Treatment of Deficient Interdental Papilla Using Albumin-platelets Rich Fibrin

The goal of this ( A case series, clinical trial ) is treatment of deficient interdental papilla in patients who have interdental papillary loss class 1 or 2 in maxillary or mandibular anterior region with plaque index and gingival index less than 1 and the selected sites had distance between contact point and inter proximal bone crest less than 7mm and probing depth less than 4mm. Hypothesis: Albumin-PRF is an efficient treatment of deficient interdental papilla. The primary outcome ( distance between the contact point and papillary tip will be measured by periodontal probe) The participants will practice good oral hygiene measures

Inclusion Criteria: * Patients' complaint from poor esthetics and unappealing black triangles in anterior sextant. * Patients had well -aligned maxillary teeth, no caries, no proximal restoration, fixed prosthesis, or any orthodontic appliance. * Patients had at least one class 1or 2 interdental papilla loss in maxillary or mandibular anterior regions. * Patients had at selected sites, distance between contact point and inter proximal bone crest less than 7mm and probing depth less than 4mm. * Patients had plaque index and gingival index less than 1. Exclusion Criteria: * Patient had advanced periodontal problems (advanced bone and soft tissue loss). * Patients had a systemic condition affect blood components and healing. * Smoker patients. * Patients who are pregnant.