Adaptation of gingival biotype in response to prosthetic rehabilitation

Shah, Dipti; Duseja, Sareen; Vaishnav, Kalpesh; Shah, Rutu Paresh

doi:10.4103/aihb.aihb_30_16

Cited by 6 publications

(6 citation statements)

References 1 publication

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“…Finally, the present study reported that the gingival biotype plays an important role in the outcome of prosthetic rehabilitation, which agrees with the previous studies [ 43 , 44 , 45 ]. The knowledge of the nature of tissue biotypes contributes to minimizing tissue resorption and providing a better outcome in tooth preparation and gum retraction.…”

Section: Discussionsupporting

confidence: 93%

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

et al. 2021

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The objective of the present study was to investigate the effects of various types of fixed prostheses on periodontal tissues and explore the association of gingival biotype and gum recession in relation to prosthesis types. The study participants (N = 95) were divided into three groups based on the type of dental prosthesis: Group-I: cobalt-chrome (Co-Cr) ceramic prosthesis fabricated by the conventional method (n = 35); Group-II: consisted of patients with Co-Cr ceramic prostheses fabricated by a computer-aided design and computer aided manufacturing (CAD/CAM) technique (n = 30); and Group-III: zirconia-based prostheses fabricated by the CAD/CAM technique (n = 30). Following the use of prostheses, periodontal examinations were performed using the Community Periodontal Index (CPI) and Modified Approximal Plaque Index (MAPI). In addition, the gingival biotype was examined using a probe transparency method. The Statistical Package for the Social Sciences (SPSS), Version 20 (IBM Company, Chicago, IL, USA), was used to analyze the results, and the significance level was set at p = 0.05. It showed the MAPI results after the use of prosthetic rehabilitation for 12 months of periodontitis in 87.9% ± 15.4 of patients in Group-I, in 80.6% ± 17.97 in those in Group-II, and in 62.5% ± 21.4 in those in Group-III (p < 0.01). The CPI index results indicated a high prevalence of periodontal disease in all groups. The number of people with healthy periodontium constituted 17.1% of patients in Group-I, 24.2% in Group-II, and 37.1% in Group-III. Our study concluded that prosthetic treatment with periodontal diseases showed better outcomes while using dental prostheses fabricated by the CAD/CAM technique compared to the conventionally fabricated dental prostheses. The thin gingival biotype is more often associated with gingival recession than the thick biotype.

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Section: Discussionsupporting

confidence: 93%

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

et al. 2021

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“…Consequently, the mean anterior tooth dimensions predicted using 70% RED are considered unreliable. Similar findings have been reported in the literature amongst different populations, suggesting that the RED proportion does not occur in natural dentition [23][24][25][26].…”

Section: Discussionsupporting

confidence: 90%

The Analysis of Facio-Dental Proportions to Determine the Width of Maxillary Anterior Teeth: A Clinical Study

Ahmed

Halim

Ab‐Ghani

et al. 2022

JCM

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The present study aimed to analyze mid horizontal facial third proportions, those being the interpupillary, inner intercanthal, and bizygomatic distance modified with golden proportion, The Preston proportion, golden percentage and 70% recurring esthetic dental proportion were used for determining maxillary anterior teeth width. A total of 230 participants took part in this study. The front dental and facial photographs along dental stone cast which were converted to three-dimensional (3D) models were used for evaluation. The mid horizontal facial third proportions showed no significant relationship with maxillary anterior teeth width without modification with dental proportions. Whereas, with modification, no statistically significant difference was found between inner-intercanthal distance by golden percentage and width of central incisors. The bizygomatic distance was greater than intercanine distance. While the interpupillary distance by golden proportion was found to be consistent with intercanine distance in female participants. The modified anterior teeth width was significantly different from measured values, when determined by using the three mid facial proportions with Preston and 70% recurring esthetic dental (RED) proportion. Furthermore, the measured width of maxillary anterior teeth showed no difference when plaster dental casts widths were compared with 3D models. The interpupillary, inner-intercanthal, and bizygomatic distance should not be directly used to determine maxillary anterior teeth width. While maxillary anterior teeth width can be determined by modifying the inner inter-canthal distance with golden percentage and interpupillary distance with golden proportion. Moreover, the midfacial third proportions modified with Preston and 70% recurrent esthetic dental proportion were found to be unreliable for the determination of maxillary anterior teeth widths.

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“…A clinician's comprehension of gingival biotype is of prime importance in gaining ideal treatment outcomes. As reported by Shah et al in 2017, 9 gingival biotype has two variants, thick and thin gingival biotype. The thick biotype comprises of flat soft tissue and thick bony architecture.…”

Section: Discussionmentioning

confidence: 70%

Clinical Evaluation of Gingival Thickness and Width according to Dental Arch and Location in Pigmented and Nonpigmented Gingiva

Saxena

Mamen

Jain

et al. 2020

Dental Journal of Advance Studies

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Introduction The present study aimed to clinically evaluate and compare the variations in gingival thickness and width of keratinized gingiva according to the dental arch and location in pigmented and nonpigmented gingiva. Materials and Methods A total of 240 sites from systemically healthy subjects were selected and divided into two groups; Group 1(pigmented gingiva) and group 2 (nonpigmented gingiva). After the initial visit of scaling and root planning, the gingival thickness was evaluated mid-buccally in the attached gingiva, that is, the center of the mucogingival junction and free gingival groove, and at the base of the interdental papilla. Similarly, the gingival width was measured as the distance from the gingival margin to the mucogingival junction. A single calibrated examiner recorded the measurements using the digital vernier caliper with a resolution of 0.01 mm. Results Gingival thickness and width were found to be significantly higher in pigmented than nonpigmented gingiva. Also, the maxillary arch was found to have thicker and wider gingiva than the mandibular arch in both the groups. The gingival thickness was found to be maximum in central incisor and minimum in canine in both the groups. However, the width of keratinized gingiva was found to be maximum in lateral incisor in group 1 (pigmented) and central incisor in group 2 (nonpigmented) and minimum in canine in both the groups. Conclusion A significant positive correlation in gingival thickness and width was observed according to dental arch and location in both pigmented and nonpigmented gingiva.

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Adaptation of gingival biotype in response to prosthetic rehabilitation

Cited by 6 publications

References 1 publication

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

The Analysis of Facio-Dental Proportions to Determine the Width of Maxillary Anterior Teeth: A Clinical Study

Clinical Evaluation of Gingival Thickness and Width according to Dental Arch and Location in Pigmented and Nonpigmented Gingiva

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