A New Method for Volumetric Evaluation of Gingival Recessions: A Feasibility Study (original) (raw)
Related papers
Accurate gingival recession quantification using 3D digital dental models
Clinical Oral Investigations
Objectives To develop and validate a method for accurate quantitative assessment of gingival recessions based on superimposition of serial 3D digital models. Materials and methods Gingival recessions of mild (0.5–2 mm) and increased (3–7 mm) severity were simulated on stone casts and surface models were created. The outlines of the gingival margins of the mild (A) and severe recessions (B) were compared to the original gingival margins following 3D best fit superimposition through a gold standard technique (GS), which used intact adjacent structures, and the tested method (CC), which used single tooth crowns at the position of recessions, as superimposition reference. The primary outcome was the distance between the most apical point of each corresponding gingival margin along the respective tooth long axis. Results For mild recessions, the median difference of the test methods (CC_A) from the reference method (GS_A) was 0.008 mm (IQR: 0.093; range: − 0.143, 0.147). For severe reces...
Journal of Pakistan Medical Association, 2023
The study evaluated the position of gingival margins in anterior teeth using clinical and 3-dimensional (3D) optical scanning method among patients subjected to nonsurgical periodontal treatment (NSPT). A single arm, longitudinal study was undertaken at the Archway Dental Center, University of Manchester, UK. History and clinical examination were done. Gingival recession, attachment loss (AL), and periodontal probing depth (PD) were recorded at baseline and 12-weeks follow-up. NSPT was done using hand and ultrasonic instruments. Impressions were made, the resultant gypsum models were scanned to generate 3D images. The change in the gingival level and thickness of facial gingiva were assessed. Out of eight patients recruited, three were lost to follow up. The 3D scan showed a poor correlation with the clinical assessment of gingival recession in anterior teeth following NSPT (r=-0.0089). Recession did not improve after NSPT (p≤ 0.20).
BMC Oral Health
Background: An apical shift in the position of the gingiva beyond the cemento-enamel junction leads to gingival recession. This study aimed to evaluate the reproducibility of digital measurements of gingival recession when compared to conventional measurements taken clinically using periodontal probes. Methods: Gingival recession was measured at 97 sites in the oral cavity by four examiners using the following methods: CP, direct measurement of gingival recession using William's periodontal probe intraorally; CC, measurements on cast models using a caliper; DP, digital measurement on virtual models obtained by intraoral scanning, and DC, digital measurements on virtual models of dental casts. Intra-class and inter-rater correlations were analyzed. Bland Altman plots were drawn to visually determine the magnitude of differences in any given pair-wise measurements. Results: In this study, good inter-methods reliability was observed for almost all the examiners ranging from 0.907 to 0.918, except for one examiner (0.837). The greatest disagreements between the raters were observed for methods; CP (0.631) followed by CC (0.85), while the best agreements were observed for methods DP (0.9) followed by DC (0.872). Conclusion: Variations in measurements between examiners can be reduced by using digital technologies when compared to conventional methods. Improved reproducibility of measurements obtained via intraoral scanning will increase the validity and reliability of future studies that compare different treatment modalities for root coverage.
Scientific Reports, 2021
This research aimed to develop a new digital evaluation protocol to objectively quantify the volumetric changes of root coverage periodontal plastic surgery when combined with connective tissue graft. Consecutive patients with Cairo recession type 1 (RT1) or Cairo recession type 2 (RT2) were treated. Accurate study models obtained at baseline and follow-ups were optically scanned. Healing dynamics were measured by calculating volume differences between time points. Nineteen patients were treated between December 2014 and January 2019. At 3-month follow-up, root coverage was 95.6% (± 14.5%) with tunnel and connective tissue graft (TUN + CTG) technique, and 88.9% (± 20.5%) with the vestibular incision subperiosteal tunnel access and connective tissue graft (VISTA + CTG) technique. Recession decreased 1.33 (± 0.86) mm and 1.42 (± 0.92) mm, respectively (p = 0.337). At 6-month follow-up, root coverage was 96.5% (± 10.4%) with the TUN + CTG and 93.9% (± 10.3%) with the VISTA + CTG. Reces...
Classification of Dental Surface Defects in Areas of Gingival Recession
Background: A clinical classification of surface defects in gingival recession area is proposed. Methods: Two factors were evaluated to set up a classification system: presence (A) or absence (B) of cemento-enamel junction (CEJ) and presence (+) or absence (-) of dental surface discrepancy caused by abrasion (step). Four classes (A+, A-, B+, and B-) were identified on the basis of these variables. To validate the classification three different calibrated examiners applied the proposed classification system to 46 gingival recessions and k statistics were performed. The classification was used on 1,010 gingival recessions from 353 patients to examine the distribution of the four classes. Results: The k statistics for intrarater agreement ranged from 0.74 to 0.95 (almost perfect agreement), whereas inter-rater agreement ranged from 0.26 to 0.59 (moderate agreement). Out of 1,010 exposed root surfaces associated with gingival recession, 144 showed an identifiable CEJ associated with a root surface defect (Class A+, 14%); 469 an identifiable CEJ without any associated step (Class A-, 46%); 244 an un-identifiable CEJ with a step (Class B+, 24%); and 153 an un-identifiable CEJ without any associated step (Class B-, 15%). Conclusion: The proposed classification describes the dental surface defects that are of paramount importance in diagnosing gingival recession areas. J Periodontol 2010;81: 885-890.
Three dimensional (3D) gingival models in periodontal research: a systematic review
Journal of Materials Science: Materials in Medicine
The aim of this study is to systematically appraise the evidence on available full thickness 3D gingival and mucosal models (3D culture in scaffold base system) and their application in periodontal and peri-implant research. This study involved a systematic review of twenty-two studies obtained from searching from five electronic databases: MEDLINE-OVID, EMBASE, EBSCOhost, Web of Science Core Collection and LILACS, as well as a hand search of eligible articles up to September 2022. A total of 2338 studies were initially identified, after removal of duplicates (573), abstracts/title selection (1765), and full text screening (95), twenty-two studies were included, thirty-seven models were identified. Several cellular markers were reported by the studies included. The expression of keratinocytes differentiation markers (K4, K5, K10, K13, K14, K16, K17, K18, K19, involucrin, laminin5), proliferation marker (Ki67, CD90), and vimentin, Type I, II and IV collagen produced by fibroblasts we...
Assessment of non-carious root surface defects in areas of gingival recession: A descriptive study
Journal of clinical and experimental dentistry, 2016
The purpose of this descriptive study was to observe the distribution of four different classes of non-carious cervical root surface discrepancies in teeth with gingival recession. Additionally to explore the different treatment modalities in the literature for each of these defects. A total of 150 subjects with at least one labial gingival recession were included in the study. 1400 teeth were evaluated using 2.5 X magnification loupes and UNC -15 probe for the presence of the cemento-enamel junction and step like defects according to Pini-Prato's classification: A-, identifiable CEJ without defect; A+, identifiable CEJ with defect; B-, unidentifiable CEJ without defect, B+, unidentifiable CEJ with defect. Further a comprehensive electronic and hand search of pubmed indexed journals was performed to identify appropriate treatment modalities for these defects and their predictability following restorative/surgical or combination of both. A total of 1400 teeth with exposed root su...
Inter- and intra-examiner agreement of three classification systems of gingival recession
Journal of Advanced Periodontology & Implant Dentistry
Background. Several classifications have been proposed for gingival recession defects. Correct diagnosis of the type of gingival recession is necessary for proper treatment planning and assessment of the prognosis. Considering the existing uncertainty regarding the reliability of different classification systems available for gingival recession and their shortcomings, this study sought to assess the reproducibility and reliability of accuracy of three available classifications (Cairo, Mahajan and Miller’s classification systems) for gingival recession. Methods. This descriptive study was conducted on 32 patients presenting to the Department of Periodontics, who were selected using convenience sampling. The screening process entailed two sessions and those with a minimum of one site of gingival recession disclosing the cementoenamel junction (CEJ) of the tooth with no adjacent tooth loss at the site of recession were enrolled. Each patient was separately evaluated by three calibrated...
Zenodo (CERN European Organization for Nuclear Research), 2023
Background : Gingival retraction is crucial for impression making in fixed prosthodontics. This invivo study aimed at comparing the gingival retraction in vertical and lateral axes produced by mechanical and chemical retraction systems through digital impressions using intraoral scanner. Materials and Methods: This in vivo, experimental study included 15 subjects,in which further 3 sample groups were allotted making the sample size 45. The mean vertical and lateral gingival displacement done by mechanical and chemical methods was measured at five points of maxillary anterior teeth after preparation on digital impression files made through direct intraoral scanning. Comparison of the mean values without retraction and with different retraction systems were done. The results were analyzed using the One-Way ANOVA, unpaired/independent t test, The Shapiro-Wilk test and Levene's test. Results : The displacement cord, showed mean vertical displacement to be 0.75 mm and the lateral displacement 1.13 mm. For the retraction paste, the resultant mean vertical displacement was calculated to be 0.68 mm and the lateral displacement 0.67 mm. For vertical displacement, no significant differences were found between the cord and the paste. But statistically significant results were seen for the lateral displacement between the same groups. Conclusion: The cord/mechanical system showed a greater amount of displacement than the cordless/chemical system. Intraoral scanning was found to be an effective means of measuring gingival retraction.