Co-Relation of Gingival Biotype (Periodontal Phenotype) with Width of Keratinized Gingiva in Maxillary Anterior Teeth in Patients Reporting to a Local Tertiary Care Dental Hospital

2021 ◽  
Vol 15 (10) ◽  
pp. 3193-3195
Author(s):  
Muhammad Usman Khattak ◽  
Irshad Ahmed ◽  
Kapil Kumar ◽  
Muhammad Iftikhar Ahsen ◽  
Khurram Ata Ullah ◽  
...  

Objective: To find out the correlation of gingival biotype with width of keratinized gingiva in maxillary anterior teeth in patients at tertiary care dental hospital presenting for routine periodontal care. Materials And Methods: In this crossectional study, a total of 87 patients were observed in department of Periodontology, Fatima Memorial Hospital College of Medicine and Dentistry Lahore. The gingival biotype (gingival thickness) were determined by using the transparency of the periodontal probe through gingival sulcus. The width of the keratinized gingiva was measured by measuring the distance between the most coronal point of the gingival margin and the mucogingival junction measured at the midpoint of the vestibular face of the teeth using a Michigan O periodontal probe with William’s markings. Results: In this study mean age was 38 years with SD ± 10.88. Forty six percent patients were male and 54% patients were female. Mean width of keratinized gingiva was 4.22mm ± 1.10 while mean gingival biotype was 1.5 mm ± 0.65. The correlation coefficient r=0.277 shows a positive correlation of width of keratinized gingiva with gingival biotype Conclusion: The study concluded that there is a positive correlation of gingival biotype with width of keratinized gingiva in maxillary anterior teeth. Keywords: gingival biotype, width of keratinized gingival, maxillary anterior teeth

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meng Sun ◽  
Xiaofeng Liu ◽  
Ting Xia ◽  
He Meng

Abstract Background Knowledge of gingival thickness (GT) and alveolar crest thickness (ACT) is essential when performing surgical and non-surgical procedures in the maxillary anterior teeth region. This study aimed at evaluating the GT and ACT in the maxillary anterior teeth region using 15-MHz B-mode Ultrasonic (US). Methods A total of 300 teeth from 50 healthy participants, comprising 25 women and 25 men, aged between 18 and 35 years were analyzed. We measured labial periodontal tissue structures of maxillary anterior teeth, including GT and ACT, at 3 mm apical to the gingival margin (GT3) and the crestal level, respectively. The GT and ACT measurements were correlated. Results The mean labial GT3 of the maxillary central incisors, lateral incisors, and canines were 1.24 ± 0.03 mm, 1.21 ± 0.03 mm and 1.11 ± 0.03 mm, respectively. Canine GT3 was significantly thin than those in the central and lateral incisors (P < 0.05). With regards to labial ACT, we recorded 0.79 ± 0.03 mm, 0.76 ± 0.02 mm and 0.73 ± 0.02 mm for maxillary central incisors, lateral incisors and canines, respectively. There were no significant differences in ACT of maxillary anterior teeth (P > 0.05). GT3 of men was greater than that of women (P < 0.05). In addition, GT and ACT were positively correlated (r = 0.32, P < 0.01). Conclusion 15-MHz B-mode US is an effective tool for measuring labial GT and ACT of anterior teeth. There are sex-associated differences in GT3 and the correlation between the GT3 and ACT of anterior teeth is moderately positive.


2020 ◽  
pp. 1-2
Author(s):  
Mahesh Chavda ◽  
Neeta Bhavsar ◽  
Rachana Gaonkar ◽  
Swapna Patki ◽  
Shreeja Nair

The interface between the restoration and the gingival tissue seems to have a great influence on the final outcome of various treatments. Therefore, the aim of this study was to evaluate the correlation between different morphometric parameters with the thickness of buccal gingiva at the cemento- enamel junction. In 60 periodontally healthy subjects, the six maxillary anterior teeth were examined. Clinical parameters included the gingival thickness, crown width/crown length ratio (CW/ CL), gingival width (GW), papillary height and transparency of the periodontal probe through the gingival sulcus (TRAN). A positive correlation was found between the gingival thickness (GT) and the crown width/ crown length (CW/CL) ratio as well as the papillary height (PH). A weak negative correlation was found between the transparency of probe TRAN and gingival width (GW) with the gingival thickness (GT). Thus, crown form (CW/CL) and papillary height are helpful indicators to determine the gingival thickness at the cemento- enamel junction. The transparency of probe method is subjective and cannot be relied upon for clinical application.


Author(s):  
Katia Montanha-Andrade ◽  
◽  
Ieda M Crusoé-Rebello ◽  
Nara Santos Araujo ◽  
Maurício Andrade Barreto ◽  
...  

The purpose of this study was to investigate the relationship between the alveolar bone and gingival dimensions in the maxillary anterior teeth. Cone-beam computed tomography images of 160 maxillary anterior teeth were evaluated. The Bone (BT) and Gingival Thickness (GT) and distances between Cemento-Enamel Junction (CEJ) and alveolar Bone Crest (CEJ-BC) and Cemento-Enamel Junction and Gingival Margin (CEJ-GM) were measured on the labial surface at the cervical third of the tooth root. Pearson correlation test or partial correlation was used. BT was significantly and positively associated with CEJ-GM in lateral incisors (p=0.04). The correlation between CEJBC and CEJ-GM was negative and statistically significant for incisors and canines (p≤0.01). The correlation between CEJ-BC and GT was positive and statistically significant for central incisors and canines (p≤0.01). Greater bone thickness was associated with higher gingival margin level at the lateral incisor, but not with bone crest level. Lower bone crest level was associated with greater gingival thickness at the central incisor and canines, and with lower gingival margin level at all the anterior maxillary teeth. The planning of orthodontic, periodontal, and restorative treatments should consider these dimensions of marginal periodontal tissue are interrelated and their relationship vary by tooth type.


2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Prabhat Shrestha ◽  
Sabina Paudel ◽  
Madhu Neupane ◽  
Suman Lamba

Introduction: The knowledge of anterior tooth width and their relationships with each other isessential for any esthetic and prosthodontic rehabilitation. The objective of this study is to measurethe width of the anterior teeth of patients coming to a teritary hospital of Nepal. Methods: This descriptive cross-sectional study was conducted at a tertiary care hospital from 30thSeptember 2019 to 30th October 2019 after receiving ethical clearance from the institutional reviewcommittee (reference number: 2076/77/20). Convenient sampling was done. Point estimate at 99%Confidence Interval was calculated along with frequency and proportion for binary data. Dataanalysis was done in Statistical Package for the Social Sciences version 21. Results: Out of the 40 participants, the mean width of right and left side of anterior teeth of themaxillary central incisors were 8.62±0.62 mm and 8.65±0.55 mm; maxillary lateral incisors were6.97±0.74 mm and 7.11±0.78 mm; maxillary canine were 7.81±0.69 mm and 8.15±0.72 mm; mandibularcentral incisors were 5.37±0.4 mm and 5.43±0.37 mm; mandibular lateral incisors were 5.88±.52mm and 6.06±0.53 mm; mandibular canine were 6.69±0.55 mm and 6.93±0.7 mm respectively. Thedifference between the teeth was compared with the central incisors of each side. Conclusions: Our findings of the average values of the anterior teeth and their difference from thecentral incisors on each side showed an agreement with the optimal relationships of anterior teeth,with the exception of the maxillary lateral incisors, which were 0.5mm larger than the values of theoptimal relationship.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Lan Li

Abstract:The morphological characteristics of periodontal tissue and tooth tissue in gingival biotype are one of the indicators reflecting the individual differences of periodontal tissue in patients. Gingival biotypes of anterior teeth are often related to the prognosis of smile aesthetic treatment, which is one of the reference indexes for predicting the success rate of aesthetic treatment such as restoration, implant, periodontal, orthodontic and so on. Gingival biotypes have individual differences, so different gingival biotypes have different responses to different external stimuli. In the current clinical work, the correct evaluation of gingival biotype, especially the accurate measurement of gingival thickness, is the basis of reasonable choice of treatment and prognosis evaluation.


2021 ◽  
Vol 6 (2) ◽  
pp. 103-108
Author(s):  
Tony Kurien J ◽  
Vivek Narayan ◽  
Baiju RM ◽  
Anju P ◽  
Sneha G Thomas

Dimensional characteristic of gingiva is a predisposing factor for initiation and course of periodontal diseases and conditions. Knowledge about variations of gingival biotype among subjects is a prognostic determinant in Periodontics. The purpose of the study was to determine the prevalence of gingival biotypes and to evaluate its influence on various periodontal health parameters. Among the patients who reported to the out-patient section, a cross-sectional study was done on those who satisfied the inclusion criteria. Gingival thickness was measured on six anterior teeth of maxillary and mandibular arch using no.15 endodontic spreader and digital caliper by a single examiner on 112 subjects. Another examiner recorded the clinical parameters pertaining to periodontal health. Subjects with gingival thickness 1.5mm were categorized to thin and those with 2mm into thick gingival biotype. Difference in mean values of quantitative variables was tested by Mann Whitney U test. Bivariate correlation was assessed by Pearson correlation. Multiple linear regression models were developed for modified gingival index and interproximal attachment loss. Prevalence of thin and thick gingival biotype was 48.21% and 39.28% respectively. Mean gingival thickness observed was 1.49±0.59mm. Mean score of all clinical parameters were significantly higher in thin gingival biotype. Gingival biotype had a negative correlation with modified gingival index and interproximal attachment scores. Thicker gingival biotype can be considered to have a protective effect against the development of periodontal pathology.


2021 ◽  
Author(s):  
Özer Alkan ◽  
Yeşim Kaya ◽  
Murat Tunca ◽  
Sıddık Keskin

ABSTRACT Objectives To evaluate changes in the gingival thickness (GT) and keratinized gingival width (KGW) of the maxillary and mandibular central and lateral incisors and canines after fixed orthodontic treatment and their association with sagittal tooth movement (STM). Materials and Methods In this study of both arches, 60 periodontally healthy subjects who had completed fixed orthodontic treatment were included. Using pretreatment and posttreatment lateral cephalograms, STM of the maxillary (1-NA angle and distance, and 1-SN angle) and mandibular (1-NB angle and distance, and IMPA angle) incisors were evaluated to divide the subjects into protrusion and retrusion groups. Pretreatment and posttreatment GT was identified via transgingival probing, and KGW was calculated from the free gingival margin to the mucogingival junction. Results The intragroup pretreatment and posttreatment comparison results showed a significant decrease in the GT of the maxillary and mandibular anterior teeth in the protrusion and retrusion groups and a decrease in the KGW of the maxillary lateral incisors in the protrusion group. Pearson correlation coefficient analyses for maxillary and mandibular anterior teeth revealed that the GT changes were not significantly associated with STM. However, a positive correlation existed between the KGW of tooth numbers 13 and 41 and STM. Conclusions STM was not significantly associated with decreased GT of the maxillary and mandibular anterior teeth, but it was positively correlated with the KGW of tooth numbers 13 and 41.


2018 ◽  
Vol 08 (04) ◽  
pp. 250-253
Author(s):  
Anum Baqar ◽  
Saman Hakeem ◽  
Farnaz Ilyas ◽  
Abid Mohsin ◽  
Fatima Hassan ◽  
...  

Objective: This research was aimed to assess the awareness and attitude regarding implant-retained prosthesis as the most advanced option for tooth replacement amongst residents of Karachi visiting tertiary care centre. Methodology: This cross-sectional survey was conducted in the department of Prosthodontics at Bahria University Dental Hospital, Karachi. Undertaking the demographic characteristics of patients, the objective was to determine the awareness and attitude toward implant supported prosthesis. Results: Amongst 380 responses retrieved, 9.8% of respondents were aware about the dental implant treatment. While correlating awareness with demographics features, awareness statistically increased with educational level (p= 0.00) and occupational category(p=0.01) of the participants. The friends and relative s(40.5%) were the main source of information regarding dental implant treatment modality. 54.1% were unwilling to undergo treatment with dental implant whereas high cost (55.2%)was the major limiting factor for implant treatment. 64.9% demanded dental insurance for getting the treatment. 45.9% had no knowledge regarding maintenance of implant supported prosthesis .73.0% had no idea regarding longevity of dental implant where as 86.5% were unaware of it’s impact on systemic health. Conclusion: The overall awareness regarding implant supported prosthesis was found to be minimal. This underlines the need of efforts and measures that should be made to raise the awareness and thus alter attitude towards dental implant therapy. Expensive rates (55.2%) was found to be the major limiting factor that should be relieved in the form of health insurance policies, especially in the developing countries like ours.


2010 ◽  
Vol 14 (1) ◽  
pp. 303-314
Author(s):  
Katarzyna Podhorodecka

Abstract The author seeks an answer to the question whether a higher intensity of tourism movement is connected with a higher share of tourism in the economy in selected tropical island territories. With the use of the Spearman correlation coefficient, the existence of the average positive correlation between the intensity of tourism movement and the share of tourism in the economy has been determined. In the second part of paper, the author looks at the conditions which affect the role of tourism in the economy in proportion to the intensity of tourism movement. For this purpose, the Chi-square test and detailed case studies of chosen tropical islands are discussed.


2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Linhong Wang ◽  
Yan Ruan ◽  
Jianping Chen ◽  
Yunxiao Luo ◽  
Fan Yang

AbstractThis study aimed to noninvasively assess the relationship between the labial gingival thickness (GT) and the underlying bone thickness (BT) of maxillary anterior teeth by two digital techniques. A total of 30 periodontally healthy participants with 172 maxillary anterior teeth were enrolled. GT and BT were measured at 2, 4 and 6 mm apical to the cemento-enamel junction (CEJ) by two digital techniques: M1—cone-beam computed tomography (CBCT) and M2—digital intraoral scanning (DIS) combined with CBCT. The Pearson's correlation coefficient was calculated to determine the correlation between GT and BT. A significant negative correlation was identified between GT and BT at 2 mm apical to the CEJ for central incisors (CI), lateral incisors (LI), and canines (CA) both by M1 and M2, while a weak negative correlation at 4 mm apical to the CEJ was observed by M1 for CA. No significant correlation was found at other sites by both M1 and M2. The labial BT was < 1 mm in most cases (85% of CI; 97% of LI; and 90% of CA). Within the limitation of this study, it was concluded that GT and BT seemed to be negatively correlated at 2 mm apical to the CEJ. Therefore, caution is warranted when implant restoration at the esthetic area of the anterior teeth.


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