Association of Transgingival Probing with CBCT Evaluation for Determination of Biotype of the Gingiva
Published: 2022-11-11
Page: 325-332
Issue: 2022 - Volume 5 [Issue 1]
Muhammad Yousaf Ali
Department of Periodontology, Lahore Medical and Dental College, Lahore, Pakistan.
Sumayyah Aziz
Department of Periodontology, Lahore Medical and Dental College, Lahore, Pakistan.
Zaheer Hussain Chachar *
Department of Periodontology, Altamash Institute of Dental Medicine, Karachi, Pakistan.
Anum Haider
Department of Periodontology, University of Alberta, Canada.
Farheen Qureshi
Department of Periodontology, Fatima Memorial College of Medicine and Dentistry, Lahore, Pakistan.
Myra Ahmed
Department of Periodontology, Lahore Medical and Dental College, Lahore, Pakistan.
Khurram Ataullah
Department of Periodontology, Fatima Memorial College of Medicine and Dentistry, Lahore, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Aims: The study aimed for determination of correlation between transgingival probing and CBCT evaluation, for the determination of gingival biotype.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Periodontics, Fatima Memorial Hospital, Lahore and 17th August 2016 to 16th February 2016.
Methodology: In this cross-sectional study, a total of 40 patients indicated to undergo implant placement for posterior maxillary teeth or any mandibular teeth, 18 to 50 years were included. Patients with the presence of restoration in the anterior maxilla, pregnant or lactating women, root canal treatment in the anterior maxilla, and h/o apical surgery were excluded. A single radiologist examined the CBCT obtained from all of the patients. Linear measurements for buccal wall & gingival biotype were measured.
Results: The mean age was 35.13 ± 7.75 years. Of the 40 subjects, there were 22 (55.0%) females and 18 (45.0%) males. On CBCT, the radiographic measures were 1.49 0.34 mm for the right central and 1.49 0.34 mm for the left central. There is a statistically significant link between transgingival probing and CBCT examination for determining gingival biotype, with a Spearman's correlation coefficient of 0.985 and a p-value of 0.0001.
Conclusion: According to the findings of this study, there is a substantial positive association between transgingival probing and CBCT measures of gingival biotypes.
Keywords: Gingival biotype, transgingival probing, cone beam computed tomography
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References
Manjunath RGS, Rana A, Sarkar A. Gingival biotype assessment in a healthy periodontium: Transgingival probing method. J Clin Diagn Res. 2015;9(5):ZC66-9.
Zweers J, Thomas RZ, Slot DE, Weisgold AS, Van der Weijden FGA. Characteristics of periodontal biotype, its dimensions, associations and prevalence: A systematic review. J Clin Periodontol [Internet]. 2014;41(10):958–71.
Available:https://onlinelibrary.wiley.com/doi/10.1111/jcpe.12275
Claffey N, Shanley D. Relationship of gingival thickness and bleeding to loss of probing attachment in shallow sites following nonsurgical periodontal therapy. J Clin Periodontol [Internet]. 1986;13(7): 654–7.
Available:https://onlinelibrary.wiley.com/doi/10.1111/j.1600-051X.1986.tb00861.x
Schroeder HE, Schroeder H, hc Oksche A, Vollrath L. The periodontium with technical assistance of margrit amstad-jossi rosmarie kroni walter scherle. 1986:233–46.
Müller HP, Heinecke A, Schaller N, Eger T. Masticatory mucosa in subjects with different periodontal phenotypes. J Clin Periodontol. 2000;27(9):621–6.
Esfahrood ZR, Kadkhodazadeh M, Ardakani MRT. Gingival biotype: A review. Gen Dent. 2013;61(4):14–7.
Abraham S, Deepak KT, Ranjith A, Preeja C, Archana V. Gingival biotype and its clinical significance – A review. King Saud Univ J Dent Sci. 2013;1:5.
Cook DR, Mealey BL, Verrett RG, Mills MP, Noujeim ME, Lasho DJ, et al. Relationship between clinical periodontal biotype and labial plate thickness: An in vivo study. Int J Periodontics Restorative Dent [Internet]. 31(4):345–54.
Available:http://www.ncbi.nlm.nih.gov/pubmed/21837300
Terakura T. [Non-invasive measurement of the thickness of oral soft tissues]. Nihon Hotetsu Shika Gakkai Zasshi. 1986;30(6):1402–11.
Lawson RB, Jones ML. An evaluation of a noninvasive method of assessing alveolar bone levels in an experimental model of cleft lip and palate. Cleft palate-craniofacial J Off Publ Am Cleft Palate-Craniofacial Assoc. 1998 Jan;35(1):1–8.
Barriviera M, Duarte WR, Januário AL, Faber J, Bezerra ACB. A new method to assess and measure palatal masticatory mucosa by cone-beam computerized tomography. J Clin Periodontol. 2009;36(7):564–8.
Eger T, Müller HP, Heinecke A. Ultrasonic determination of gingival thickness. Subject variation and influence of tooth type and clinical features. J Clin Periodontol. 1996;23(9):839–45.
Daly CH, Wheeler JB 3rd. The use of ultra-sonic thickness measurement in the clinical evaluation of the oral soft tissues. Int Dent J. 1971;21(4):418–29.
Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol [Internet]. 2005;32(7):828–30.
Available:https://onlinelibrary.wiley.com/doi/10.1111/j.1600-051X.2005.00757.x
Kan JYK, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: An evaluation of maxillary anterior single implants in humans. J Periodontol. 2003;74(4):557–62.
Fu J-H, Yeh C-Y, Chan H-L, Tatarakis N, Leong DJM, Wang H-L. Tissue biotype and its relation to the underlying bone morphology. J Periodontol. 2010;81(4):569–74.
Rogers MJ, Gordon S, Benford HL, Coxon FP, Luckman SP, Monkkonen J, et al. Cellular and molecular mechanisms of action of bisphosphonates. Cancer. 2000;88(12):2961–78.
Vitté C, Fleisch H, Guenther HL. Bisphosphonates induce osteoblasts to secrete an inhibitor of osteoclast-mediated resorption. Endocrinology. 1996;137(6):2324–33.
Lezcano V, Bellido T, Plotkin LI, Boland R, Morelli S. Osteoblastic protein tyrosine phosphatases inhibition and connexin 43 phosphorylation by alendronate. Exp Cell Res [Internet]. 2014;324(1):30–9.
Available:https://linkinghub.elsevier.com/retrieve/pii/S0014482714001323
Duque G, Rivas D. Alendronate has an anabolic effect on bone through the differentiation of mesenchymal stem cells. J bone Miner Res Off J Am Soc Bone Miner Res. 2007;22(10):1603–11.
Pan B, Farrugia AN, To LB, Findlay DM, Green J, Lynch K, et al. The nitrogen-containing bisphosphonate, zoledronic acid, influences RANKL expression in human osteoblast-like cells by activating TNF-alpha converting enzyme (TACE). J bone Miner Res Off J Am Soc Bone Miner Res. 2004;19(1):147–54.
Pietschmann P, Stohlawetz P, Brosch S, Steiner G, Smolen JS, Peterlik M. The effect of alendronate on cytokine production, adhesion molecule expression, and transendothelial migration of human peripheral blood mononuclear cells. Calcif Tissue Int. 1998;63(4):325–30.
Price U, Le H-OT, Powell SE, Schmid MJ, Marx DB, Zhang Y, et al. Effects of local simvastatin-alendronate conjugate in preventing periodontitis bone loss. J Periodontal Res. 2013;48(5):541–8.
Shibutani T, Inuduka A, Horiki I, Luan Q, Iwayama Y. Bisphosphonate inhibits alveolar bone resorption in experimentally-induced peri-implantitis in dogs. Clin Oral Implants Res. 2001;12(2):109–14.
Stein JM, Lintel-Höping N, Hammächer C, Kasaj A, Tamm M, Hanisch O. The gingival biotype: Measurement of soft and hard tissue dimensions - A radiographic morphometric study. J Clin Periodontol. 2013;40(12):1132–9.
La Rocca AP, Alemany AS, Levi PJ, Juan MV, Molina JN, Weisgold AS. Anterior maxillary and mandibular biotype: Relationship between gingival thickness and width with respect to underlying bone thickness. Implant Dent. 2012;21(6):507–15.