On the relationship between crown form and clinical features of the gingiva in adolescents

Olssoin, M.; Lindhe, Jan; Marinello, Carlo P

doi:10.1111/j.1600-051x.1993.tb00773.x

Cited by 212 publications

(297 citation statements)

References 16 publications

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“…5 In the present study the periodontal probing depth was associated with thicker gingiva among the cases, which was in accordance with observations made by several other authors who also reported that subjects with a thick periodontal phenotype had on an average higher mean periodontal probing depth. 19,20,21 However, such a correlation between the probing depth and gingival thickness did not exist in the control group.…”

Section: Discussionmentioning

confidence: 82%

Correlation of Width of Zone of Keratinized Tissue and Gingival Tissue Thickness With Periodontal Status in Anterior Teeth

Penmetsa¹,

Supriya²,

Doraiswamy³

2016

jemds

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CONTEXTThe harmony and beauty of a smile are characterized by both our teeth and gums, wherein the gingival display in the maxillary anterior teeth is more apparent than that of the posterior teeth. Anatomical characteristics of the periodontium, such as width of keratinized tissue and gingival thickness are known to reflect the health of the periodontium. Hence, it is cardinal to establish a relationship between the gingival parameters like the width of keratinized gingiva and the thickness of gingiva with the periodontal status in the anterior teeth region. AIMThe objective of the study is to evaluate whether there is a positive correlation between the gingival thickness, width of the zone of gingival keratinized tissue and periodontal status. SETTINGS AND DESIGNThis is a comparative clinical study with a sample size of 120, of which 60 patients having periodontitis in the maxillary and mandibular anterior teeth regions were regarded as cases and 60 patients without any form of periodontitis in the maxillary and mandibular anterior teeth regions were regarded as controls. METHODS AND MATERIALSIn all subjects, periodontal parameters like plaque index, gingival index, bleeding index, probing depth, clinical attachment level, width of keratinized gingiva and the number of recessions were recorded. The thickness of gingiva was recorded using an endodontic spreader and digital calipers. STATISTICAL ANALYSISKarl Pearson correlation coefficient and unpaired t test were used for statistical analysis. RESULTSAmong the cases, plaque index and gingival index negatively correlated with the width of keratinized tissue, the width of keratinized tissue positively correlated with thickness of gingiva and the probing depth, clinical attachment level and gingival recessions were negatively correlated with the width of keratinized tissue. The control group showed a positive correlation between the width of keratinized tissue, the probing depth and clinical attachment level. CONCLUSIONThere exists a difference in the width of keratinized tissue and gingival thickness among periodontitis patients and controls. Moreover, periodontal parameters like probing depth, clinical attachment level and incidence of gingival recession correlate with the width of keratinized gingiva and gingival tissue thickness in the anterior teeth region.

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Section: Discussionmentioning

confidence: 82%

Correlation of Width of Zone of Keratinized Tissue and Gingival Tissue Thickness With Periodontal Status in Anterior Teeth

Penmetsa¹,

Supriya²,

Doraiswamy³

2016

jemds

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“…Susceptibility to recession may be influenced by the position of the teeth in the arch, the root-bone angle, and the mesiodistal curvature of the tooth surface [54], [55]. Moreover, there is also evidence suggesting that thin gingival tissue (thin biotype/phenotype) is more prone to recession [56], [57]. Many authors have hypothesized that on rotated, tilted, or facially displaced teeth, the bony plate is thinned or reduced in height.…”

Section: Gingival Recession In Orthodontics: a Reviewmentioning

confidence: 99%

Gingival Recession in Orthodontics: A Review

Shah

Goje

et al. 2017

Adv. J. Grad. Res.

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By clinical definition, gingival recession refers to the exposure of the root surface by an apical shift in the position of the gingiva. Recession is important because it can lead to poor esthetics, tooth hypersensitivity, loss of periodontal support, difficulties in maintenance of oral hygiene, and increased susceptibility to caries. Although its etiology is not fully understood, periodontal disease and mechanical trauma are considered the primary factors in the pathogenesis of gingival recession. Orthodontic treatment might also promote the development of gingival recessions. It has been well established that orthodontic forces can move roots close to or through the alveolar cortical plates, leading to bone dehiscence. In such instances, the marginal gingiva, without proper alveolar bone support, might be expected to migrate apically and lead to root exposure. This assumption is based on the fact that in areas of recession, a subjacent alveolar bone dehiscence is always present.

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“…Patients with thin periodontium are shown to have long narrow maxillary central incisors, whereas patients with a thick biotype have short and wide central incisors. 28 In addition, the thick periodontal biotype has a thick osseous structure with flat morphology and a thick gingival tissue with short wide papilla. Thick biotype is associated with less open embrasures especially around implants.…”

Section: Periodontal Disease and Open Gingival Embrasuresmentioning

confidence: 99%