Association of gingival biotype with the results of scaling and root planing

Abstract

PurposeThe concept of gingival biotype has been used as a predictor of periodontal therapy outcomes since the 1980s. In the present study, prospective and controlled experiments were performed to compare periodontal pocket depth (PPD) reduction and gingival shrinkage (GSH) after scaling and root planing (SRP) according to gingival biotype.MethodsTwenty-five patients diagnosed with chronic periodontitis participated in the present study. The PPD and GSH of the labial side of the maxillary anterior teeth (from the right canine to the left canine) were evaluated at baseline and 3 months after SRP. Changes in the PPD following SRP were classified into 4 groups according to the gingival thickness and initial PPD. Two more groups representing normal gingival crevices were added in evaluation of the GSH. The results were statistically analyzed using the independent t-test.ResultsIn the end, 16 patients participated in the present study. With regard to PPD reduction, there were no significant differences according to gingival biotype (P>0.05). Likewise, sites with a PPD of over 3 mm failed to show any significant differences in the GSH (P>0.05). However, among the sites with a PPD of under 3 mm, those with the thin gingival biotype showed more GSH (P<0.05).ConclusionsPPD changes after SRP were not affected by gingival biotype with either shallow or deep periodontal pockets. GSH also showed equal outcomes in all the groups without normal gingival crevices. The results of SRP seem not to differ according to gingival biotype.

Six Month Clinical Evaluation of Interdental Papilla Reconstruction with Injectable Hyaluronic Acid Gel Using an Image Analysis System

“…Currently, numerous studies have reported the use of image analysis programs for the evaluation of clinical photographs. Sin and colleagues used an imaging tool to analyze clinical photographs used for investigating changes in gingival shrinkage based on gingival biotype 3 months after scaling and root planing. In addition, Kerner and colleagues analyzed clinical photographs using an image analysis program to calculate the root coverage rate and reported that the results were reliable when compared to those obtained using a conventional periodontal probe.…”

An evaluation of the gingival biotype and the width of keratinized gingiva in the mandibular anterior region of individuals with different dental malocclusion groups and levels of crowding

“…GT is considered as an important factor in the success of periodontal and orthodontic treatment 34. Careful evaluation of GT is important during the treatment planning stage in order to prevent pathological periodontal problems, such as gingival recession due to orthodontic treatment 25.…”

“…GT is considered as an important factor in the success of periodontal and orthodontic treatment. 3 4 Careful evaluation of GT is important during the treatment planning stage in order to prevent pathological periodontal problems, such as gingival recession due to orthodontic treatment. 2 5 It has been reported that movements of teeth made within the anatomical limits of the alveolar bone by applying controlled orthodontic force do not cause any pathological problems.…”

Gingival Harmony in Anterior Aesthetic Restorations

“…The gingiva with thickness of less than 1.5 mm was classified as a thin biotype whereas the gingiva with thickness ≥1.5 mm was classified as a thick biotype. In patients with thick flat biotype, a greater regaining of soft tissue occurs after crown lengthening procedures than in patients with thin biotype that shows higher prevalence of gingival recession [6,7]. In addition, post-surgery clinical results were strongly associated with the gingival and crest form.…”