Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound Device

Background: The dimensions of gingiva and different parts of the masticatory mucosa have become a subject of considerable interest in Periodontics. Studies assessing the thickness of the facial gingiva are often seen in the literature. The thickness of the palatal gingiva is a subject still less...

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Main Authors: Nami Rajpoot, Aarati Nayak, Ranganath Nayak, Praveen Kumar Bankur
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/5724/12041_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf
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author Nami Rajpoot
Aarati Nayak
Ranganath Nayak
Praveen Kumar Bankur
author_facet Nami Rajpoot
Aarati Nayak
Ranganath Nayak
Praveen Kumar Bankur
author_sort Nami Rajpoot
collection DOAJ
description Background: The dimensions of gingiva and different parts of the masticatory mucosa have become a subject of considerable interest in Periodontics. Studies assessing the thickness of the facial gingiva are often seen in the literature. The thickness of the palatal gingiva is a subject still less researched in periodontal therapy and implantology. Objectives: To measure the thickness of the palatal gingiva using an ultrasound device ‘Biometric A- Scan’ and to evaluate the variation in the thickness of the palatal gingiva at the sites examined. Materials and Methods: In the 50 subjects examined, the thickness of the palatal gingiva was assessed at the maxillary anteriors, premolars and molars by an ultrasound device ‘Biometric A-Scan’. The results were subjected to statistical analysis using one-way ANOVA test and Newman-Keuls multiple post hoc procedure. Results: Statistically significant variations existed in the palatal gingival thickness. The thickness was highest at the lateral incisor region, followed by canine, premolars, molars and central incisor. Interpretation and Conclusion: In the subjects assessed, the thickness of the palatal gingiva at the lateral–canine area was the highest followed by the premolar area. In periodontal root coverage procedures and during implant therapy, we suggest the inclusion of the lateral incisor area, apart from the canine and premolar area, as a potential donor site for harvesting soft tissue grafts from the palatal area. However, the effect of several factors like age and sex of the patient, the anatomy of the palatal area, the influence of rugae patterns and racial and geographical differences should be taken into consideration prior to harvesting a graft from these sites. Apart from this, the study suggests that, the ultrasonographic measurements provide an elegant means of obtaining the measurements of gingival and mucosal tissues rapidly, accurately and non-invasively. Our endeavour in this research project attempts to open more avenues for studies in the field of advanced periodontal diagnosis, with the use of ultrasound, and expand the horizons of periodontal plastic surgery and implant therapy as well.
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spelling doaj.art-fdb74a76524c45559f21c8d161be032e2022-12-22T00:55:52ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-03-0193ZC56ZC6010.7860/JCDR/2015/12041.5724Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound DeviceNami Rajpoot0Aarati Nayak1Ranganath Nayak2Praveen Kumar Bankur3Senior Lecturer, Department of Periodontics , College of Dental sciences, Amargadh, Bhavnagar, Gujarat, India.Professor and Head, Department of Periodontics, Maratha Mandal’s N.G.H Institute of Dental sciences and Research Centre, Belgaum, Karnataka, India.Professor and Head, Department of Oral and Maxillofacial surgery, Maratha Mandal’s N.G.H Institute of Dental sciences and Research Centre, Belgaum, Karnataka, India.Senior Lecturer, Department of Periodontics, Guru Gobind Singh Dental College, Burhanpur, Madhya Pradesh, India.Background: The dimensions of gingiva and different parts of the masticatory mucosa have become a subject of considerable interest in Periodontics. Studies assessing the thickness of the facial gingiva are often seen in the literature. The thickness of the palatal gingiva is a subject still less researched in periodontal therapy and implantology. Objectives: To measure the thickness of the palatal gingiva using an ultrasound device ‘Biometric A- Scan’ and to evaluate the variation in the thickness of the palatal gingiva at the sites examined. Materials and Methods: In the 50 subjects examined, the thickness of the palatal gingiva was assessed at the maxillary anteriors, premolars and molars by an ultrasound device ‘Biometric A-Scan’. The results were subjected to statistical analysis using one-way ANOVA test and Newman-Keuls multiple post hoc procedure. Results: Statistically significant variations existed in the palatal gingival thickness. The thickness was highest at the lateral incisor region, followed by canine, premolars, molars and central incisor. Interpretation and Conclusion: In the subjects assessed, the thickness of the palatal gingiva at the lateral–canine area was the highest followed by the premolar area. In periodontal root coverage procedures and during implant therapy, we suggest the inclusion of the lateral incisor area, apart from the canine and premolar area, as a potential donor site for harvesting soft tissue grafts from the palatal area. However, the effect of several factors like age and sex of the patient, the anatomy of the palatal area, the influence of rugae patterns and racial and geographical differences should be taken into consideration prior to harvesting a graft from these sites. Apart from this, the study suggests that, the ultrasonographic measurements provide an elegant means of obtaining the measurements of gingival and mucosal tissues rapidly, accurately and non-invasively. Our endeavour in this research project attempts to open more avenues for studies in the field of advanced periodontal diagnosis, with the use of ultrasound, and expand the horizons of periodontal plastic surgery and implant therapy as well.https://jcdr.net/articles/PDF/5724/12041_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdfmasticatory mucosa
spellingShingle Nami Rajpoot
Aarati Nayak
Ranganath Nayak
Praveen Kumar Bankur
Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound Device
Journal of Clinical and Diagnostic Research
masticatory mucosa
title Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound Device
title_full Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound Device
title_fullStr Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound Device
title_full_unstemmed Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound Device
title_short Evaluation of Variation in the Palatal Gingival Biotypes Using an Ultrasound Device
title_sort evaluation of variation in the palatal gingival biotypes using an ultrasound device
topic masticatory mucosa
url https://jcdr.net/articles/PDF/5724/12041_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf
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