Comparison of miller's classification of gingival recession defects with mahajan's classification of gingival recession defect: A reliability study

Abstract Background In the McKenzie system of mechanical diagnosis and therapy (MDT), a reliable system for the management of spinal problems, classifications are used to guide management strategies. For the classification of extremity disorders, interexaminer agreement has not been investigated with patients. Objective The study objective was to investigate interexaminer agreement for provisional MDT extremity classification with patients. Design This was a reliability study with examiner masking. Methods A therapist with an MDT credential observed the assessments made by 2 therapists with MDT diplomas, who successively performed MDT assessments for 33 patients with extremity pain on the same day. Immediately after each evaluation, all 3 therapists assigned the most appropriate MDT classification from 15 categories; they were unaware of each other's selection. The observed agreement and the Cohen kappa were calculated for the MDT classifications. Results The observed agreement for the 15 MDT categories of classification between the therapist with an MDT credential and the first therapist with an MDT diploma was 78.8%. The Cohen kappa was .72 (95% confidence interval=.54, .89), indicating good agreement. However, the observed agreement between the 2 therapists with MDT diplomas when the patient was assessed separately was 42.4%. The Cohen kappa was .21 (95% confidence interval=.01, .41), indicating poor agreement. Limitations Study limitations included convenience sampling of patients, the small number of examiners, and the limited extremity experience of the therapists with MDT diplomas. Conclusions Interexaminer agreement for provisional MDT extremity classification was good when the examiners were seeing the same patient concurrently but poor when the patient was seen successively. Further studies are needed to establish which factors, including study method, are responsible for the divergent results of the MDT assessments of extremity disorders.

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Knowledge and Interest in Treating Gingival Recession among Dental Practitioners in Saudi Arabia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.033 ◽

2019 ◽

Vol 7 (1) ◽

pp. 139-142

Author(s):

Mohammad Bhat ◽

Nabeeh AlQahtani ◽

Mohasin Khader ◽

Mukhatar Javali ◽

Ali AlQahtani

Keyword(s):

Gingival Recession ◽

Treatment Modalities ◽

Root Coverage ◽

Common Indication ◽

Dental Practitioners ◽

Per Se ◽

General Dentists ◽

Study Participants ◽

Structured Questionnaire

BACKGROUND: Gingival recession is an enigma among clinicians due to multiple etiological factors and various treatment modalities. AIM: Objective of this study was to evaluate the knowledge and interest among dental practitioners regarding the treatment of gingival recession. MATERIAL AND METHODS: A survey was conducted to assess knowledge of gingival recession and interest and satisfaction of dental practitioners in periodontics. This survey was circulated among 250 dental practitioners throughout four months. The structured questionnaire consisted of 9 questions assessing the knowledge and interest of dental practitioners in periodontics; gingival recession per se. RESULTS: Majority of the participants were general dentists. Among them, 46.23% had a habit of reading dental journals. Most of the participants had an opinion that improper tooth brushing (42.71%) is an important cause of the gingival recession. Only 34.17% had information about Miller's classification of gingival recession. Regarding general indication of root coverage procedures, 28.64% answered aesthetics was the most common indication. 39.7% mentioned that traumatic occlusion was a risk factor for gingival recession. A group of 29.65% mentioned that accidental toothbrush trauma leads to gingival recession. CONCLUSION: The knowledge of gingival recession among the study participants was adequate. More specifically, the interest of participants in periodontics was 5.39 and satisfaction in treating periodontal cases was 5.47.

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Classification of Dental Surface Defects in Areas of Gingival Recession

Journal of Periodontology ◽

10.1902/jop.2010.090631 ◽

2010 ◽

Vol 81 (6) ◽

pp. 885-890 ◽

Cited By ~ 36

Author(s):

Giovanpaolo Pini-Prato ◽

Debora Franceschi ◽

Francesco Cairo ◽

Michele Nieri ◽

Roberto Rotundo

Keyword(s):

Surface Defects ◽

Gingival Recession ◽

Dental Surface

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Assessment of gingival recession among adolescent of Jamshoro city.

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.09.1357 ◽

2019 ◽

Vol 26 (09) ◽

pp. 1427-1433

Author(s):

Munir Ahmed Banglani ◽

Maryam Panhwar ◽

Suneel Kumar Punjabi ◽

Komal Memon

Keyword(s):

Educational Program ◽

Preventive Measures ◽

Gingival Recession ◽

Class Iii ◽

Cross Sectional ◽

Common Cause ◽

Medical Health ◽

Oral Hygiene Instructions ◽

Class Iv

Objectives: The aim of study to determine the occurrence of gingival recession in younger population of Jamshoro, also to identify its common cause, so that we can able to establish preventive measures. Study Design: Cross-sectional. Setting: Dental OPD at Liaquat University of Medical Health Sciences Jamshoro. Period: 4 months from May, 2017 to October 2017. Methodology: Study was done on (300) patients, between 18 to 30 years, before selection, they were examined, only those selected, who have gingival recession, this was done by Miller’s Classification, data was obtained by a questionnaire along with the clinical examination. Perform was consists of detailed information of habits and brushing method, scores were given for presence of gingival recession, using Miller's classification. Identification of faulty brushing technique was done by clinical examining. After the completion, all of them were also given suitable treatments also oral hygiene instructions. Results: Mean age of the was 21.09±6.178. Scores of recessions was done according to the classification of Miller, revealed that Class I were the commonest showed 78%, followed by Class II 16%, Class III 4.6% and Class IV 1.4%.Regarding brushing method (horizontal method, medium tooth brush) Statistical analysis revealed that the correlation between both toothbrush type and brushing method and gingival recession were statistically significant (P < 0.001). Conclusion: The accumulation of plaque and wrong brushing method were the commonest causes of recession, educational program for oral health care should be done at community level to reduce its risk. The information from study would help us to made to prevent strategies and therapeutic methods.

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