Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations

Cortellini, Pierpaolo; Bissada, Nabil F.

doi:10.1111/jcpe.12948

Cited by 143 publications

(215 citation statements)

References 64 publications

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“…This is the first study that has evaluated gingival thickness through the periodontal probe's translucency (thin and adequate biotype) with different vertical facial heights, and these findings support the hypothesis that there is no correlation between facial morphology and gingival thickness on lateral cephalograms [24]. Gingival thickness can be assessed by transgingival probing [38], ultrasonic measurement [39], or through the visibility of the probe [40,41]. Transgingival probing was not used because of the need for local anesthesia, which could induce a local volume increase and discomfort for patients [38].…”

Section: Discussionsupporting

confidence: 67%

Association between Gingival Biotype and Facial Typology through Cephalometric Evaluation and Three-Dimensional Facial Scanning

et al. 2019

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In dentistry, the assessment of periodontal biotype is considered one of the most important parameters with which to plan treatment, and craniofacial morphology might affect it. The aim of this study was to investigate the association between facial typology and gingival biotype in patients by means of two-dimensional and three-dimensional evaluations of facial typology. This study included 121 participants searching for orthodontic treatment (43 M, 78 F; 20.4 ± 10.4). Gingival biotype was evaluated based on the transparency of the periodontal probe through the gingival margin of the mid-buccal sulcus for both upper (UGB) and lower (LGB) anterior teeth. SellionNasion^GonionGnation (SN^GoGn) and CondylionGonionMenton (CoGoMe^) angles were measured on two-dimensional cephalograms. Three-dimensional face scans were acquired by means of a three-dimensional facial scanner (3dMD system) and successively analyzed to assess the facial typology using the ratio between lower facial height (SNMe) and total facial height (NMe). A chi-squared test and regression analysis were used to evaluate the associations between gingival biotype and facial morphology (p < 0.05). The chi-squared test showed that there was no statistically significant association between facial typology and gingival biotype (UGB p = 0.83; LGB p = 0.75). The logistic regression showed an association between SNMe/NMe and the UGB (p = 0.036), and SNMe/NMe and LGB (p = 0.049). The decreased ratio of SNMe/NMe might be a protective factor for a thin gingival biotype.

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Section: Discussionsupporting

confidence: 67%

Association between Gingival Biotype and Facial Typology through Cephalometric Evaluation and Three-Dimensional Facial Scanning

et al. 2019

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“…Population studies on the frequency of gingival recession showed a varied level of its prevalence, which was 19% in Swedes, 30% in the population of Poles, and 50% in Germany (Cortellini & Bissada, 2018;Dominiak & Gedrange, 2014;Sulewska et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

The impact of stress, anxiety and depression on stomatognathic system of physiotherapy and dentistry first‐year students

2020

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“…Scientific rationale for the study: Although predictability of root coverage procedures has been extensively demonstrated for the treatment of single and multiple gingival recessions, outcomes in terms of aesthetic outcomes, satisfaction and patient morbidity are still unclear. (Cairo, Nieri, Cincinelli, Mervelt, & Pagliaro, 2011;Cortellini & Bissada, 2018a…”

Section: Clinical Relevancementioning

confidence: 99%

Aesthetic‐And patient‐related outcomes following root coverage procedures: A systematic review and network meta‐analysis

Cairo

Barootchi

Tavelli

et al. 2020

J Clinic Periodontology

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Background: Aim of this systematic review (SR) of randomized controlled trials (RCTs) was to evaluate effect of different flap designs and graft materials for root coverage, in terms of aesthetics, patient satisfaction and self-reported morbidity (post-operative pain/discomfort). Material and Methods: A comprehensive literature search was performed. A mixedmodelling approach to network meta-analysis was utilized to formulate direct and indirect comparisons among treatments for Root Coverage Esthetic Score (RES), with its individual components, and for subjective patient-reported satisfaction and postoperative pain/discomfort (visual analogue scale (VAS) of 100). Results: Twenty-six RCTs with a total of 867 treated patients (1708 recessions) were included. Coronally Advanced Flap (CAF) + Connective Tissue Graft (CTG) (0.74 (95% CI [0.24, 1.26], p = .005)), Tunnel (TUN) + CTG (0.84 (95% CI [0.15, 1.53]), p = .01) and CAF + Graft substitutes (GS) (0.55 (95% CI [0.006, 1.094], p = .04)) were significantly associated with higher RES than CAF. No significant difference between CAF + CTG and TUN + CTG was detected (0.09 (95% CI [−0.54, 0.72], p = .77)). Addition of CTG resulted in less natural tissue texture (−0.21 (95% CI [−0.34, −0.08]), p = .003) and gingival colour (−0.06 (95% CI [−0.12, −0.03], p = .03)) than CAF. CTG techniques were associated with increased morbidity. Conclusions: Connective tissue graft procedures showed highest overall aesthetic performance for root coverage, although graft integration might impair soft tissue colour and appearance. Additionally, CTG-based techniques were also correlated with a greater patient satisfaction and morbidity.

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Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations

Cited by 143 publications

References 64 publications

Association between Gingival Biotype and Facial Typology through Cephalometric Evaluation and Three-Dimensional Facial Scanning

Association between Gingival Biotype and Facial Typology through Cephalometric Evaluation and Three-Dimensional Facial Scanning

The impact of stress, anxiety and depression on stomatognathic system of physiotherapy and dentistry first‐year students

Aesthetic‐And patient‐related outcomes following root coverage procedures: A systematic review and network meta‐analysis

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