Gingival Thickness Assessment: Visual versus Direct Measurement

Background and Aim: Several methods have been suggested to measure gingival thick-ness. This study aimed to assess the reliability of visual assessment of facial gingival biotype of maxillary and mandibular teeth with or without using a periodontal probe in comparison with direct measurement. Mater...

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Main Authors: Roya Shariatmadar Ahmadi, Rastin Tavassoli, Ferena Sayar, Katayoun Ghaffari, Fatemeh Sarlati
Format: Article
Language:English
Published: Islamic Dental Association of Iran 2016-10-01
Series:Journal of Islamic Dental Association of Iran
Subjects:
Online Access:http://jidai.ir/browse.php?a_code=A-10-1-868&slc_lang=en&sid=1
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author Roya Shariatmadar Ahmadi
Rastin Tavassoli
Ferena Sayar
Katayoun Ghaffari
Fatemeh Sarlati
author_facet Roya Shariatmadar Ahmadi
Rastin Tavassoli
Ferena Sayar
Katayoun Ghaffari
Fatemeh Sarlati
author_sort Roya Shariatmadar Ahmadi
collection DOAJ
description Background and Aim: Several methods have been suggested to measure gingival thick-ness. This study aimed to assess the reliability of visual assessment of facial gingival biotype of maxillary and mandibular teeth with or without using a periodontal probe in comparison with direct measurement. Materials and Methods: Sixty-seven healthy patients (25 women and 42 men) with a total of 100 hopeless teeth were selected for this study. Three methods were used to evaluate gingival thickness namely visual assessment, visual assessment with the use of periodontal probe and direct measurement using a caliper after extracting the hopeless tooth. One trained examiner performed all examinations. Patient demographics, tooth position, and the results of three assessments were recorded. The mean and standard deviation of gingival thickness were calculated. The three methods were compared using the chi-square test. Results: The accuracy of visual assessment method for the “thin biotype” was 96.7% [positive predictive value (PPV)=96.7%], while it was 10.3% for “thick biotype” [negative predictive value (NPV)=10.3%]. The accuracy of visual assessment with the use of periodontal probe for the thin biotype was 100% (PPV=100%), while it was 17.1% for the thick biotype (NPV=17.1%). The results of visual assessment method alone and with the use of periodontal probe were incorrect in 37% and 29% of the cases, respec-tively and this difference was significant (P<0.01). Conclusion: Gingival biotype identification by assessment with the use of periodontal probe is an adequately reliable method while visual assessment of gingival biotype by itself is not sufficient for proper diagnosis. Key Words: Gingiva, Periodontium, Mouth Mucosa
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spelling doaj.art-4a0ef6cd7f71493996c306c632dd1c4d2022-12-22T00:16:40ZengIslamic Dental Association of IranJournal of Islamic Dental Association of Iran2383-30412383-30412016-10-01284149154Gingival Thickness Assessment: Visual versus Direct MeasurementRoya Shariatmadar Ahmadi0Rastin Tavassoli1Ferena Sayar2Katayoun Ghaffari3Fatemeh Sarlati4 Assistant Professor, Department of Periodontics, Dental Branch, Islamic Azad University, Tehran, Iran Dentist, Private Office, Tehran, Iran Associate Professor, Department of Periodontics, Dental Branch, Islamic Azad University, Tehran, Iran Dentist, Private Office, Tehran, Iran Associate Professor, Department of Periodontics, Dental Branch, Islamic Azad University, Tehran, Iran Background and Aim: Several methods have been suggested to measure gingival thick-ness. This study aimed to assess the reliability of visual assessment of facial gingival biotype of maxillary and mandibular teeth with or without using a periodontal probe in comparison with direct measurement. Materials and Methods: Sixty-seven healthy patients (25 women and 42 men) with a total of 100 hopeless teeth were selected for this study. Three methods were used to evaluate gingival thickness namely visual assessment, visual assessment with the use of periodontal probe and direct measurement using a caliper after extracting the hopeless tooth. One trained examiner performed all examinations. Patient demographics, tooth position, and the results of three assessments were recorded. The mean and standard deviation of gingival thickness were calculated. The three methods were compared using the chi-square test. Results: The accuracy of visual assessment method for the “thin biotype” was 96.7% [positive predictive value (PPV)=96.7%], while it was 10.3% for “thick biotype” [negative predictive value (NPV)=10.3%]. The accuracy of visual assessment with the use of periodontal probe for the thin biotype was 100% (PPV=100%), while it was 17.1% for the thick biotype (NPV=17.1%). The results of visual assessment method alone and with the use of periodontal probe were incorrect in 37% and 29% of the cases, respec-tively and this difference was significant (P<0.01). Conclusion: Gingival biotype identification by assessment with the use of periodontal probe is an adequately reliable method while visual assessment of gingival biotype by itself is not sufficient for proper diagnosis. Key Words: Gingiva, Periodontium, Mouth Mucosahttp://jidai.ir/browse.php?a_code=A-10-1-868&slc_lang=en&sid=1GingivaPeriodontiumMouth Mucosa
spellingShingle Roya Shariatmadar Ahmadi
Rastin Tavassoli
Ferena Sayar
Katayoun Ghaffari
Fatemeh Sarlati
Gingival Thickness Assessment: Visual versus Direct Measurement
Journal of Islamic Dental Association of Iran
Gingiva
Periodontium
Mouth Mucosa
title Gingival Thickness Assessment: Visual versus Direct Measurement
title_full Gingival Thickness Assessment: Visual versus Direct Measurement
title_fullStr Gingival Thickness Assessment: Visual versus Direct Measurement
title_full_unstemmed Gingival Thickness Assessment: Visual versus Direct Measurement
title_short Gingival Thickness Assessment: Visual versus Direct Measurement
title_sort gingival thickness assessment visual versus direct measurement
topic Gingiva
Periodontium
Mouth Mucosa
url http://jidai.ir/browse.php?a_code=A-10-1-868&slc_lang=en&sid=1
work_keys_str_mv AT royashariatmadarahmadi gingivalthicknessassessmentvisualversusdirectmeasurement
AT rastintavassoli gingivalthicknessassessmentvisualversusdirectmeasurement
AT ferenasayar gingivalthicknessassessmentvisualversusdirectmeasurement
AT katayounghaffari gingivalthicknessassessmentvisualversusdirectmeasurement
AT fatemehsarlati gingivalthicknessassessmentvisualversusdirectmeasurement