Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical study

Background: The dimensions of dentogingival junction have been evaluated from autopsy jaw specimens. Previous studies demonstrated variability in histologic biologic width (BW) in periodontal health and mild periodontitis. Few studies have been done on the measurement of clinical BW in periodontitis...

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Main Authors: Reetika Gaddale, Jayashree Mudda, Ilangovan Karthikeyan, Shrikar Desai, Harshada Hemchandra Shinde, Roopali Tapashetti
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2015;volume=19;issue=2;spage=194;epage=198;aulast=Gaddale
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author Reetika Gaddale
Jayashree Mudda
Ilangovan Karthikeyan
Shrikar Desai
Harshada Hemchandra Shinde
Roopali Tapashetti
author_facet Reetika Gaddale
Jayashree Mudda
Ilangovan Karthikeyan
Shrikar Desai
Harshada Hemchandra Shinde
Roopali Tapashetti
author_sort Reetika Gaddale
collection DOAJ
description Background: The dimensions of dentogingival junction have been evaluated from autopsy jaw specimens. Previous studies demonstrated variability in histologic biologic width (BW) in periodontal health and mild periodontitis. Few studies have been done on the measurement of clinical BW in periodontitis. BW variation provides implications for selection of surgical or nonsurgical approaches. The purpose of this study was to determine clinical BW in periodontal health and chronic generalized periodontitis and to compare it with histologic dimensions of BW. Materials and Methods: A total of 20 subjects with chronic generalized periodontitis and 20 subjects with healthy periodontium were included in the present study. Plaque index and community periodontal index of treatment needs were scored; moreover, probing depth (PD) and clinical attachment level were measured. Full mouth intraoral periapical radiographs were taken, and digitalized images were obtained to measure the crestal bone level using computerized software. Results: Clinical BW was significantly greater in both healthy and periodontitis groups than previously reported histologic BW of 2.04 mm (P < 0.001). The mean clinical BW was 3.98 mm. Conclusion: Mean clinical BW in both groups was significantly greater than histologic BW and sites with shallow PDs demonstrated greatest BW, suggesting that these sites may be at increased risk for losing significant attachment during surgical procedures.
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spelling doaj.art-8d02771f3a264d3c9562826500f9a72d2022-12-21T20:02:09ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2015-01-0119219419810.4103/0972-124X.145840Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical studyReetika GaddaleJayashree MuddaIlangovan KarthikeyanShrikar DesaiHarshada Hemchandra ShindeRoopali TapashettiBackground: The dimensions of dentogingival junction have been evaluated from autopsy jaw specimens. Previous studies demonstrated variability in histologic biologic width (BW) in periodontal health and mild periodontitis. Few studies have been done on the measurement of clinical BW in periodontitis. BW variation provides implications for selection of surgical or nonsurgical approaches. The purpose of this study was to determine clinical BW in periodontal health and chronic generalized periodontitis and to compare it with histologic dimensions of BW. Materials and Methods: A total of 20 subjects with chronic generalized periodontitis and 20 subjects with healthy periodontium were included in the present study. Plaque index and community periodontal index of treatment needs were scored; moreover, probing depth (PD) and clinical attachment level were measured. Full mouth intraoral periapical radiographs were taken, and digitalized images were obtained to measure the crestal bone level using computerized software. Results: Clinical BW was significantly greater in both healthy and periodontitis groups than previously reported histologic BW of 2.04 mm (P < 0.001). The mean clinical BW was 3.98 mm. Conclusion: Mean clinical BW in both groups was significantly greater than histologic BW and sites with shallow PDs demonstrated greatest BW, suggesting that these sites may be at increased risk for losing significant attachment during surgical procedures.http://www.jisponline.com/article.asp?issn=0972-124X;year=2015;volume=19;issue=2;spage=194;epage=198;aulast=GaddaleBiologic widthclinical biologic widthperiodontitis
spellingShingle Reetika Gaddale
Jayashree Mudda
Ilangovan Karthikeyan
Shrikar Desai
Harshada Hemchandra Shinde
Roopali Tapashetti
Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical study
Journal of Indian Society of Periodontology
Biologic width
clinical biologic width
periodontitis
title Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical study
title_full Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical study
title_fullStr Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical study
title_full_unstemmed Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical study
title_short Determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium: A clinico-radiographical study
title_sort determination of clinical biologic width in chronic generalized periodontitis and healthy periodontium a clinico radiographical study
topic Biologic width
clinical biologic width
periodontitis
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2015;volume=19;issue=2;spage=194;epage=198;aulast=Gaddale
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