Results crown widthcrown length ratio was positively correlated with the thickness of the gingiva at the cementoenamel junction g3 r 0. Recently, charruel and colleagues investigated the gingival line angle gla asymmetry between the right and left sides from the frontal perspective only. The frequency of female with thin gingival biotype was significantly less respect to male patients 42. Different tissue biotypes respond differently to inflammation and to surgical and. The calibration of the system was the first step of the protocol acquisition. Adjunct clinical assistant professor and research fellow, department of periodontics and oral medicine, school of dentistry, university of michigan, ann arbor, mi. Solving a thin gingival biotype in the upper anterior with a. Combination of orthodontic movement and periodontal. The purpose of this study was to determine the relationship between gingival thickness gt and width with respect to the underlying bone thickness in the maxillary and mandibular anterior sextant.
Aug 30, 2016 gingival biotypes the gingival morphology of the maxillary anterior region plays an important role in determining the final esthetic outcome. The dimensions of gingiva and different parts of the masticatory mucosa have a profound impact in periodontics as it governs the. The term periodontal biotype introduced by seibert and lindhe categorized the gingiva into thickflat and thin scalloped biotypes 7. Gingival thickness as it relates to probe visibility and buccal plate thickness, abstract background. Gingival biotype prosthodontic perspective springerlink. Hsj institute of dental sciences and hospital, punjab university, india. Jcdr gingival biotype assessment in a healthy periodontium. An overview manu rathee 1, shefali singla 2, mohaneesh bhoria 3 and poonam malik 4. The angle society of europe devoted a study day to explore the evidence surrounding these controversies. The principal objectives of treating a gingival recession are to achieve better esthetics and reduce hypersensitivity. Controversy exists in the literature between the role of orthodontic treatment and gingival recession. In this case, the patient has a narrow dental biotype and thin gingiva, which is more susceptible to recession of the soft tissue margin than patients with wide dental biotype.
Gingival structure, function, and the latest research february 1, 2016 by lifeline cell technology the gingiva or gums is the tissue that surrounds and protects the teeth and underlying bone. In the article, cliffys and shanleys tissue biotype definitions are referred to. The assessment methods were compared using the mcnemar test at a. New method of assessing the relationship between buccal bone. An exploratory study on assessment of gingival biotype.
Automated segmentation of gingival diseases from oral images aman rana 1, gregory yauney, lawrence c. Gingival biotype is known to be dependent upon many factors such as age, gender, growth, tooth shape, tooth position, tooth size and genetically gingival biotype. Surgical modification of the gingival biotype dental online. Association of gingival biotype with the results of scaling and root planing yeonwoo sin, 1 heeyung chang, 1, 2 woohyuk yun, 1 seongnyum jeong, 1, 2 sunghee pi, 1, 2 and hyungkeun you 1, 2 1 department of periodontology, wonkwang university school of dentistry, iksan, korea 2 wonkwang dental research institute, wonkwang university school of dentistry, iksan, korea. Whilst movement of teeth outside the alveolar bone has been reported as a risk factor for gingival recession, others have found no such association. The purpose of this paper is to highlight the significance of changing the. Pdf prevalence of gingival biotype and its relationship to clinical. Although there is some correlation between tooth shape, gingival scallop and biotype it is not a one to one equation. Gingival biotype and morphometric data related to maxillary. This is particularly true during orthodontic treatment. Pdf the gingival biotype in a cohort of chinese subjects with and. The aim of this surgical procedure is to modify the existing thin gingival phenotype using a subepithelial connective tissue graft, so that a thicker gingiva is established.
It has been reported that the average thickness of the schneiderian membrane is 0. The gingival biotype was considered thin if the measurement was or 1. The characteristics of thin and thick gingiva are listed in the table. The effect of changes in lower incisor inclination on. Kawar 2, 1 university of california, usa 2 department of periodontics, college of dentistry, university of illinois, usa. Reprint pdf 787kb management of thin gingival biotype with hard and soft tissue augmentation post orthodontic treatment. Anju rana, do vinod kumar rana, d, rana niwas, paryavaran complex, saidulajab, saket, new delhi 110030, india. A 45yearold female with a very thin biotype had just completed lingual orthodontic treatment and complained that the central incisors, right lateral incisor, and canines were hypersensitive to hot and cold temperatures. Stereolithography stl image acquisition and data matching. Shiva manjunath, anju rana, arijit sarkar correspondence dr. Influence of abutment color and mucosal thickness on soft. With the growing trend in smileenhancement therapies, more people are striving for that perfect smile.
Gingival biotype is one of the factors that influence successful dental treatment by its effects on the outcomes of periodontal therapy, root coverage procedures, and implant placement. Indeed, a harmonious dentogingival junction is one that fits perfectly with the rest of the face. Additional instructions and trouble shooting are included with the game. The term periodontal biotype was used later by seibert and lindhe, who classified the gingiva as either thinscalloped or thickflat. Pdf this clinical study was aimed at evaluating the accuracy of gingival visual inspection procedures during clinical examination and determining. The present study aimed to determine the gingival biotype in chinese subjects with and without a history of periodontal. On the relationship between gingival biotypes and supracrestal. Periodontal biotype is considered to be a significant factor related to successful dental treatments. The gingival biotype is an important modifying factor in the treatment of gingival recession.
The assessment methods were compared using the mcnemar test at a significance level of a. Gingival biotype and morphometric data related to maxillary central incisors in a university student population aim materials and methods m. Surgical modification of the gingival biotype dental. She also presented with class i gingival recession figure 1. The relationship between gingival biotypes and dentopapillary.
Assessment of gingival biotype and facial hardsoft tissue. Some patient have wide band of keratinized tissue which frequently ends in relatively flat mucogingival junction, while others have a narrower band of keratinized tissue where the mucogingival junction may be. This article contains two case reports of management of gingival recession in maxillary and mandibular anterior tooth region by lateral pedicle graft. Management of thin gingival biotype with hard and soft. Gingival recession, root coverage, lateral pedicle graft. The april 2010 edition of journal of periodontology had an article entitled tissue biotype and its relation to the underlying bone morphology, authored by jiahi fu et al. Specifically, the thick gingival biotype has been reported as a prognostic factor. To evaluate the relationship between gingival biotypes and gingival thickness based on probe transparency through the gingival margin and to assess the sensitivity of a novel classification method. The presence of a thin biotype was identified as a possible predictor of gingival recession in a study by melsen and allais. The clinical careful examination of gingival biotype helps practitioners to make appropriate decisions concerning the degree of incisor inclination or intrusion.
Papillary height ph was measured from imaginary line joining the zenith of. The gingival biotype was accurately identified only in about half of the cases irrespective of the clinicians experience. However, the relationship between tooth shape and gingival biotype showed statistically significant. Therefore, the knowledge of gingival biotype plays an important role in. Areas of the mouth with thin gingival biotypes are at risk of soft tissue. Gingival and alveolar bone dimensions were assessed on parallel profile radiographs. Qawasmeh faculty of dentistry, alquds university, jerusalempalestine 4 gingival thickness gt was evaluated and categorized into thick or thin on site. The more prevalent, the thick flat type, occurs in over 85% of the patient population. Gingival zenith positions and levels of the maxillary. The secondary aim is the recession coverage which possibly has to be completed in a further treatment session. Management of thin gingival biotype with hard and soft tissue.
Clinical observations have led clinicians to identify two basic human periodontal forms. Biotype definition of biotype by medical dictionary. Due to the depth of the vestibule and an optimal quan. Based on current literature thick gingival biotype is geared up against thin gingival biotype.
Gingival biotype assessment in a healthy periodontium ncbi. Gingival biotype in the maxillary esthetic zone prezi. Gingival biotypes the gingival morphology of the maxillary anterior re gion plays an important role in determining the final es thetic outcome. It is a minimally invasive technique with a good accuracy. Automated segmentation of gingival diseases from oral images. Probe visibility is the clinical gold standard to discriminate thick from thin biotype but is prone to subjective interpretation. Relationship between smile line, gingival biotype, tooth shape, and. Optimizing gingival biotype using subepithelial connective. The term gingival biotype1417 has been used to describe the thickness of the gingiva in the faciopalatal dimension and it is a genetically determined trait. Sixty adult caucasian subjects were stratified by their gingival biotype gb as defined by the transparency of a prototype doubleended periodontal probe through the buccal gingival margin into. Given the importance in assessing the patients biotype to gain a clear picture of the risk associated with anterior implant esthetics and the tissue response when doing anterior restorative dentistry i felt like i was missing. Gingival biotype is a principal component in restorative and implant procedures, especially in the aesthetic region.
Thick biotype a thick biotype is associated with wide band of keratinized tissue, thick gingiva, short papilla and squarish teeth. A thick gingival biotype is a desirable characteristic that positively affect the aesthetic outcome of an implant restoration because thick tissue biotype is more resistant to mechanical and surgical insult 14. Hence, clinical identification of gingival biotype is a reliable factor for predicting sinus membrane thickness. The gingival biotype is the width of the gingiva in the faciopalatal dimension. Clinical attachment level refers to the distance from enamel cement line to the bottom of the clinical periodontal pocket and is an important parameter in investigating the recessions. Soft tissue biotype is an important parameter to consider in achieving esthetic implant restoration, improving immediate implant success, and preventing future mucosal recession.
Gingival biotype assessment in a healthy periodontium. Solving a thin gingival biotype in the upper anterior with. The gingival thickness affects the treatment outcome possibly because of the difference in the amount of blood supply to the underlying bone and susceptibility to resorption. The gingival biotype is categorized as either thin or thick according to the visibility of the underlying periodontal probe through the gingival tissue visible thin, not visible thick. It is a feature of the periodontium that is susceptible to change. Subepithelial connective tissue harvest to boost gingival. Pdf the prosthetic management of gingival aesthetics. During treatment planning it is important to recognize different gingival biotypes and forms, because they can affect the esthetic outcome of the treatment. So, to overcome the limitations of accuracy while using other manual. May 27, 2017 to evaluate the relationship between gingival biotypes and gingival thickness based on probe transparency through the gingival margin and to assess the sensitivity of a novel classification method.
Clinical observations have led clinicians to identify tw o basic human periodontal forms. Solving a thin gingival biotype in the upper anterior with a connective tissue graft and a pouch flap procedure. A novel perspective for predicting gingival biotype via dentopapillary. According to ochsenbein and ross 1973, gingiva follows the contour. Abstract objectives to determine the association between gingival.
A total of 19 patients, 10 with thin and 9 with thick gingival biotype, were treated for localized miller class i or ii gingival recessions. Reduced gingival thickness is one of the factors that can cause periodontal attachment loss and marginal tissue recession in a patient. Pdf gingival biotype assessment in the esthetic zone. Gingival biotype revisitednovel classification and. Comparison of gingival biotype between different genders based. Among the factors that may impede success in dental treatments, gingival biotype is the greatest cause of concern, particularly affecting the outcomes of periodontal therapy, root coverage procedures, and implant placement. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins.
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