Periodontal characteristics in individuals with varying form of the upper central incisors

IF 5.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Michael Olsson, Jan Lindhe
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引用次数: 386

Abstract It has been suggested that the variation in the morphology of the human periodontium may be related to the shape and form of the teeth. Furthermore, the severity of symptoms of periodontal disease have been proposed to differ among these various morphologic entities or “biotypes”. The aim of the present study was (i) to identify individuals with markedly different crown forms and (ii) to determine probing pocket depth, probing attachment level and amount of gingival recession that had occurred at different teeth and tooth surfaces in such individuals. Clinical photographs of the maxillary incisor tooth region of 113 subjects who had been recruited for a long-term study on periodontal disease were available. The length (CL) and width (CW) of the crowns were determined and the CW/CL ratio was calculated for each tooth. 10% in each tail, 11 subjects in each group, were arbitrarily chosen as having either a long-narrow (N) or a short-wide (W) form of the central incisors. The probing pocket depth, probing attachment level and gingival recession data available from all subjects and subjects in groups W and N were compared and analyzed using the Student t-test and multiple regression analysis. The result from the analyses demonstrated that: (1) subjects with a long-narrow form of the upper central incisors had experienced more recession of the gingival margin at buccal surfaces than subjects who had a short-wide tooth form; (2) there was a significant influence of the CW/CL-ratio on the probing attachment level (p<0.05) and the amount of gingival recession (p<0.01) on buccal tooth surfaces. The observations reported tend to confirm the hypothesis that subjects with long, narrow teeth have a comparatively thin periodontium, and may be more susceptible to gingival recession than subjects who belong to a thick periodontal “biotype”.

不同上中门牙形态个体的牙周特征
摘要人类牙周组织形态的变化可能与牙齿的形状和形态有关。此外,牙周病症状的严重程度在这些不同的形态实体或“生物型”之间有所不同。本研究的目的是(i)识别具有明显不同牙冠形式的个体,(ii)确定这些个体在不同牙齿和牙齿表面发生的探针袋深度,探针附着水平和牙龈退缩量。113名被招募参加牙周病长期研究的受试者上颌切牙区域的临床照片。测定冠的长度(CL)和宽度(CW),计算每颗牙的冠长/冠宽比。每条尾巴的10%,每组11名受试者,被随机选择为长窄(N)或短宽(W)形式的中央门牙。采用学生t检验和多元回归分析对所有被试和W组、N组被试的探牙袋深度、探牙附着水平和牙龈退缩数据进行比较和分析。结果表明:(1)上中切牙长窄型的受试者比短宽型的受试者有更多的龈缘颊面凹陷;(2) CW/ cl -比值对牙体探探附着水平(p<0.05)和龈退缩量(p<0.01)有显著影响。报告的观察结果倾向于证实这样的假设,即具有长而窄的牙齿的受试者具有相对较薄的牙周组织,并且可能比属于厚牙周“生物型”的受试者更容易发生牙龈萎缩。
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来源期刊
Journal of Clinical Periodontology
Journal of Clinical Periodontology 医学-牙科与口腔外科
CiteScore
13.30
自引率
10.40%
发文量
175
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.
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