Exploring the Biological Width in Dentistry: A Comprehensive Narrative Review

Mulla, Sayem A; Patil, Amit; Mali, Sheetal; Jain, Ashish; Sharma, Deepak; Jaiswal, Himmat; Saoji, Hrishikesh; Jakhar, Ashima; Talekar, Shefali; Singh, Shruti

doi:10.7759/cureus.42080

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Distances equal to or less than 1.07mm between the CEJ and the alveolar crest were considered physiological. This value was provided by the literature ( 16 ) and made it possible to calculate the percentage of remaining bone attachment (Fig. 1 ).…”

Section: Methodsmentioning

confidence: 99%

Pre-surgical socket analysis for immediate implant placement

Parra-Moreno,

Schiavo-Di Flaviano,

Egido-Moreno

et al. 2024

Med Oral

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Background Traditional protocols for implant surgery suggest a healing period of 2-3 months from dental extraction to implant placement. Based on all the volumetric modifications produced by that approach, there are authors who advocate for immediate implantology. The aim of the present study was to determine the prevalence of different sockets, and the dimensions of the bone around the upper anterior incisors and canines, to determine the predictability of immediate implants in our population. Material and Methods This is an observational, cross-sectional study based on cone-beam computed tomography images of the anterior maxila of patients attending the Odontological Hospital of the University of Barcelona (OHUB) and requesting for implant treatment. Different measurements were performed on every analyzed tooth, and also they were categorized by using the main dental sockets classifications. Results Bone attachment levels and cortical thickness are lower in women compared to men in all three types of teeth (the difference in the bone attachment levels ranges from 4.68%-8.63% and in the bone thickness goes from 0.02-0.58mm). Bone attachment level gradually reduces with age. The reductions observed in all the measurements are higher in the case of canines, compared with the other teeth. The differences from patients <45 years old and patients between 55-64 years old are 13.58±14.55mm in the case of central incisors, 10.04±5.52 in the case of lateral incisors and 22.39±13.65mm in the case of canines. Conclusions According to our results, the canines are the teeth with the greatest complexity when it comes to immediate implantology treatments. Furthermore, that kind of treatment is more complex as age increases, since we observed a gradual percentage of unfavourable sockets in older patients. Key words: Bone attachment, cortical bone height, cortical thickness, bone resorption, type of socket, immediate implants.

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Section: Methodsmentioning

confidence: 99%

Pre-surgical socket analysis for immediate implant placement

Parra-Moreno,

Schiavo-Di Flaviano,

Egido-Moreno

et al. 2024

Med Oral

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Identification, Evaluation, and Correction of Supracrestal Tissue Attachment (Previously Biologic Width) Violation: A Case Presentation With Literature Review

Alam,

Ibraheem,

Ramalingam

et al. 2024

Cureus

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The supracrestal tissue attachment (SCTA) is the new terminology for biologic width. SCTA is defined as the physiologic dimension of a solitary functional unit composed of junctional epithelium and connective tissue attachment. Its preservation is critical for the well-being of periodontal health. SCTA has been widely studied and scientific literature is indicative of its significance during the placement of restoration, including prosthetic crowns. This should be taken care of in cases of anterior teeth within the smile zone, where dental crowns are regularly placed subgingivally for aesthetic reasons. In addition, any violation of SCTA while restoring the dentition will present as gingival inflammation and pain, consequently, leading to failure of the clinical procedure.

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Exploring the Biological Width in Dentistry: A Comprehensive Narrative Review

Cited by 2 publications

References 21 publications

Pre-surgical socket analysis for immediate implant placement

Pre-surgical socket analysis for immediate implant placement

Identification, Evaluation, and Correction of Supracrestal Tissue Attachment (Previously Biologic Width) Violation: A Case Presentation With Literature Review

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