Comparison of the Effectiveness of the Ultrasonic Method and Cone-Beam Computed Tomography Combined with Intraoral Scanning and Prosthetic-Driven Implant Planning Method in Determining the Gingival Phenotype in the Healthy Periodontium
Abstract
:1. Introduction
2. Materials and Methods
- (a)
- no general diseases,
- (b)
- good oral hygiene (Approximal Plaque Index < 15%),
- (c)
- BOP (Bleeding on probing) for the entire oral cavity <10%,
- (d)
- no loss of clinical attachment in the examined areas (Clinical Attachment Level/Loss, CAL = 0),
- (e)
- not using drugs that may affect the structure of periodontal tissues,
- (f)
- no addictions, especially nicotine use/mainly cigarette smoking,
- (g)
- not using removable prosthetic restorations and orthodontic appliances,
- (h)
- no contraindications for radiological examination.
2.1. Clinical and Radiological Assessment
- GT ≤ 0.7 mm—thin gingival phenotype,
- GT > 0.7 mm ≤ 1.0 mm—medium gingival phenotype,
- GT > 1.0 mm—thick gingival phenotype.
2.2. Ultrasound Examination
2.3. Cone-Beam Computed Tomography/Computer-Aided Design and Prosthetic-Driven Implant Planning
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | n | Mean | Median | Minimum | Maximum | Lower Quartile | Upper Quartile | SD |
---|---|---|---|---|---|---|---|---|
FGTu | 180 | 0.98 | 0.95 | 0.43 | 1.63 | 0.83 | 1.10 | 0.23 |
SGTu | 180 | 1.11 | 1.11 | 0.60 | 1.90 | 0.92 | 1.30 | 0.25 |
CGTu | 180 | 0.69 | 0.69 | 0.32 | 1.36 | 0.59 | 0.76 | 0.16 |
FGTt | 180 | 0.81 | 0.80 | 0.50 | 1.90 | 0.70 | 0.90 | 0.18 |
SGTt | 180 | 1.57 | 1.56 | 0.63 | 2.45 | 1.38 | 1.74 | 0.31 |
CGTt | 180 | 0.88 | 0.90 | 0.30 | 1.70 | 0.70 | 1.00 | 0.24 |
PD | 180 | 1.23 | 1.00 | 1.00 | 2.00 | 1.00 | 1.38 | 0.38 |
CAL | 180 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
WKT | 180 | 5.37 | 5.25 | 2.00 | 8.50 | 4.00 | 6.38 | 1.28 |
Variables | Bias | −95% CI | 95% CI | SD | −95% LOA | 95% LOA | % Agreement | p |
---|---|---|---|---|---|---|---|---|
FGTu | 0.00 | 0.00 | 0.01 | 0.03 | −0.05 | 0.06 | 95.00 | 0.032 |
SGTu | 0.00 | −0.00 | 0.01 | 0.03 | −0.06 | 0.06 | 95.00 | 0.073 |
CGTu | −0.01 | −0.01 | −0.00 | 0.03 | −0.06 | 0.05 | 98.90 | 0.036 |
FGTt | 0.00 | −0.00 | 0.00 | 0.03 | −0.05 | 0.05 | 92.80 | 0.782 |
SGTt | 0.04 | 0.03 | 0.05 | 0.08 | −0.12 | 0.20 | 100.00 | 0.000 |
CGTt | −0.00 | −0.01 | 0.00 | 0.04 | −0.08 | 0.07 | 85.60 | 0.240 |
PD | 0.00 | −0.04 | 0.04 | 0.28 | −0.55 | 0.55 | 92.20 | 0.999 |
CAL | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 100.00 | 1.000 |
WKT | −0.04 | −0.09 | 0.02 | 0.39 | −0.79 | 0.71 | 85.00 | 0.179 |
Variables | Bias | −95% CI | 95% CI | SD | −95% LOA | 95% LOA | % Agreement | p |
---|---|---|---|---|---|---|---|---|
FGTu | 0.00 | −0.00 | 0.01 | 0.03 | −0.07 | 0.07 | 96.70 | 0.771 |
SGTu | 0.19 | 0.15 | 0.25 | 0.35 | −0.50 | 0.89 | 95.00 | 0.000 |
CGTu | 0.00 | −0.00 | 0.01 | 0.04 | −0.07 | 0.07 | 97.80 | 0.938 |
FGTt | −0.00 | −0.03 | 0.02 | 0.15 | −0.29 | 0.29 | 90.60 | 0.957 |
SGTt | 0.01 | −0.00 | 0.01 | 0.06 | −0.12 | 0.13 | 100.00 | 0.192 |
CGTt | −0.00 | −0.01 | 0.00 | 0.04 | −0.09 | 0.08 | 80.60 | 0.128 |
PD | 0.00 | −0.02 | 0.03 | 0.17 | −0.32 | 0.33 | 97.20 | 0.656 |
CAL | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 100.00 | 1.000 |
WKT | 0.01 | −0.03 | 0.05 | 0.26 | −0.49 | 0.52 | 93.30 | 0.565 |
Variables | Bias | −95% CI | 95% CI | SD | −95% LOA | 95% LOA | % of Agreement | p |
---|---|---|---|---|---|---|---|---|
FGTu | −0.01 | −0.01 | −0.00 | 0.04 | −0.08 | 0.07 | 98.30 | 0.007 |
SGTu | −0.08 | −0.10 | −0.05 | 0.19 | −0.44 | 0.29 | 95.00 | 0.000 |
CGTu | 0.02 | 0.01 | 0.02 | 0.03 | −0.04 | 0.08 | 96.10 | 0.000 |
FGTt | 0.01 | −0.00 | 0.02 | 0.07 | −0.14 | 0.15 | 92.80 | 0.201 |
SGTt | 0.01 | 0.00 | 0.02 | 0.06 | −0.11 | 0.13 | 95.60 | 0.006 |
CGTt | 0.00 | −0.00 | 0.01 | 0.03 | −0.06 | 0.06 | 96.10 | 0.537 |
PD | −0.01 | −0.05 | 0.03 | 0.26 | −0.52 | 0.50 | 95.60 | 0.669 |
CAL | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 100.00 | 1.000 |
WKT | 0.18 | 0.10 | 0.26 | 0.54 | −0.88 | 1.24 | 92.20 | 0.000 |
Ultrasound Method | CBCT/CAD/PDIP | Bias | −95% CI | 95% CI | SD | −95% LOA | 95% LOA | % Agreement | p |
---|---|---|---|---|---|---|---|---|---|
FGTu | FGTt | 0.17 | 0.13 | 0.21 | 0.25 | −0.33 | 0.66 | 93.30 | 0.000 |
SGTu | SGTt | −0.45 | −0.50 | −0.41 | 0.32 | −1.08 | 0.17 | 95.00 | 0.000 |
CGTu | CGTt | −0.19 | −0.22 | −0.15 | 0.25 | −0.68 | 0.30 | 95.60 | 0.000 |
Gingival Phenotype | Variables | N | Thin GP | Thin GP/Medium GP p | N | Medium GP | Medium GP/Thick GP p | N | Thick GP | Thin GP/Thick GP p |
---|---|---|---|---|---|---|---|---|---|---|
Acc to FGTu | FGTu | 21 | 0.67 (0.60 ÷ 0.69) | 84 | 0.88 ± 0.07 0.89 (0.82 ÷ 0.94) | 75 | 1.19 ± 0.17 1.13 (1.06 ÷ 1.35) | |||
SGTu | 21 | 0.85 (0.72 ÷ 1.00) | 0.000 * | 84 | 1.10 ± 0.23 1.12 (0.93 ÷ 1.27) | 0.000 * | 75 | 1.20 ± 0.25 1.23 (0.98 ÷ 1.37) | 0.009 * | |
CGTu | 21 | 0.59 (0.47 ÷ 0.72) | 0.013 * | 84 | 0.70 ± 0.16 0.69 (0.61 ÷ 0.76) | 0.009 * | 75 | 0.70 ± 0.15 0.71 (0.62 ÷ 0.77) | 0.823 | |
WKT | 21 | 5.00 (4.00 ÷ 6.25) | 0.759 | 84 | 5.36 ± 1.26 5.25 (4.00 ÷ 6.25) | 0.712 | 75 | 5.40 ± 1.31 5.25 (4.00 ÷ 6.50) | 0.858 | |
Acc to SGTu | FGTu | 8 | 0.69 (0.62 ÷ 0.88) | 0.012 * | 58 | 0.96 ± 0.24 0.92 (0.82 ÷ 1.88) | 0.145 | 114 | 1.01 ± 0.22 0.98 (0.86 ÷ 1.12) | 0.001 * |
SGTu | 8 | 0.65 (0.64 ÷ 0.66) | 58 | 0.87 ± 0.08 0.88 (0.80 ÷ 0.95) | 114 | 1.26 ± 0.16 1.27 (1.14 ÷ 1.37) | ||||
CGTu | 8 | 0.55 (0.41 ÷ 0.66) | 0.125 | 58 | 0.62 ± 0.14 0.63 (0.52 ÷ 0.72) | 0.000 ** | 114 | 0.74 ± 0.15 0.73 (0.64 ÷ 0.81) | 0.001 * | |
WKT | 8 | 4.50 (3.50 ÷ 6.50) | 0.870 | 58 | 4.92 ± 1.22 5.00 (4.00 ÷ 5.75) | 0.000 ** | 114 | 5.62 ± 1.22 6.00 (5.00 ÷ 6.50) | 0.245 | |
Acc to FGTt | FGTt | 65 | 0.65 ± 0.06 0.70 (0.60 ÷ 0.70) | 101 | 0.85 ± 0.08 0.82 (0.80 ÷ 0.90) | 14 | 1.19 (1.10 ÷ 1.23) | |||
SGTt | 65 | 1.37 ± 0.25 1.38 (1.25 ÷ 1.58) | 0.000 ** | 101 | 1.63 ± 0.26 1.58 (1.45 ÷ 1.80) | 0.000 * | 14 | 1.96 (1.80 ÷ 2.23) | 0.000 * | |
CGTt | 65 | 0.80 ± 0.22 0.80 (0.67 ÷ 0.92) | 0.009 ** | 101 | 0.90 ± 0.25 0.90 (0.70 ÷ 1.00) | 0.004 * | 14 | 1.09 (0.90 ÷ 1.25) | 0.000 * | |
WKT | 65 | 4.95 ± 1.23 5.00 (4.00 ÷ 6.00) | 0.009 ** | 101 | 5.48 ± 1.26 5.25 (4.25 ÷ 6.50) | 0.005 * | 14 | 6.50 (6.00 ÷ 7.00) | 0.000 * |
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Bednarz-Tumidajewicz, M.; Furtak, A.; Zakrzewska, A.; Rąpała, M.; Gerreth, K.; Gedrange, T.; Bednarz, W. Comparison of the Effectiveness of the Ultrasonic Method and Cone-Beam Computed Tomography Combined with Intraoral Scanning and Prosthetic-Driven Implant Planning Method in Determining the Gingival Phenotype in the Healthy Periodontium. Int. J. Environ. Res. Public Health 2022, 19, 12276. https://doi.org/10.3390/ijerph191912276
Bednarz-Tumidajewicz M, Furtak A, Zakrzewska A, Rąpała M, Gerreth K, Gedrange T, Bednarz W. Comparison of the Effectiveness of the Ultrasonic Method and Cone-Beam Computed Tomography Combined with Intraoral Scanning and Prosthetic-Driven Implant Planning Method in Determining the Gingival Phenotype in the Healthy Periodontium. International Journal of Environmental Research and Public Health. 2022; 19(19):12276. https://doi.org/10.3390/ijerph191912276
Chicago/Turabian StyleBednarz-Tumidajewicz, Magdalena, Aneta Furtak, Aneta Zakrzewska, Małgorzata Rąpała, Karolina Gerreth, Tomasz Gedrange, and Wojciech Bednarz. 2022. "Comparison of the Effectiveness of the Ultrasonic Method and Cone-Beam Computed Tomography Combined with Intraoral Scanning and Prosthetic-Driven Implant Planning Method in Determining the Gingival Phenotype in the Healthy Periodontium" International Journal of Environmental Research and Public Health 19, no. 19: 12276. https://doi.org/10.3390/ijerph191912276