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Recent advances in digital technology have led to the emergence of precise methods for measuring gingival recession and tissue thickness. This study aimed to compare digital measurement methods and conventional periodontal probe measurements for the assessment of gingival recession influenced by the gingival phenotype.
This study involved 128 gingival recession sites from 28 systemically healthy patients aged 18-45 years. The participants were categorized into two groups on the basis of gingival thickness. The plaque index, gingival index, probing depth, clinical attachment level, gingival recession depth, and gingival recession width, and keratinized gingival thickness and width were measured using a manual periodontal probe and an intraoral optical surface scanner. Statistical analysis was performed with nonparametric tests because the data were not normally distributed. P<0.05 indicated statistical significanct.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thin phenotype | A thickness of 1 mm or less is classified as thin gingival tissue. |
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| Thick phenotype | A thickness of more than 1 mm is classified as thick gingival tissue. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| digital assesment | Diagnostic Test | Gingival recession sites were scanned with an intraoral optical surface scanner, and STL images were recorded. The images were imported into image analysis software. The depth, width and area of gingival recession were calculated using Autocat program. |
| Measure | Description | Time Frame |
|---|---|---|
| keratinized gingival thickness | Keratinized gingival thickness refers to the vertical measurement of the gingival tissue that extends from the free gingival margin to the mucogingival junction, characterized by a keratinized epithelial layer which provides enhanced protection and stability to the underlying periodontal structures. | Baseline |
| keratinized gingival width | Keratinized gingival width refers to the horizontal dimension of the gingival tissue that is keratinized, measured from the free gingival margin to the mucogingival junction. | Baseline |
| Gingival recession depth | Gingival recession is the apical migration of the gingival margin away from the cemento-enamel junction (CEJ), resulting in the exposure of the root surface of a tooth. | Baseline |
| Gingival recession width | Gingival recession width refers to the horizontal measurement from the exposed cemento-enamel junction (CEJ) to the apical point of the gingival margin, indicating the extent of root surface exposure. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Plaque index | The plaque index assesses the amount of dental plaque visible on the vestibular and lingual surfaces of all teeth | Baseline |
| Gingival index | This measurement is based on the presence or absence of bleeding on gentle probing |
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Inclusion Criteria: The study included systemically healthy subjects aged 18-45 years with systemic disease or systemic disease under control.
Exclusion Criteria: The exclusion criteria were as follows:
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The study included 128 gingival recessions at 128 sites in 28 systemically healthy patients aged 18-45 years old. The patients were divided into two groups according to the thickness of the gingiva in the teeth with gingival recession.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bolu Abant İzzet Baysal University | Bolu | Bolu | 14030 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D005889 | Gingival Recession |
| ID | Term |
|---|---|
| D005882 | Gingival Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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|
| Baseline |
| Bleeding on probing | Bleeding, leading sign of inflammation inside the connective tissue, is a critical factor for pocket depth measurements, and with other variable factors prevents making reproducible measurements. | Baseline |
| Periodontal pocket depth | A pathologically deepened gingival sulcus around a tooth at the gingival margin. | Baseline |
| Clinical attachment level | CAL is calculated by subtracting the gingival margin level from the probing depth. | Baseline |
| D055093 |
| Periodontal Atrophy |