Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography

This study aimed to investigate the accuracy of gingival thickness measurement by two methods of clinical evaluation and intraoral ultrasonography. The gingival thickness was measured in the midbuccal area of the right maxillary lateral incisor and first molar teeth in 30 individuals. For clinical m...

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Main Authors: Parisa Soltani, Jaber Yaghini, Kosar Rafiei, Mojdeh Mehdizadeh, Niccolò Giuseppe Armogida, Luigi Esposito, Gianrico Spagnuolo
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/13/4395
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author Parisa Soltani
Jaber Yaghini
Kosar Rafiei
Mojdeh Mehdizadeh
Niccolò Giuseppe Armogida
Luigi Esposito
Gianrico Spagnuolo
author_facet Parisa Soltani
Jaber Yaghini
Kosar Rafiei
Mojdeh Mehdizadeh
Niccolò Giuseppe Armogida
Luigi Esposito
Gianrico Spagnuolo
author_sort Parisa Soltani
collection DOAJ
description This study aimed to investigate the accuracy of gingival thickness measurement by two methods of clinical evaluation and intraoral ultrasonography. The gingival thickness was measured in the midbuccal area of the right maxillary lateral incisor and first molar teeth in 30 individuals. For clinical measurement, a #15 K-file with rubber stops was vertically inserted 2 mm apical to the gingival margin and the length of the file in the tissue was measured using a digital caliper. Ultrasonographic measurement was performed using an intraoral probe on the gingival surface in the midbuccal area, at the entry point of the file. Statistical analysis was performed by paired t-test, correlation coefficient, and receiver operating characteristic (ROC) curve (α = 0.05). In the anterior region, the mean gingival thicknesses using ultrasonography (1.517 ± 0.293 mm) and clinical evaluation (1.610 ± 0.272 mm) were not significantly different (<i>p</i> = 0.434). In the posterior region, the mean gingival thicknesses were significantly different between ultrasonography (1.372 ± 0.442 mm) and clinical evaluation (1.626 ± 0.310 mm) (<i>p</i> = 0.006). The area under ROC curve values for ultrasonographic measurements in the anterior and posterior regions were 0.681 and 0.597, respectively. The use of ultrasonography with an intraoral probe has acceptable accuracy for the determination of gingival thickness, especially for the anterior regions.
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spelling doaj.art-8c37eed663804386861056cf87378a0b2023-11-18T16:53:17ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011213439510.3390/jcm12134395Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral UltrasonographyParisa Soltani0Jaber Yaghini1Kosar Rafiei2Mojdeh Mehdizadeh3Niccolò Giuseppe Armogida4Luigi Esposito5Gianrico Spagnuolo6Department of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan 81745-33871, IranDepartment of Periodontics, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan 81745-33871, IranStudent Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan 81745-33871, IranDepartment of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan 81745-33871, IranDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Naples, ItalyDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Naples, ItalyDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Naples, ItalyThis study aimed to investigate the accuracy of gingival thickness measurement by two methods of clinical evaluation and intraoral ultrasonography. The gingival thickness was measured in the midbuccal area of the right maxillary lateral incisor and first molar teeth in 30 individuals. For clinical measurement, a #15 K-file with rubber stops was vertically inserted 2 mm apical to the gingival margin and the length of the file in the tissue was measured using a digital caliper. Ultrasonographic measurement was performed using an intraoral probe on the gingival surface in the midbuccal area, at the entry point of the file. Statistical analysis was performed by paired t-test, correlation coefficient, and receiver operating characteristic (ROC) curve (α = 0.05). In the anterior region, the mean gingival thicknesses using ultrasonography (1.517 ± 0.293 mm) and clinical evaluation (1.610 ± 0.272 mm) were not significantly different (<i>p</i> = 0.434). In the posterior region, the mean gingival thicknesses were significantly different between ultrasonography (1.372 ± 0.442 mm) and clinical evaluation (1.626 ± 0.310 mm) (<i>p</i> = 0.006). The area under ROC curve values for ultrasonographic measurements in the anterior and posterior regions were 0.681 and 0.597, respectively. The use of ultrasonography with an intraoral probe has acceptable accuracy for the determination of gingival thickness, especially for the anterior regions.https://www.mdpi.com/2077-0383/12/13/4395gingivaperiodontiumultrasonography
spellingShingle Parisa Soltani
Jaber Yaghini
Kosar Rafiei
Mojdeh Mehdizadeh
Niccolò Giuseppe Armogida
Luigi Esposito
Gianrico Spagnuolo
Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography
Journal of Clinical Medicine
gingiva
periodontium
ultrasonography
title Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography
title_full Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography
title_fullStr Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography
title_full_unstemmed Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography
title_short Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography
title_sort comparative evaluation of the accuracy of gingival thickness measurement by clinical evaluation and intraoral ultrasonography
topic gingiva
periodontium
ultrasonography
url https://www.mdpi.com/2077-0383/12/13/4395
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AT kosarrafiei comparativeevaluationoftheaccuracyofgingivalthicknessmeasurementbyclinicalevaluationandintraoralultrasonography
AT mojdehmehdizadeh comparativeevaluationoftheaccuracyofgingivalthicknessmeasurementbyclinicalevaluationandintraoralultrasonography
AT niccologiuseppearmogida comparativeevaluationoftheaccuracyofgingivalthicknessmeasurementbyclinicalevaluationandintraoralultrasonography
AT luigiesposito comparativeevaluationoftheaccuracyofgingivalthicknessmeasurementbyclinicalevaluationandintraoralultrasonography
AT gianricospagnuolo comparativeevaluationoftheaccuracyofgingivalthicknessmeasurementbyclinicalevaluationandintraoralultrasonography