Gingival phenotypes in young male adults

Müller, Hans‐Peter; Eger, Thomas

doi:10.1111/j.1600-051x.1997.tb01186.x

Cited by 182 publications

(226 citation statements)

References 7 publications

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“…a cluster had a significantly thicker and wider gingiva, while another cluster showed normal gingival thickness but a narrow zone of keratinized tissue. 11 The present study demonstrated that the plaque and gingival indices showed a negative correlation with the width of keratinized tissue among the cases. This finding is in agreement with that of a study conducted by Lang and Loe, who demonstrated that areas of minimum width of attached gingiva may by their increased mobility facilitate subgingival plaque deposition.…”

Section: Discussionmentioning

confidence: 67%

Correlation of Width of Zone of Keratinized Tissue and Gingival Tissue Thickness With Periodontal Status in Anterior Teeth

Penmetsa¹,

Supriya²,

Doraiswamy³

2016

jemds

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CONTEXTThe harmony and beauty of a smile are characterized by both our teeth and gums, wherein the gingival display in the maxillary anterior teeth is more apparent than that of the posterior teeth. Anatomical characteristics of the periodontium, such as width of keratinized tissue and gingival thickness are known to reflect the health of the periodontium. Hence, it is cardinal to establish a relationship between the gingival parameters like the width of keratinized gingiva and the thickness of gingiva with the periodontal status in the anterior teeth region. AIMThe objective of the study is to evaluate whether there is a positive correlation between the gingival thickness, width of the zone of gingival keratinized tissue and periodontal status. SETTINGS AND DESIGNThis is a comparative clinical study with a sample size of 120, of which 60 patients having periodontitis in the maxillary and mandibular anterior teeth regions were regarded as cases and 60 patients without any form of periodontitis in the maxillary and mandibular anterior teeth regions were regarded as controls. METHODS AND MATERIALSIn all subjects, periodontal parameters like plaque index, gingival index, bleeding index, probing depth, clinical attachment level, width of keratinized gingiva and the number of recessions were recorded. The thickness of gingiva was recorded using an endodontic spreader and digital calipers. STATISTICAL ANALYSISKarl Pearson correlation coefficient and unpaired t test were used for statistical analysis. RESULTSAmong the cases, plaque index and gingival index negatively correlated with the width of keratinized tissue, the width of keratinized tissue positively correlated with thickness of gingiva and the probing depth, clinical attachment level and gingival recessions were negatively correlated with the width of keratinized tissue. The control group showed a positive correlation between the width of keratinized tissue, the probing depth and clinical attachment level. CONCLUSIONThere exists a difference in the width of keratinized tissue and gingival thickness among periodontitis patients and controls. Moreover, periodontal parameters like probing depth, clinical attachment level and incidence of gingival recession correlate with the width of keratinized gingiva and gingival tissue thickness in the anterior teeth region.

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Section: Discussionmentioning

confidence: 67%

Correlation of Width of Zone of Keratinized Tissue and Gingival Tissue Thickness With Periodontal Status in Anterior Teeth

Penmetsa¹,

Supriya²,

Doraiswamy³

2016

jemds

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“…Recall studies indicate thickness of the gum (gingival biotype) is more decisive than the amount of keratinized gingiva to prevent future gum recession 24 . It is important to highlight that an important factor to increase the risk of future gingival recession is a thin gingival biotype 25,26 . It should be emphasized the purpose of a muco-gingival surgery should not only increase the width of keratinized tissue, but also its thickness.…”

Section: Discussionmentioning

confidence: 99%

Porcine collagen matrix for treating gingival recession. Randomized clinical trial.

Castro¹,

Grados²

2013

Joralres

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Achieving root coverage after exposure caused by gingival recession is one of the main goals of reconstructive periodontal surgery. Even though a large variety of techniques and mucogingival grafting procedures are available, their long-term results are not clear yet. Therefore, this study aimed to compare clinical effectiveness of the porcine collagen matrix with subepithelial connective graft for treating Miller class I and II gingival recessions. Materials and methods: The randomized clinical trial included twelve patients assigned to two groups. In the first group (experimental), six patients were treated using collagen matrix (mean age, 54.3 ± 5.6 years; mean recession 2. 67 ± 1.03 mm). Another group (control) of six patients was treated using connective grafts (mean age, 57.1 ± 2.7 years; mean recession 4.33 ± 1.03 mm). All patients underwent periodontal evaluation and pre-surgical preparation including oral hygiene instruction and supragingival scaling. Gingival recessions were exposed through partial thickness flaps where the grafts and matrices were placed. Patients were assessed periodically until complete healing of tissue. Results: Root coverage parameters, amount of keratinized gingiva, gingival biotype and clinical attachment level were evaluated. The root coverage percentage for the group using connective graft was 24.7 ± 13.5 % and 16.6 ± 26.8 % for the one treated with the matrix. The amount of increased keratinized tissue was 4.33 ± 2.06 mm and 4.5 ± 0.83 mm for the control and experimental group respectively. Both groups increased gingival biotypes from thin to thick at 100%. The final clinical attachment level was 4.17 ± 3.17 ± 04mm for the control group and 0.98 mm for the experimental group. There were significant differences between the outcome of gingival recession and clinical attachment. Conclusion: Results indicate both techniques, besides being predictable, are useful for improving clinical parameters when treating gingival recessions. Regardless of the fact that better root coverage was obtained with the subepithelial connective graft, both methods are really useful for increasing the thickness of keratinized tissue. Keywords: Gingival recession, connective tissue, grafts, periodontal disease, collagen matrix.Matriz de colágeno de origen porcino en el tratamiento de las recesiones gingivales. Ensayo clínico aleatorio.Resumen: Lograr la cobertura radicular que se expone por las recesiones gingivales es uno de los principales objetivos de las cirugías periodontales reconstructivas. Una gran variedad de técnicas e injertos mucogingivales se encuentran como opciones terapéuticas. Sin embargo, los resultados y efectividad a largo plazo aún no son claros. Este estudio tuvo como objetivo comparar la efectividad clínica de la matriz de colágeno de origen porcino versus el injerto conectivo subepitelial en el tratamiento de las recesiones gingivales Miller clase I y II. Materiales y métodos: Ensayo clínico aleatorizado donde participaron 12 pacientes asignados de manera aleatoria en...

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“…Gingival recession is the apical migration of the gin gival margin to the cementoenamel junction, either coagnated with inflammatory periodontal disease 1 and mechanical trauma 2 or with the presence of a host of predisposing factors that include tooth malposition and root prominence, gingival phenotype, 3 underlying alveolar dehiscence, 4,5 orthodontic tooth movement, 4,6 aberrant frenulum attachment 7 and iatrogenic restorative and periodontal treatmentrelated factors (surgical recession). 8 For the correction and management of muco gingival deformities and defects, variety of perio dontal plastic surgery procedures have been described in the literature, with the aim to set up and preserve the dentition and periodontium, healthy and functional with most favorable esthetics throughout the life time.…”

Section: Introductionmentioning

confidence: 99%

A New Innovative Approach for Treatment of Gingival Recession: A Clinical Case

Bhardwaj¹,

Grover²,

Deswal³

et al. 2015

International Journal of Clinical Implant Dentistry

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ABSTRACTgingival recession is characterized by the apical migration of tissue margin apical to cement enamel junction. these defects give rise to both functional and esthetic challenges. A new innovative technique of periodontal plastic surgery was used in which periosteum was incised and mobilized at the apical part of the mucoperiosteum flap to cover the defect. The purpose of this case report was to clinically evaluate the use of periosteum eversion technique to cover gingival recession defect.

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Gingival phenotypes in young male adults

Cited by 182 publications

References 7 publications

Correlation of Width of Zone of Keratinized Tissue and Gingival Tissue Thickness With Periodontal Status in Anterior Teeth

Correlation of Width of Zone of Keratinized Tissue and Gingival Tissue Thickness With Periodontal Status in Anterior Teeth

Porcine collagen matrix for treating gingival recession. Randomized clinical trial.

A New Innovative Approach for Treatment of Gingival Recession: A Clinical Case

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