Intra‐ and Inter‐Examiner Reproducibility in Keratinized Tissue Width Assessment With 3 Methods for Mucogingival Junction Determination

Guglielmoni, Paola; Promsudthi, Ananya; Tatakis, Dimitris N.; Trombelli, Leonardo

doi:10.1902/jop.2001.72.2.134

Cited by 42 publications

(52 citation statements)

References 16 publications

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“…These results are consistent with the research of Guglielmone et al, 24 while Bernimoulin et al 25 reported that performing the functional method gives a maximum width of keratinized gingiva. In addition, the visual method after staining the gingival tissue leads to the smallest disagreements in the values of the attached gingiva width compared to other methods of determining the width of the attached gingiva.…”

Section: Discussionsupporting

confidence: 92%

“…Ovi rezultati su u skladu sa istraživanjem Guglielmoni et al 24 , dok Bernimoulin et al 25 prijavljuje da izvođenje funkcionalne metode daje najveću širinu keratinizirane gingive. Osim toga, vizuelna metoda, nakon bojenja gingivalnog tkiva, dovodi do najmanjeg neslaganja vrednosti širine pripojne gingive u poređenju sa drugim metodama određivanja širine pripojne gingive.…”

Section: Discussionunclassified

“…Mukogingivalna linija je diskretna linija koja predstavlja granicu između pokretne i nepokretne sluzokože prilikom pasivnog kretanja usana i obraza 3 . Metode za lociranje mukogingivalne linije su vizuelna metoda (VM), funkcionalna metoda (FM) i Šilerova metoda (ŠM) 4 . Vizuelna metoda se zasniva na razlici u boji između gingive i alveolarne sluzokože 5 .…”

Section: Uvodunclassified

“…Mucogingival line is a discrete line representing the boundary between mobile and immobile mucous membranes in the passive movement of the lips and cheeks 3 . Methods for locating gingival lines are visual method (VM), functional (FM) and Shiler'method (ŠM) 4 . Visual method is based on the difference in color between the gingival and alveolarmucous membrane 5 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The width of the attached gingiva and its variability in people with healthy periodontal status

Pejčić¹,

Obradoviç²,

Mirković³

2017

Acta stomatologica Naissi

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Section: Discussionsupporting

confidence: 92%

Section: Discussionunclassified

Section: Uvodunclassified

Section: Introductionmentioning

confidence: 99%

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The width of the attached gingiva and its variability in people with healthy periodontal status

Pejčić¹,

Obradoviç²,

Mirković³

2017

Acta stomatologica Naissi

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“…Gingival width was measured midbuccally and, at mandibular teeth, midlingually over the root prominence with the periodontal probe to the nearest millimetre. The mucogingival border was identified by inspecting mucosal surface characteristics as colour and stippling and, if in doubt, functionally by applying a periodontal probe to the alveolar mucosa parallel to the border thereby demarcating the zone of the attached gingiva [7].…”

Section: Methodsmentioning

confidence: 99%

The influence of gingival dimensions on bleeding upon probing in young adults with plaque-induced gingivitis

Müller

Heinecke

2002

Clin Oral Invest

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In both cross-sectional and longitudinal studies of young adults with plaque-induced gingivitis it has been observed that bleeding upon probing is only weakly associated with supragingival plaque. It has been speculated that gingival bleeding may be influenced by several independent factors other than plaque. Great intra- and interindividual variation of gingival thickness and width has been reported. Based on respective observations, the existence of different gingival phenotypes has been suggested. The aim of the present study was to investigate the possible influence of gingival thickness and width on bleeding on probing. Forty young adults with mild, plaque-induced gingivitis, 24 non-smokers and 16 smokers, participated in this cross-sectional study. In addition to periodontal probing depth, clinical attachment loss, width of gingiva, bleeding on probing, and presence of plaque, gingival thickness was measured with an ultrasonic device. Multivariable models were separately calculated for buccal, mandibular lingual, and palatal surfaces and generally adjusted for tooth type. Generalised Estimation Equation methodology was employed in order to adjust for correlated observations. Plaque was significantly associated with bleeding upon probing only at buccal sites (odds ratio 1.80, 95% confidence interval 1.19-2.72) An influence of similar magnitude was identified for smoking (odds ratio 1.76; 1.07-2.89). At lingual sites in the mandible, bleeding was influenced by smoking (odds ratio 2.25; 1.18-4.25) and gingival thickness (odds ratio for thick gingiva >1 mm of 1.93; 1.02-3.65), but not plaque. At palatal sites, only periodontal probing depth had an influence (odds ratio 1.89; 1.25-2.84). It was concluded that, apart from supragingival plaque, smoking was an independent risk factor for gingival bleeding on probing. Thin and vulnerable gingiva of insufficient width was not more likely to bleed after probing than thicker tissue.

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Prospective study assessing three‐dimensional changes of mucosal healing following soft tissue augmentation using free gingival grafts

Parvini

Galárraga-Vinueza

Obreja

et al. 2020

Journal of Periodontology

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Background: The present study aimed to assess the three-dimensional changes following soft tissue augmentation using free gingival grafts (FGG) at implant sites over a 3-month follow-up period. Methods: This study included 12 patients exhibiting deficient keratinized tissue (KT) width (i.e., <2 mm) at the vestibular aspect of 19 implants who underwent soft tissue augmentation using FGG at second stage surgery following implant placement. Twelve implants were considered for the statistical analysis (n = 12). The region of interest (ROI) was intraorally scanned before surgery (S0), immediately post-surgery (S1), 30 (S2) and 90 (S3) days after augmentation. Digital scanned files were used for quantification of FGG surface area (SA) and converted to standard tessellation language (STL) format for superimposition and evaluation of thickness changes between the corresponding time points. FGG shrinkage (%) in terms of SA and thickness was calculated between the assessed time points. Results: Mean FGG SA amounted to 91 (95% CI: 63 to 119), 76.2 (95% CI: 45 to 106), and 61.3 (95% CI: 41 to 81) mm 2 at S1, S2, and S3, respectively. Mean FGG SA shrinkage rate was 16.3% (95% CI: 3 to 29) from S1 to S2 and 33% (95% CI: 19 to 46) from S1 to S3. Mean thickness gain from baseline (S0) to S1, S2, and S3 was 1.31 (95% CI: 1.2 to 1.4), 0.82 (95% CI: 0.5 to 1.12), and 0.37 (0.21 to 0.5) mm, respectively. FGG thickness shrinkage was of 38% (95% CI: 17.6 to 58) from S1 to S2 and 71.8% (95% CI: 60 to 84) from S1 to S3. Dimensional changes from S1 to S3 were statistically significant, P <0.017. Soft tissue healing was uneventful in all patients. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Intra‐ and Inter‐Examiner Reproducibility in Keratinized Tissue Width Assessment With 3 Methods for Mucogingival Junction Determination

Cited by 42 publications

References 16 publications

The width of the attached gingiva and its variability in people with healthy periodontal status

The width of the attached gingiva and its variability in people with healthy periodontal status

The influence of gingival dimensions on bleeding upon probing in young adults with plaque-induced gingivitis

Prospective study assessing three‐dimensional changes of mucosal healing following soft tissue augmentation using free gingival grafts

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