A New Method for Volumetric Analysis of Soft‐Tissue Changes Using Three‐Dimensional Imaging in Patients With Periodontitis

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-04-16 DOI:10.1111/jcpe.14118

Aleksandar Pupovac, Davor Kuiš, Ivana Mišković, Stjepan Špalj, Alexei Zhurov, Jelena Prpić

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引用次数: 0

Abstract

AimsTo quantify changes in soft‐tissue volume induced by non‐surgical periodontal therapy (NSPT) in patients with periodontitis and correlate them with clinical parameters and smoking. A new digital approach is investigated because standard periodontal clinical assessment methods are unable to accurately capture volumetric changes.Materials and MethodsThirty‐nine subjects with periodontitis aged 27–70 years (median 48; 51% females; 49% smokers) were included. All subjects underwent clinical examination and intraoral scanning at baseline and 8 weeks after NSPT. Digital models were superimposed, and changes in volume were analysed and correlated with clinical parameters.ResultsNSPT reduced soft‐tissue volume in both smokers and non‐smokers (p < 0.001). Non‐smokers had a higher median change in volume than smokers (267.4 vs. 210.5 mm3), without statistically significant differences. Periodontal clinical parameters linearly correlated with soft‐tissue volume changes. In multiple linear regression, a higher initial proportion of pockets ≥ 5 mm was the only predictor of volume change when the effects of change in plaque score, smoking status, age and sex were controlled for (p = 0.015).ConclusionNSPT resulted in comparable reductions in soft‐tissue volume for both smokers and non‐smokers, which was confirmed by a new digital approach.Trial Registration: ClinicalTrials.gov: NCT05719519, 25.01.2023

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利用三维成像技术对牙周炎患者软组织变化进行体积分析的新方法

目的量化牙周炎患者非手术牙周治疗（NSPT）引起的软组织体积变化，并将其与临床参数和吸烟联系起来。由于标准的牙周临床评估方法无法准确捕获体积变化，因此研究了一种新的数字方法。材料与方法39例牙周炎患者，年龄27-70岁(中位数48；51%的女性;（49%吸烟者）也包括在内。所有受试者在基线和NSPT后8周进行临床检查和口腔内扫描。数字模型叠加，分析体积变化并与临床参数相关联。结果snspt降低了吸烟者和非吸烟者的软组织体积(p <；0.001)。非吸烟者容积变化中位数高于吸烟者（267.4 vs 210.5 mm3），无统计学差异。牙周临床参数与软组织体积变化呈线性相关。在多元线性回归中，当控制斑块评分、吸烟状况、年龄和性别变化的影响时，≥5 mm的口袋初始比例较高是体积变化的唯一预测因子（p = 0.015）。结论：一种新的数字方法证实了nspt对吸烟者和非吸烟者软组织体积的减少效果相当。试验注册：ClinicalTrials.gov: nct05719519,25.01.2023

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来源期刊

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.