Periodontal biotype: Basics and clinical considerations

Shah, Radhika; Sowmya, N K; Thomas, Raison; Mehta, Dhoom Singh

doi:10.4103/2229-5194.188172

Cited by 17 publications

(16 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, the present study reported that the gingival biotype plays an important role in the outcome of prosthetic rehabilitation, which agrees with the previous studies [ 43 , 44 , 45 ]. The knowledge of the nature of tissue biotypes contributes to minimizing tissue resorption and providing a better outcome in tooth preparation and gum retraction.…”

Section: Discussionsupporting

confidence: 93%

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

et al. 2021

View full text Add to dashboard Cite

The objective of the present study was to investigate the effects of various types of fixed prostheses on periodontal tissues and explore the association of gingival biotype and gum recession in relation to prosthesis types. The study participants (N = 95) were divided into three groups based on the type of dental prosthesis: Group-I: cobalt-chrome (Co-Cr) ceramic prosthesis fabricated by the conventional method (n = 35); Group-II: consisted of patients with Co-Cr ceramic prostheses fabricated by a computer-aided design and computer aided manufacturing (CAD/CAM) technique (n = 30); and Group-III: zirconia-based prostheses fabricated by the CAD/CAM technique (n = 30). Following the use of prostheses, periodontal examinations were performed using the Community Periodontal Index (CPI) and Modified Approximal Plaque Index (MAPI). In addition, the gingival biotype was examined using a probe transparency method. The Statistical Package for the Social Sciences (SPSS), Version 20 (IBM Company, Chicago, IL, USA), was used to analyze the results, and the significance level was set at p = 0.05. It showed the MAPI results after the use of prosthetic rehabilitation for 12 months of periodontitis in 87.9% ± 15.4 of patients in Group-I, in 80.6% ± 17.97 in those in Group-II, and in 62.5% ± 21.4 in those in Group-III (p < 0.01). The CPI index results indicated a high prevalence of periodontal disease in all groups. The number of people with healthy periodontium constituted 17.1% of patients in Group-I, 24.2% in Group-II, and 37.1% in Group-III. Our study concluded that prosthetic treatment with periodontal diseases showed better outcomes while using dental prostheses fabricated by the CAD/CAM technique compared to the conventionally fabricated dental prostheses. The thin gingival biotype is more often associated with gingival recession than the thick biotype.

show abstract

Section: Discussionsupporting

confidence: 93%

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

et al. 2021

View full text Add to dashboard Cite

show abstract

“…There is a lack of consensus over what constitutes a thin or thick gingival type; however, most authors cite 1 mm as the threshold between the two . The thickness of mucosal tissues was studied by Zigdon et al.…”

Section: Discussionmentioning

confidence: 99%

“…There is a lack of consensus over what constitutes a thin or thick gingival type; however, most authors cite 1 mm as the threshold between the two. 21 The thickness of mucosal tissues was studied by Zigdon et al who demonstrated that a thick (> 1 mm) mucosa was associated with less recession around implants. 22 Considering this, the changes in thickness demonstrated by our two treatment groups, which differed by 0.6 mm, can have significant clinical impact on future implants in these sites.…”

Section: Discussionmentioning

confidence: 99%

Ridge preservation procedures revisited: A randomized controlled trial to evaluate dimensional changes with two different surgical protocols

Hong

Chen

Kim

et al. 2018

Journal of Periodontology

View full text Add to dashboard Cite

Background The effect of different surgical techniques for ridge preservation on soft tissue parameters has seldom been investigated. The objective of this study was to compare the effect of two different ridge preservation techniques on soft and hard tissue dimensions. Methods Thirty patients requiring tooth extraction were randomly allocated to either control group C (allograft covered with a non‐crosslinked collagen membrane with primary closure) or experimental group E (allograft covered with cross‐linked collagen membrane left exposed). Sites were surgically re‐entered at 6 months. Soft and hard tissue measurements, cone beam computed tomography (CBCT), and cast measurements were taken at baseline and 6 months. Results Twenty‐eight patients were included in this analysis. When the two treatment groups were compared, the width of the buccal keratinized tissue in the E group showed an increase of 0.43 ± 0.42 mm compared to net loss of 1.57 ± 0.51 mm for the C (P = 0.006). Similarly, buccal tissue thickness has increased in the E group 0.46 ± 0.22 mm compared to a loss of 0.15 ± 0.23 mm in the C group (P = 0.068). Volumetric assessment of the changes in the alveolar ridge for the E group showed a slight decrease (68.3 ± 17 mm3) whereas the C group has experienced almost double this loss (107.5 ± 11 mm3; P = 0.07). Crestal width, measured on the CBCT scan, has shown significant reduction in the C group (4.18 ± 0.56 mm) compared to only 1.74 ± 0.4 mm in the E group (P = 0.003). Conclusion Crosslinked collagen membrane with allograft placed intentionally non‐submerged resulted in better preservation of the keratinized tissues (width and thickness) with similar and at times better osseous preservation following extraction.

show abstract

“…Shah conducted a study in a South Indian population and stated that thin biotype was prevalent in 43.25%, while thick gingival biotype was seen in 56.75%. 13 The above studies surveyed a variety of population and different ethnic groups. Thus, ethnic differences impact the distribution of gingival biotypes and tooth morphology.…”

Section: Introductionmentioning

confidence: 99%

Pink Esthetics: A Study on Significant Gingival Parameters

Patil¹,

Venugopal

Yerawadekar

et al. 2020

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

Aim: The aim of the study was to quantify the specific spatial displacement of gingival zenith (GZ) and determine a representative value for the interdental papilla height as a percentage ratio of clinical crown length (CL), as measured from GZ in the maxillary anterior dentition. Materials and methods: A total of 100 subjects and 1,200 interdental papillae were included. Eighty percent of the population presented with the gingival margin of lateral incisor (LI) teeth positioned coronally to the GZ of the ipsilateral canine (C) and central incisor (CI). Results: No significant difference was found between mesial and distal papilla proportion (DPP) of maxillary incisor groups. In the C group, numerical values showed higher DPP. Conclusion: The data achieved provide the ideal numerical values for prosthetic, restorative, periodontal, implant, postorthodontic, and esthetic treatment outcomes. Clinical significance: The study describes the importance of quantifying the ideal numerical values for prosthetic, restorative, periodontal, implant, postorthodontic, and esthetic treatment outcomes. The readers should understand to quantify the specific spatial displacement of GZ and determine a representative value for the interdental papilla height as a percentage ratio of clinical CL, as measured from GZ in the maxillary anterior dentition.

show abstract

Periodontal biotype: Basics and clinical considerations

Cited by 17 publications

References 2 publications

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses

Ridge preservation procedures revisited: A randomized controlled trial to evaluate dimensional changes with two different surgical protocols

Pink Esthetics: A Study on Significant Gingival Parameters

Contact Info

Product

Resources

About