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      Association between gingival tissue biotype and different facial phenotypes

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          Abstract

          Objective

          This study was conducted to investigate the association between gingival tissue biotypes and different facial phenotypes.

          Method

          This was a cross-sectional study conducted in the dental clinics of Riyadh Elm University, Riyadh, Saudi Arabia. Gingival tissue biotypes were assessed and facial measurements recorded for 80 subjects who met the inclusion criteria. Data are presented as numbers (percentages) for all categorical variables and mean ± standard deviation plus median (interquartile range) for all continuous variables. Both descriptive and inferential statistics were analyzed and a P-value ≤ 0.05 was accepted as significant for all statistical tests.

          Results

          The age range of the participants was 21–40 years (mean 28.8 ± 04.3), and the majority were males (65.0%). The thin gingival tissue biotype was found in 39 subjects (48.8%) while the thick gingival biotype was present in 41 subjects (51.2%). The majority of patients were mesoprosopic (41.2%), followed by those who were leptoprosopic (37.5%) and euryprosopic (21.3%). The thick gingival tissue biotype was more prevalent in 21–30-year-old patients. The mesoprosopic facial phenotype was significantly associated with presence of the thin gingival tissue biotype (odds ratio = 3.600, p = 0.049).

          Conclusions

          It was found that the mesoprosopic facial phenotype was more likely to exhibit the thin gingival tissue biotype. The mesoprosopic facial phenotype was the most common facial phenotype of the subjects. The thick gingival tissue biotype was more prevalent in younger people.

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          Most cited references16

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          Gingival biotype assessment in the esthetic zone: visual versus direct measurement.

          This study evaluated the reliability of assessing visually the facial gingival biotype of maxillary anterior teeth with and without the use of a periodontal probe in comparison with direct measurements. Forty-eight patients (20 men, 28 women) with a single failing maxillary anterior tooth participated in this study. Three methods were used to evaluate the thickness of the gingival biotype of the failing tooth: visual, periodontal probing, and direct measurement. Prior to extraction, the gingival biotype was identified as either thick or thin via visual assessment and assessment with a periodontal probe. After tooth extraction, direct measurement of the gingival thickness was performed to the nearest 0.1 mm using a tension-free caliper. The gingival biotype was considered thin if the measurement was =or 1.0 mm. The assessment methods were compared using the McNemar test at a significance level of a=.05. The mean gingival thickness obtained from direct measurements was 1.06+/-0.27 mm, with an equal distribution (50%) of sites with gingival thicknesses of =or 1 mm. The McNemar test showed a statistically significant difference when comparing the visual assessment with assessment using a periodontal probe (P=.0117) and direct measurement (P=.0001). However, there was no statistically significant difference when comparing assessment with a periodontal probe and direct measurement (P=.146). Assessment with a periodontal probe is an adequately reliable and objective method in evaluating gingival biotype, whereas visual assessment of the gingival biotype by itself is not sufficiently reliable compared to direct measurement.
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            Tissue biotype and its relation to the underlying bone morphology.

            Tissue biotypes have been linked to the outcomes of periodontal and implant therapy. The purpose of this study is to determine the dimensions of the gingiva and underlying alveolar bone in the maxillary anterior region and to establish their association. Tissue biotypes of 22 fresh cadaver heads were assessed clinically and radiographically with cone-beam computed tomography (CBCT) scans. Maxillary anterior teeth were atraumatically extracted. The thickness of both soft tissue and bone were measured using a caliper to the nearest 0.1 mm by two calibrated examiners. Probing depths and gingival recession were measured at two points (mid-labial and mid-palatal). Clinical and CBCT measurements of both soft tissue and bone thickness were subsequently compared and correlated. No statistically significant differences were observed between the clinical and CBCT measurements of both soft tissue and bone thickness except the palatal soft tissue measurements. The labial gingival thickness was moderately associated with the underlying bone thickness measured with CBCT (R = 0.429; P <0.05). Gingival recession was not associated with the thickness of both labial gingiva and bone. CBCT measurements were an accurate representation of the clinical thickness of both labial gingiva and bone. In addition, the thickness of the labial gingiva had a moderate association with the underlying bone radiographically.
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              Periodontal health

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                Author and article information

                Contributors
                Journal
                Saudi Dent J
                Saudi Dent J
                The Saudi Dental Journal
                Elsevier
                1013-9052
                1658-3558
                18 April 2019
                October 2019
                18 April 2019
                : 31
                : 4
                : 476-480
                Affiliations
                [a ]Riyadh Elm University, Riyadh, Saudi Arabia
                [b ]Department of Preventive Dentistry, Riyadh Elm University, Saudi Arabia
                Author notes
                [* ]Corresponding author. mosadent@ 123456gmail.com
                Article
                S1013-9052(19)30226-3
                10.1016/j.sdentj.2019.04.002
                6823812
                31700223
                8d032270-74c7-43d1-ab9b-99ac7e12a90b
                © 2019 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 10 February 2019
                : 3 April 2019
                : 4 April 2019
                Categories
                Original Article

                gingival tissue biotype,facial morphology phenotypes,thin,thick,mesoprosopic,association

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