Evaluation of thickness of palatal masticatory mucosa in posterior teeth and its relation with age and gender

Khatri, Manish; Gupta, Geeti; Puri, Komal; Bansal, Mansi; Garg, Surbhi; Ranga, Parveen

doi:10.4103/ijds.ijds_82_17

Cited by 3 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Knowing the thickness of the palate would guide the periodontist to make appropriate incisions and, choose the appropriate location to obtain a graft of adequate thickness and dimensions. Several factors are believed to affect the thickness of the palatal gingiva including age, gender, race, smoking status, dentition, orthodontic treatment, systemic diseases, drugs, immunosuppression, and individual variations (Heil et al, 2018; Khatri et al, 2017; Manjunath, Rana, & Sarkar, 2015; Stipetic et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Anatomic factors influencing dimensions of soft tissue graft from the hard palate. A clinical study

Said

Khalid²,

Farook

2020

Clinical & Exp Dental Res

View full text Add to dashboard Cite

Objectives The aim of the present study was to measure the thickness of the palatal mucosa in a Jordanian (Middle Eastern) population as well as identify possible factors that may influence the thickness of palatal mucosa. Material and Methods Sixty period on tally healthy subjects (29 males and 31 females) were selected. Fifteen measurement points were defined on the palate. The mucosal thickness in the hard palate was determined by “bone sounding” with a Hu‐Friedy® round periodontal probe. Results The overall mean thickness of the palatal masticatory mucosa was 3.23 ± 0.47 mm.The mean thickness increased from the gingival margin to a more apical position irrespective of the tooth measured or side of the mouth in the following sequence: canine, second molar, first premolar, second premolar and lastly, the first molar. No significant difference between gender, smoking status, gingival phenotype andsides of the mouth with the thickness of palatal masticatory mucosa was determined. A significant difference between palatal shape and palatal gingival thickness was found. Conclusions The most appropriate site for graft harvesting is the canine‐premolar area 8‐13 mm from the mid‐palatal aspect of each respective tooth in a Jordanian population. Except for the palatal shape, the side of the mouth, smoking, gender or gingival phenotype does not affect the graft harvest. Clinical Relevance Scientific Rationale for Study Knowledge on the thickness of the masticatory mucosa is crucialin making decisions for surgical treatment modality and may affect surgical outcome. We measured the thickness of the palatal mucosa in a Jordanian population and identified possible influencing factors. Principal Findings The thickness varied according to the teeth and the canine to premolar region was found to be the appropriate donor site. Practical Implications This information on safe zone for graft harvest can guide the periodontist to make appropriate incisions and choose the appropriate location to obtain a graft of adequate thickness and dimensions.

show abstract

Section: Introductionmentioning

confidence: 99%

Anatomic factors influencing dimensions of soft tissue graft from the hard palate. A clinical study

Said

Khalid²,

Farook

2020

Clinical & Exp Dental Res

View full text Add to dashboard Cite

show abstract

“…In this study, posterior palatal mucosal thickness was assessed at six points, similar to Wara-aswapati et al 15 and Khatri et al, 16 such as, MeL, ML, DL, MeM, MM, and DM. A prepared clear acrylic stent was fabricated to ensure consistent locations for the repeated assessments of mucosal thickness by bone sounding following the administration of local anesthesia using a sterile Endodontic K-file (No.…”

Section: Discussionmentioning

confidence: 99%

“…A similar gingival thickness evaluation of posterior palatal mucosa was done in previous studies. 16,17 Other studies have used different methods to measure the gingival thickness of posterior palatal mucosa, Zucchelli et al 2 used a short needle for anesthesia and a 3-mm-diameter silicon disk stop, whereas Schacher et al 18 used cannulas and probes for the same.…”

Section: Discussionmentioning

confidence: 99%

Patient Reported Outcome of Palatal Donor Site After Harvesting Connective Tissue Graft With or Without Platelet-rich Fibrin: A Prospective Clinical Study

Yadav,

Bains,

Madan

et al. 2023

Journal of Advanced Oral Research

View full text Add to dashboard Cite

Aim: To evaluate the palatal donor site after harvesting connective tissue graft with or without platelet-rich fibrin (PRF). Material and Methods: Forty-two patients requiring connective tissue grafting were randomly divided into two groups: the experimental palatal donor site ( n = 21) received PRF before suturing, and the control palatal donor site ( n = 21) was sutured without any PRF. Results: Among 42 enrolled patients requiring connective tissue grafting, 34 patients completed the study. After 10 days, there was an increase in the average thickness of the palatal surgical test site in PRF-treated patients, whereas it decreased in non-PRF-treated patients. Patients’ response and acceptance for the surgical treatment modality in terms of Patient Comfort Score (PCS) and Patient Appearance Score (PAS) showed less discomfort and better/pleasing appearance in the experimental group after treatment as compared with the control group. “Absolute contour match” of the healing lesion to adjacent mucosa was observed in 76.5% of experimental sites, and no “absolute contour match” was observed with the adjacent non-surgical tissue in the control group, whereas, at 3 and 12 weeks, a 100% “absolute match” with the adjacent tissue was observed for all esthetic parameters in both groups. Conclusion: PRF usage at the donor site seems to be a simple less-invasive approach of high significance resulting in more accelerated physiological healing phenomenon and better early healing response.

show abstract

“…Apart from these anatomical considerations, there may be other confounding factors that influence the palatal submucosal thickness which need to be considered before harvesting CTG, such as genetic factors, age, and body weight. [4445] On investigation, the palatal mucosa of the younger age group was thinner than that of the older group, which might be because the thickness of the ortho keratinized epithelial layer of the hard palate mucosa increases with age, resulting in the palatal mucosa that is seen in older individuals. It might also be due to gingival tissue which is found to become more coarse and dense with age.…”

Section: Surgical Considerations and Graft Harvesting Techniquesmentioning

confidence: 99%

“…It might also be due to gingival tissue which is found to become more coarse and dense with age. [46] Furthermore, palatal mucosal thickness was found to be more in males as compared to females,[4445] but in contrast, a study done by Schacher et al [47] stated that females had thicker mucosa than males and reasoned out that thickness depends on body mass. The effect of the body mass index on palatal mucosal thickness was investigated, and it has shown positive results as increase in body weight makes an effect on the amount of adipose tissue present in the palatal submucosal layer, which results in an increased thickness of the palatal mucosa.…”

Section: Surgical Considerations and Graft Harvesting Techniquesmentioning

confidence: 99%

44-year journey of palatal connective tissue graft harvest: A narrative review

Puri

Kumar

Khatri

et al. 2019

J Indian Soc Periodontol

Self Cite

View full text Add to dashboard Cite

Connective tissue graft (CTG) is considered the gold standard for soft-tissue correction and augmentation surgeries, but involves a secondary donor area and its associated complications. The techniques to harvest CTG have undergone a large number of modifications over a period of 44 years since the time it was introduced by Edel in 1974 to increase the width of keratinized gingiva. This review compiles all the techniques of graft harvest from the palate and their modifications which have been introduced in the last 44 years till date. This review is based on systematic reviews, comparative human studies, and case reports describing any new technique of graft harvest. Publications till April 2018 were selected and further reviewed. In addition, specific related journals and books were searched upon. In order to minimize the pain, bleeding, and morbidity associated with donor site, several researchers proposed harvesting of the connective tissue by means of different techniques, each precisely different from others in terms of design, incisions, and procedure of harvest. Although the latest techniques are minimally invasive with reduced incision lines, less compromised blood supply, accelerated healing, and no sloughing of the overlying flap, they are technique sensitive which requires higher expertise to execute.

show abstract

Evaluation of thickness of palatal masticatory mucosa in posterior teeth and its relation with age and gender

Cited by 3 publications

References 0 publications

Anatomic factors influencing dimensions of soft tissue graft from the hard palate. A clinical study

Anatomic factors influencing dimensions of soft tissue graft from the hard palate. A clinical study

Patient Reported Outcome of Palatal Donor Site After Harvesting Connective Tissue Graft With or Without Platelet-rich Fibrin: A Prospective Clinical Study

44-year journey of palatal connective tissue graft harvest: A narrative review

Contact Info

Product

Resources

About