence":"first","affiliation":[{"name":"Advanced Education Program in Periodontology University of Minnesota  Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasiliki P.","family":"Koidou","sequence":"additional","affiliation":[{"name":"Advanced Education Program in Periodontology University of Minnesota  Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia 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