Abstract:In both cross-sectional and longitudinal studies of young adults with plaque-induced gingivitis it has been observed that bleeding upon probing is only weakly associated with supragingival plaque. It has been speculated that gingival bleeding may be influenced by several independent factors other than plaque. Great intra- and interindividual variation of gingival thickness and width has been reported. Based on respective observations, the existence of different gingival phenotypes has been suggested. The aim o… Show more
“…Thus, thin and vulnerable gingiva tended to bleed more frequently than thicker periodontal tissues. In contrast, local bleeding on probing was not significantly affected by facial gingival thickness, which is in accordance with observations made in a previous study (28). The most probable reason is quite low bleeding frequency at this location in either study.…”
Gingival thickness is mainly associated with tooth-related variables. Bleeding tendency is higher if gingiva is thin. Subject variability related to periodontal phenotype may add to the total variance, however, to a very low extent.
“…Thus, thin and vulnerable gingiva tended to bleed more frequently than thicker periodontal tissues. In contrast, local bleeding on probing was not significantly affected by facial gingival thickness, which is in accordance with observations made in a previous study (28). The most probable reason is quite low bleeding frequency at this location in either study.…”
Gingival thickness is mainly associated with tooth-related variables. Bleeding tendency is higher if gingiva is thin. Subject variability related to periodontal phenotype may add to the total variance, however, to a very low extent.
“…That the plaque accumulation and the bleeding on probing did not correlate well are in accordance with earlier studies (18–20) showing that visually inflamed sites do not necessarily bleed on provocation. Furthermore, the age of the study population (mean age: 45 years, range: 26–78 years) and the requirement that at least 50% of the papillary height be present for inclusion in the study suggest that this population is not susceptible to periodontal breakdown, even in the presence of plaque.…”
Interdental brushes can be considered a valid alternative to a periodontal probe in assessing marginal bleeding in gingivitis patients. An interdental brush, sized correctly for each interdental space, is easy to handle, atraumatic to the papillae and will allow gingivitis patients to monitor their own progress, while at the same time performing a beneficial oral hygiene procedure and removing any interdental plaque present.
“…This allowed representation of all tooth types including molars and premolars so as to capture the presentation of chronic periodontitis in single rooted teeth as well as multi-rooted teeth because progression of chronic periodontitis may differ in the different tooth types [16]. Only those who consented to participate in the study were recruited.…”
Genetic polymorphisms in interleukin-1 (IL-1A and IL-1B) isoforms have been associated withChronic Periodontitis (CP) (OR = 3.16, p<0.001). Allele 1 at locus (OR=5.2, p=0.005), moderate (OR=4.51, p<0.001) and severe disease (OR=2.19, p=0.042
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.