Epidemiology of mid‐buccal gingival recessions according to the 2018 Classification System in South America: Results from two population‐based studies

Strauß, Franz Josef; Marruganti, Crystal; Romandini, Mario; Cavalla, Franco; Neira, Patricio; Jiménez, Francisco Javier Albusac; Jung, Ronald E; Sanz, Mariano; Gamonal, Jorge

doi:10.1111/jcpe.13847

Cited by 3 publications

(3 citation statements)

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“…Indeed, the root surface exposed to a sub‐gingival microenvironment can be colonized by an anaerobic proteolytic biofilm rather than an acidogenic flora characteristic of dental caries, which may influence the reported associations. Similarly, it remains unclear whether an association with dental caries may also exist for gingival recessions not associated with periodontitis, although they affect only a minor proportion of the population (Romandini et al, 2020; Romano et al, 2022; Strauss et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Are periodontitis and dental caries associated? A systematic review with meta‐analyses

Romandini,

Marruganti,

Romandini

et al. 2023

J Clinic Periodontology

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AimThe epidemiological relationship between periodontitis and caries remains controversial, and evidence synthesis is currently lacking. Therefore, this systematic review was designed to answer the following PECO question: ‘In human adults (P), do subjects suffering from periodontitis (E) have higher presence/number of untreated carious lesions and caries experience (O) than subjects not suffering from periodontitis (C)?’.Materials and MethodsObservational studies that met specific inclusion criteria established to answer to the PECO question were included. Two review authors independently searched for eligible studies, screened the titles and abstracts, carried out the full text analysis, extracted the data and performed the risk of bias assessment. In case of disagreement, a third review author took the final decision during ad hoc consensus meetings. Data synthesis was carried out through random‐effects meta‐analyses.ResultsA total of 18 studies on 21 cohorts, involving 135,018 participants, were included. Meta‐analyses showed a significant association between periodontitis and the presence of at least one tooth with either untreated carious lesions (odds ratio [OR] = 1.63; 95% confidence interval [CI]: 1.32–2.01; p <.00; I2 = 83.0%) or caries experience (decayed and filled teeth ≥ 1) (OR = 1.27; 95% CI: 1.01–1.59; p = .038; I2 = 90.0%). Moreover, subjects with periodontitis exhibited a higher number of surfaces (difference in means [MD] = 0.86; 95% CI: 0.46–1.27; p <.001; I2 = 0.0%) and teeth (MD = 0.35; 95% CI: 0.28–0.42; p <.001; I2 = 69.6%) with untreated carious lesions, as well as a higher number of teeth with caries experience (standardized difference in means [SMD] = 1.46; 95% CI: 0.15–2.78; p = .029; I2 = 98.9%) compared with those without periodontitis. Sensitivity analyses focusing on severe periodontitis as exposure mostly showed consistent results. Estimates for caries experience were only slightly attenuated in adjusted models compared with crude models. Subgroup analyses by caries location also indicated that periodontitis was associated only with root caries, while it was not with caries affecting the anatomical crown.ConclusionsPeriodontitis was found to be associated with the presence and number of treated/untreated root carious lesions. Therefore, caries‐specific preventive measures (e.g., fluorides) should be considered for individuals with periodontitis.

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Section: Discussionmentioning

confidence: 99%

Are periodontitis and dental caries associated? A systematic review with meta‐analyses

Romandini,

Marruganti,

Romandini

et al. 2023

J Clinic Periodontology

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“…[45][46][47][48] Apart from treating periodontitis, regenerative strategies are also employed for root coverage procedures to treat mid-buccal gingival recessions, a highly prevalent condition associated with traumatic toothbrushing. [49][50][51][52][53] This review aims to provide an overview of the current periodontal regenerative technologies used in clinical practice, discussing their composition, mechanism of action, and applications to shed light on the limitations in the field and suggest areas for future research.…”

Section: Introductionmentioning

confidence: 99%

“…[ 45 , 46 , 47 , 48 ] Apart from treating periodontitis, regenerative strategies are also employed for root coverage procedures to treat mid‐buccal gingival recessions, a highly prevalent condition associated with traumatic toothbrushing. [ 49 , 50 , 51 , 52 , 53 ]…”

Section: Introductionmentioning

confidence: 99%

From Basic Science to Clinical Practice: A Review of Current Periodontal/Mucogingival Regenerative Biomaterials

De Lauretis,

Øvrebø,

Romandini

et al. 2024

Advanced Science

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Periodontitis is a dysbiosis‐driven inflammatory disease affecting the tooth‐supporting tissues, characterized by their progressive resorption, which can ultimately lead to tooth loss. A step‐wise therapeutic approach is employed for periodontitis. After an initial behavioral and non‐surgical phase, intra‐bony or furcation defects may be amenable to regenerative procedures. This review discusses the regenerative technologies employed for periodontal regeneration, highlighting the current limitations and future research areas. The search, performed on the MEDLINE database, has identified the available biomaterials, including biologicals (autologous platelet concentrates, hydrogels), bone grafts (pure or putty), and membranes. Biologicals and bone grafts have been critically analyzed in terms of composition, mechanism of action, and clinical applications. Although a certain degree of periodontal regeneration is predictable in intra‐bony and class II furcation defects, complete defect closure is hardly achieved. Moreover, treating class III furcation defects remains challenging. The key properties required for functional regeneration are discussed, and none of the commercially available biomaterials possess all the ideal characteristics. Therefore, research is needed to promote the advancement of more effective and targeted regenerative therapies for periodontitis. Lastly, improving the design and reporting of clinical studies is suggested by strictly adhering to the Consolidated Standards of Reporting Trials (CONSORT) 2010 statement.

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Diagnostic reproducibility of the 2018 Classification of Gingival Recessions: Comparing photographic and in‐person diagnoses

Di Gianfilippo,

Pini Prato,

Franceschi

et al. 2024

Journal of Periodontology

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BackgroundTo assess how the diagnostic reproducibility of the 2018 Classification of Gingival Recession Defects (GRD) could be applied when comparing in‐person chairside measurements with photographic measurements.MethodsThirty‐four GRD were photographed and evaluated by 4 masked operators. For each case, the operators measured twice recession type (RT), recession depth (RD), keratinized tissue width (KTW), gingival thickness (GT), detectability of the cemento–enamel junction (CEJ), and presence of root steps (RSs), chairside, and on photographs. Intraclass correlation coefficient (ICC) with 95% confidence intervals (CI) was calculated for RD and KTW; Kappa with 95% CI was used for GT, CEJ, and RS; quadratic weighted Kappa with 95% CI was used for RT.ResultsRD, KTW, and RT showed excellent overall intra‐operator agreement (> 0.93), and from good to excellent overall inter‐operator agreement (> 0.80), for both clinical and photographic measurements. Agreements were lower for GT, CEJ, and RS. Overall clinical and photographic agreements were within 0.1 difference for every variable, except for inter‐operator agreement for RS which was 0.72 for clinical measurements and 0.45 for photographic measurements. The lowest overall agreement between clinical versus photographic measurements existed for CEJ (0.28) and RS (0.35).ConclusionsVariables composing the 2018 Classification of GRD are reproducible, both clinically and on photographs, with comparable agreements. The overall agreement was higher for KTW, RD, and RT, and lower for GT, CEJ, and RS, for both clinical and photographic measurements. The comparison between chairside and photographic evaluations indicated fair to excellent agreement for most variables, with CEJ and RS showing fair agreement.Plain Language SummaryAs digital diagnostics evolve to facilitate clinical diagnostic measurement, we aimed to assess the effectiveness of intraoral photography for diagnosing gingival recession defects (GRD) according to the 2018 Classification of GRD, compared to traditional clinical examination.Standardized photographs of thirty‐four GRD cases were captured. Four masked operators evaluated the same gingival recessions twice in a clinical setting and twice using photographs. Measurement repeatability within and between operators was calculated for both clinical and photographic settings, and the two settings were compared.Continuous measurements such as recession depth and keratinized tissue width, as well as the evaluation of interproximal attachment height (recession type), showed excellent agreement both clinically and photographically. Agreement was lower for gingival thickness and the detectability of tooth anatomical landmarks, such as the cemento‐enamel junction and the presence of root steps. Overall, the agreement between chairside and photographic evaluations was generally good, but lower when evaluating tooth anatomical landmarks.The variables composing the 2018 Classification of GRD are reproducible in both clinical and photographic settings, with comparable levels of agreement. However, there was consistently worse agreement for gingival thickness and when evaluating tooth anatomical landmarks.

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Epidemiology of mid‐buccal gingival recessions according to the 2018 Classification System in South America: Results from two population‐based studies

Cited by 3 publications

References 27 publications

Are periodontitis and dental caries associated? A systematic review with meta‐analyses

Are periodontitis and dental caries associated? A systematic review with meta‐analyses

From Basic Science to Clinical Practice: A Review of Current Periodontal/Mucogingival Regenerative Biomaterials

Diagnostic reproducibility of the 2018 Classification of Gingival Recessions: Comparing photographic and in‐person diagnoses

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